Different types of fungal sinusitis occurring concurrently: implications for therapy
Abstract The purpose of this study is to describe the clinical and histopathological features, management and outcome of a series of patients with simultaneous occurrence of invasive and non-invasive fungal sinusitis (mixed fungal sinusitis). The histopathological records of patients with fungal sinusitis seen over the last 6 years were reviewed. The clinical, histopathological, treatment and follow up details of all cases with mixed fungal sinusitis were noted. Six cases of mixed fungal sinusitis with concurrent occurrence of chronic granulomatous fungal sinusitis and allergic fungal sinusitis (AFS) were seen during the study period. Most (83.3 %) had bilateral disease. All patients had undergone prior endoscopic sinus surgery at least once within the previous 2 years. Histopathological features showed predominance of invasive disease in half the patients. Except for one patient who did not report for follow up, all patients with predominant chronic granulomatous fungal sinusitis received systemic antifungal therapy and inhaled steroids. Those with predominant features of AFS received oral and inhaled steroids. Five patients with mixed fungal sinusitis who had follow up ranging from 6 months to 5 years were disease free following treatment. Mixed fungal sinusitis should be recognized by the surgeon and pathologist as a separate category of fungal sinusitis whose treatment depends on accurate histological diagnosis. A good outcome may be expected with appropriate therapy..
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2012 |
|---|---|
| Erschienen: |
2012 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:270 |
|---|---|
| Enthalten in: |
European archives of oto-rhino-laryngology and head & neck - 270(2012), 2 vom: 06. Juli, Seite 603-608 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Rupa, V. [VerfasserIn] |
|---|
| Links: |
Volltext [lizenzpflichtig] |
|---|
| BKL: | |
|---|---|
| Themen: |
Allergic fungal sinusitis |
| doi: |
10.1007/s00405-012-2096-2 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
SPR005185742 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | SPR005185742 | ||
| 003 | DE-627 | ||
| 005 | 20230520004403.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 201001s2012 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00405-012-2096-2 |2 doi | |
| 035 | |a (DE-627)SPR005185742 | ||
| 035 | |a (SPR)s00405-012-2096-2-e | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 082 | 0 | 4 | |a 610 |q ASE |
| 084 | |a 44.94 |2 bkl | ||
| 100 | 1 | |a Rupa, V. |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Different types of fungal sinusitis occurring concurrently: implications for therapy |
| 264 | 1 | |c 2012 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a Abstract The purpose of this study is to describe the clinical and histopathological features, management and outcome of a series of patients with simultaneous occurrence of invasive and non-invasive fungal sinusitis (mixed fungal sinusitis). The histopathological records of patients with fungal sinusitis seen over the last 6 years were reviewed. The clinical, histopathological, treatment and follow up details of all cases with mixed fungal sinusitis were noted. Six cases of mixed fungal sinusitis with concurrent occurrence of chronic granulomatous fungal sinusitis and allergic fungal sinusitis (AFS) were seen during the study period. Most (83.3 %) had bilateral disease. All patients had undergone prior endoscopic sinus surgery at least once within the previous 2 years. Histopathological features showed predominance of invasive disease in half the patients. Except for one patient who did not report for follow up, all patients with predominant chronic granulomatous fungal sinusitis received systemic antifungal therapy and inhaled steroids. Those with predominant features of AFS received oral and inhaled steroids. Five patients with mixed fungal sinusitis who had follow up ranging from 6 months to 5 years were disease free following treatment. Mixed fungal sinusitis should be recognized by the surgeon and pathologist as a separate category of fungal sinusitis whose treatment depends on accurate histological diagnosis. A good outcome may be expected with appropriate therapy. | ||
| 650 | 4 | |a Invasive fungal sinusitis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Non-invasive fungal sinusitis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Allergic fungal sinusitis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Chronic granulomatous fungal sinusitis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Mixed fungal sinusitis |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Thomas, Meera |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t European archives of oto-rhino-laryngology and head & neck |d Berlin : Springer, 1864 |g 270(2012), 2 vom: 06. Juli, Seite 603-608 |w (DE-627)SPR005145457 |w (DE-600)1459042-6 |x 1434-4726 |7 nnns |
| 773 | 1 | 8 | |g volume:270 |g year:2012 |g number:2 |g day:06 |g month:07 |g pages:603-608 |
| 856 | 4 | 0 | |u https://dx.doi.org/10.1007/s00405-012-2096-2 |z lizenzpflichtig |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_SPRINGER | ||
| 912 | |a SSG-OLC-PHA | ||
| 936 | b | k | |a 44.94 |q ASE |
| 951 | |a AR | ||
| 952 | |d 270 |j 2012 |e 2 |b 06 |c 07 |h 603-608 | ||