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免疫抑制患者侵袭性真菌性鼻窦炎。三例报告。

Invasive fungal sinusitis in immunosuppressed patients. Report of three cases.

作者信息

Zapater E, Armengot M, Campos A, Montalt J, Pedro F, Basterra J

机构信息

Department of ENT, University General Hospital, Valencia, Spain.

出版信息

Acta Otorhinolaryngol Belg. 1996;50(2):137-42.

PMID:8767259
Abstract

Report of three cases. Newly appeared immunosuppression related conditions have led to an increase in morbidity of systemic opportunistic mycoses. Rhinosinusal infection has also increased in frequency. Three invasive nasosinusal mycoses are presented: two cases of mucormycosis and a simultaneous infection by mucormycosis and candida albicans. In all cases, and despite treatment, progression of the disease could not be stopped and the patients died. The main characteristics of invasive nasosinusal mycoses are reviewed, to obtain early diagnosis. Early therapy improves the prognosis, and thus clinical suspicion justifies treatment before establishing a microbiological diagnosis.

摘要

三例病例报告。新出现的与免疫抑制相关的病症导致系统性机会性真菌病的发病率增加。鼻-鼻窦感染的频率也有所上升。本文报告了三例侵袭性鼻-鼻窦真菌病:两例毛霉病以及一例毛霉病与白色念珠菌的混合感染。在所有病例中,尽管进行了治疗,但疾病仍无法得到控制,患者最终死亡。为实现早期诊断,对侵袭性鼻-鼻窦真菌病的主要特征进行了综述。早期治疗可改善预后,因此在进行微生物学诊断之前,临床怀疑即足以支持开展治疗。

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