A Case of Invasive Fungal Sinusitis after Kidney Transplantation |
Nam-Sik Kim, M.D., Sung-Han Yun, M.D., Seung-Eun Lee, M.D., Hyeo-Ju O, M.D., Young-Ki Son, M.D., Yong-Hun Sin, M.D. and Jung-Kyung Kim, M.D. |
Division of Nephrology, Department of Internal Medicine, Bong Seng Memorial Hospital, Busan, Korea |
증례 : 신장 이식 후 발생한 침습성 진균성 부비동염 1 예 |
김남식, 윤성한, 이승은, 오혜주, 손영기, 신용훈, 김중경 |
김원묵 기념 봉생병원 내과학교실 |
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Abstract |
Acute fulminant invasive fungal sinusitis in an immunocompromised host and bacterial rhinosinusitis with intracranial or orbital extension is challenging to manage. And it sometimes constitutes true otolaryngologic emergencies. In the absence of rapid diagnosis and treatment, these diseases can be fatal. A 57-year-old female was admitted for chills and headache, who received a deceased donor renal transplantation 3 months ago. Paranasal sinus CT showed enhanced soft tissue density and MRI showed low-signal with hyperintense signal of around paranasal sinus cavity. The histological investigation revealed invasive aspergillosis of paranasal sinuses. Clinical improvement occurred after endoscopic sinus surgery and post-operative systemic antifungal therapy with amphotericin B and voriconazole. |
Key Words:
Aspergillosis, Sinusitis, Kidney transplantation |
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