Wang Jing, Liu Yan
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Jul;35(7):651-653. doi: 10.13201/j.issn.2096-7993.2021.07.017.
The main clinical manifestations of this patient were repeated epistaxis for 20 days and nasal swelling with pain for 5 days. We improved the blood routine, indicating increased inflammatory indicators, biochemical indicating increased blood glucose, immunological examination showed no obvious abnormality, sinus CT and MRI both indicated septal abscess, histological pathology indicated inflammation, and finally confirmed the diagnosis through pus bacteria culture. After combined with systemic antifungal therapy, symptoms and signs disappeared, no saddle nose and nasal septum perforation and other complications occurred, and no obvious liver and kidney function imp-airment was obseved.
该患者的主要临床表现为反复鼻出血20天，鼻肿胀伴疼痛5天。血常规提示炎症指标升高，生化检查提示血糖升高，免疫学检查无明显异常，鼻窦CT和MRI均提示鼻中隔脓肿，组织病理学提示炎症，最终通过脓液细菌培养确诊。经全身抗真菌治疗后，症状和体征消失，未出现鞍鼻、鼻中隔穿孔等并发症，且未观察到明显的肝肾功能损害。
