Successfully treated candida sinusitis in an AIDS patient

An AIDS patient with a subdural empyema as a complication of candida sinusitis is presented. Clinical features resembled those of invasive aspergillosis or phycomycosis. Microbiological diagnosis was established by blood cultures, sinus cultures, and histopathological examination. An aggressive surg...

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Veröffentlicht in:	Journal of cranio-maxillo-facial surgery 1990-05, Vol.18 (4), p.175-178
Hauptverfasser:	Colmenero, Cesar, Moñux, Alfonso, Valencia, Eulalia, Castro, Alberto
Format:	Artikel
Sprache:	eng
Schlagworte:	Acquired Immunodeficiency Syndrome - complications Adult AIDS AIDS/HIV Candida Candidiasis - complications Candidiasis - drug therapy Candidiasis - surgery Dentistry Empyema, Subdural - complications Empyema, Subdural - drug therapy Empyema, Subdural - surgery Ethmoid Sinusitis - complications Ethmoid Sinusitis - drug therapy Ethmoid Sinusitis - surgery Fluconazole Fluconazole - therapeutic use Humans Male Maxillary Sinusitis - complications Maxillary Sinusitis - drug therapy Maxillary Sinusitis - surgery Sinusitis Subdural empyema Surgical debridement
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Zusammenfassung:	An AIDS patient with a subdural empyema as a complication of candida sinusitis is presented. Clinical features resembled those of invasive aspergillosis or phycomycosis. Microbiological diagnosis was established by blood cultures, sinus cultures, and histopathological examination. An aggressive surgical approach first to the sinuses and then to the subdural space, together with fluconazole produced a satisfactory result.
ISSN:	1010-5182 1878-4119
DOI:	10.1016/S1010-5182(05)80515-3