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急性侵袭性真菌性鼻窦炎的管理

Managing acute invasive fungal sinusitis.

作者信息

Dwyhalo Kristina M, Donald Carrlene, Mendez Anthony, Hoxworth Joseph

机构信息

At the Mayo Clinic Arizona in Phoenix, Ariz., Kristina M. Dwyhalo and Carrlene Donald practice in the Department of Otolaryngology/Head & Neck Surgery, Anthony Mendez is an instructor in the Mayo Clinic College of Medicine and associate program director of the ENT PA fellowship in the Department of Otolaryngology/Head & Neck Surgery, and Joseph Hoxworth is a neuroradiologist. The authors have disclosed no potential conflicts of interest, financial or otherwise.

出版信息

JAAPA. 2016 Jan;29(1):48-53. doi: 10.1097/01.JAA.0000473374.55372.8f.

Abstract

Acute invasive fungal sinusitis is the most aggressive form of fungal sinusitis and can be fatal, especially in patients who are immunosuppressed. Early diagnosis and intervention are crucial and potentially lifesaving, so primary care providers must maintain a high index of suspicion for this disease. Patients may need to be admitted to the hospital for IV antifungal therapy and surgical debridement.

摘要

急性侵袭性真菌性鼻窦炎是真菌性鼻窦炎最具侵袭性的形式,可能会致命,尤其是在免疫功能低下的患者中。早期诊断和干预至关重要,可能挽救生命,因此初级保健提供者必须对这种疾病保持高度怀疑指数。患者可能需要住院接受静脉抗真菌治疗和手术清创。

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