Allergic fungal sinusitis caused by Bipolaris (Drechslera) hawaiiensis
Depending on the aggressiveness of the pathogen and a patient's immunocompetence, fungal polypoid pansinusitis or allergic fungal sinusitis (AFS) may be a life-threatening disease. Apart from the clinical findings, its diagnosis is based on the demonstration of mucinous material with abundant e...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 1999, Vol.256 (7), p.330-334 |
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| creator | FRYEN, A MAYSER, P GLANZ, H FÜSSLE, R BREITHAUPT, H DE HOOG, G. S |
| description | Depending on the aggressiveness of the pathogen and a patient's immunocompetence, fungal polypoid pansinusitis or allergic fungal sinusitis (AFS) may be a life-threatening disease. Apart from the clinical findings, its diagnosis is based on the demonstration of mucinous material with abundant eosinophils in the paranasal sinuses (indicating an allergic process), cultivation of the causative pathogen and immunocompetence of the patient. In a 20-year-old immigrant Sudanese woman, AFS due to Bipolaris (Drechslera) hawaiiensis was diagnosed. Because of intracranial extension, the disease had led to erosion of the cranial base and orbit with amaurosis on the right side and focal epilepsy. In addition to endonasal microsurgical pansinus operations, local irrigation therapy with amphothericin B was accompanied by systemic treatment with itraconazole after in vitro cultivation of the pathogen and determination of its sensitivities. Interdisciplinary management included a combination of endonasal surgery with debridement of infected tissues and wide drainage of the sinuses without removal of skull bone or the dural lesion in addition to specific antimycotic treatment. Injury to adjacent anatomical structures must be avoided in any case to prevent systemic or possibly lethal dissemination of infection. |
| doi_str_mv | 10.1007/s004050050157 |
| format | Article |
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In addition to endonasal microsurgical pansinus operations, local irrigation therapy with amphothericin B was accompanied by systemic treatment with itraconazole after in vitro cultivation of the pathogen and determination of its sensitivities. Interdisciplinary management included a combination of endonasal surgery with debridement of infected tissues and wide drainage of the sinuses without removal of skull bone or the dural lesion in addition to specific antimycotic treatment. Injury to adjacent anatomical structures must be avoided in any case to prevent systemic or possibly lethal dissemination of infection.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s004050050157</identifier><identifier>PMID: 10473824</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Adult ; Amphotericin B - administration & dosage ; Biological and medical sciences ; Debridement ; Drug Therapy, Combination ; Endoscopy ; Ent and stomatologic mycoses ; Female ; Human mycoses ; Humans ; Infectious diseases ; Itraconazole - administration & dosage ; Magnetic Resonance Imaging ; Medical sciences ; Microsurgery ; Mitosporic Fungi - immunology ; Mycoses ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Paranasal Sinuses - pathology ; Paranasal Sinuses - surgery ; Patient Care Team ; Respiratory Hypersensitivity - diagnosis ; Respiratory Hypersensitivity - immunology ; Respiratory Hypersensitivity - surgery ; Sinusitis - diagnosis ; Sinusitis - immunology ; Sinusitis - surgery ; Therapeutic Irrigation ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><ispartof>European archives of oto-rhino-laryngology, 1999, Vol.256 (7), p.330-334</ispartof><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c318t-9ff493fc694d5453500cf6a065dd63a0576a127dd6ddf2f7f1db8d14ca1ed2a93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1944935$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10473824$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FRYEN, A</creatorcontrib><creatorcontrib>MAYSER, P</creatorcontrib><creatorcontrib>GLANZ, H</creatorcontrib><creatorcontrib>FÜSSLE, R</creatorcontrib><creatorcontrib>BREITHAUPT, H</creatorcontrib><creatorcontrib>DE HOOG, G. S</creatorcontrib><title>Allergic fungal sinusitis caused by Bipolaris (Drechslera) hawaiiensis</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>Depending on the aggressiveness of the pathogen and a patient's immunocompetence, fungal polypoid pansinusitis or allergic fungal sinusitis (AFS) may be a life-threatening disease. Apart from the clinical findings, its diagnosis is based on the demonstration of mucinous material with abundant eosinophils in the paranasal sinuses (indicating an allergic process), cultivation of the causative pathogen and immunocompetence of the patient. In a 20-year-old immigrant Sudanese woman, AFS due to Bipolaris (Drechslera) hawaiiensis was diagnosed. Because of intracranial extension, the disease had led to erosion of the cranial base and orbit with amaurosis on the right side and focal epilepsy. In addition to endonasal microsurgical pansinus operations, local irrigation therapy with amphothericin B was accompanied by systemic treatment with itraconazole after in vitro cultivation of the pathogen and determination of its sensitivities. Interdisciplinary management included a combination of endonasal surgery with debridement of infected tissues and wide drainage of the sinuses without removal of skull bone or the dural lesion in addition to specific antimycotic treatment. Injury to adjacent anatomical structures must be avoided in any case to prevent systemic or possibly lethal dissemination of infection.