Document Detail

Curvularia/Drechslera sinusitis.
MedLine Citation:
PMID:  2203956     Owner:  NLM     Status:  MEDLINE    
Sinusitis due to unusual fungal pathogens is thought to occur primarily in immunocompromised individuals. However, the fungi Curvularia, Drechslera, and others produce sinusitis in healthy young adults. The signs and symptoms produced by these organisms are usually considered to be complications of sinusitis. Of the three cases that we report, two manifested decreased visual acuity, and the third presented with acute onset of seizures. Computed tomography scans were helpful in delineating the extent of disease and in following the results of therapy. Aggressive surgical treatment is necessary; indeed, two of our cases required a second operation to eradicate all disease. If histopathology shows tissue invasion by the fungus, intravenous amphotericin B is recommended. Fungal cultures and smears should be obtained when healthy patients present with complications of sinusitis.
S M Killingsworth; S J Wetmore
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Laryngoscope     Volume:  100     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1990 Sep 
Date Detail:
Created Date:  1990-10-05     Completed Date:  1990-10-05     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  932-7     Citation Subset:  IM    
Department of Otolaryngology-Head & Neck Surgery, University of Arkansas for Health Sciences, Little Rock.
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MeSH Terms
Mitosporic Fungi
Mycoses / diagnosis*,  radiography,  surgery
Sinusitis / diagnosis,  etiology*,  surgery

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