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Acute Invasive Fulminant Fungal Rhinosinusitis: An Evaluation of 25 Cases.
- Source :
-
ENT Updates . Aug2024, Vol. 14 Issue 2, p42-47. 6p. - Publication Year :
- 2024
-
Abstract
- Background: Acute invasive fungal rhinosinusitis (AIFRS) is a severe infection that affects the nasal cavity and paranasal sinuses, often seen in individuals with comorbidities such as diabetes mellitus and hemato-oncological diseases. This study aims to retrospectively analyze patients diagnosed with AIFRS from 2014 to 2023. Methods: The study was a single-center, descriptive investigation focusing on demographic details, clinical presentation, radio-pathological features, and suggested management of AIFRS patients. Results: Of the 25 patients involved in the study, with a mean age of 48 years, hematooncological diseases were the most common underlying condition (44%), followed by diabetes mellitus (28%). Fungal analysis revealed Aspergillus species (32%) and Mucor (24%). The most frequently involved site was the middle turbinate (84%), while the least affected was the inferior turbinate (36%). The mortality rate was 48%, primarily due to underlying hemato-oncological diseases (32%). Aspergillus (16%) and Mucor (16%) were the most commonly encountered pathogens in fatal cases. Conclusion: Patients with diabetes mellitus, hemato-oncological diseases, or secondary immunodefciency undergoing steroid treatment should be vigilantly screened for AIFRS. Early diagnosis and prompt management are crucial to improve patient outcomes. [ABSTRACT FROM AUTHOR]
- Subjects :
- *NASAL cavity
*PARANASAL sinuses
*DIABETES
*ENDOSCOPIC surgery
*SYMPTOMS
Subjects
Details
- Language :
- English
- ISSN :
- 21497109
- Volume :
- 14
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- ENT Updates
- Publication Type :
- Academic Journal
- Accession number :
- 179004585
- Full Text :
- https://doi.org/10.5152/entupdates.2024.24396