</description><subject>Adult</subject><subject>Amphotericin B - administration & dosage</subject><subject>Biological and medical sciences</subject><subject>Debridement</subject><subject>Drug Therapy, Combination</subject><subject>Endoscopy</subject><subject>Ent and stomatologic mycoses</subject><subject>Female</subject><subject>Human mycoses</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Itraconazole - administration & dosage</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Microsurgery</subject><subject>Mitosporic Fungi - immunology</subject><subject>Mycoses</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Paranasal Sinuses - pathology</subject><subject>Paranasal Sinuses - surgery</subject><subject>Patient Care Team</subject><subject>Respiratory Hypersensitivity - diagnosis</subject><subject>Respiratory Hypersensitivity - immunology</subject><subject>Respiratory Hypersensitivity - surgery</subject><subject>Sinusitis - diagnosis</subject><subject>Sinusitis - immunology</subject><subject>Sinusitis - surgery</subject><subject>Therapeutic Irrigation</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkM1Lw0AQxRdRbK0evUoOInqI7leyybFWq0LBi57DdD_alW1Sdxqk_70rLagwMMzwm8ebR8g5o7eMUnWHlEpa0FSsUAdkyKSQuVS8PCRDWguVS6nUgJwgftBEyVockwGjUomKyyGZjkOwceF15vp2ASFD3_boNx4zDT1ak8232b1fdwFi2l0_RKuXmE7gJlvCF3hvW_R4So4cBLRn-z4i79PHt8lzPnt9epmMZ7kWrNrktXPJgNNlLU0hC5F8a1cCLQtjSgG0UCUwrtJgjONOOWbmlWFSA7OGQy1G5Gqnu47dZ29x06w8ahsCtLbrsVGUci5ElcB8B-rYIUbrmnX0K4jbhtHmJ7jmX3CJv9gL9_OVNX_oXVIJuNwDgBqCi9Bqj79cLdNnhfgGsKx07A</recordid><startdate>1999</startdate><enddate>1999</enddate><creator>FRYEN, A</creator><creator>MAYSER, P</creator><creator>GLANZ, H</creator><creator>FÜSSLE, R</creator><creator>BREITHAUPT, H</creator><creator>DE HOOG, G. 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Stomatology</topic><topic>Paranasal Sinuses - pathology</topic><topic>Paranasal Sinuses - surgery</topic><topic>Patient Care Team</topic><topic>Respiratory Hypersensitivity - diagnosis</topic><topic>Respiratory Hypersensitivity - immunology</topic><topic>Respiratory Hypersensitivity - surgery</topic><topic>Sinusitis - diagnosis</topic><topic>Sinusitis - immunology</topic><topic>Sinusitis - surgery</topic><topic>Therapeutic Irrigation</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FRYEN, A</creatorcontrib><creatorcontrib>MAYSER, P</creatorcontrib><creatorcontrib>GLANZ, H</creatorcontrib><creatorcontrib>FÜSSLE, R</creatorcontrib><creatorcontrib>BREITHAUPT, H</creatorcontrib><creatorcontrib>DE HOOG, G. 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In a 20-year-old immigrant Sudanese woman, AFS due to Bipolaris (Drechslera) hawaiiensis was diagnosed. Because of intracranial extension, the disease had led to erosion of the cranial base and orbit with amaurosis on the right side and focal epilepsy. In addition to endonasal microsurgical pansinus operations, local irrigation therapy with amphothericin B was accompanied by systemic treatment with itraconazole after in vitro cultivation of the pathogen and determination of its sensitivities. Interdisciplinary management included a combination of endonasal surgery with debridement of infected tissues and wide drainage of the sinuses without removal of skull bone or the dural lesion in addition to specific antimycotic treatment. 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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Amphotericin B - administration & dosage Biological and medical sciences Debridement Drug Therapy, Combination Endoscopy Ent and stomatologic mycoses Female Human mycoses Humans Infectious diseases Itraconazole - administration & dosage Magnetic Resonance Imaging Medical sciences Microsurgery Mitosporic Fungi - immunology Mycoses Non tumoral diseases Otorhinolaryngology. Stomatology Paranasal Sinuses - pathology Paranasal Sinuses - surgery Patient Care Team Respiratory Hypersensitivity - diagnosis Respiratory Hypersensitivity - immunology Respiratory Hypersensitivity - surgery Sinusitis - diagnosis Sinusitis - immunology Sinusitis - surgery Therapeutic Irrigation Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology |
| title | Allergic fungal sinusitis caused by Bipolaris (Drechslera) hawaiiensis |
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