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Case 40 - Fungal Sinusitis

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We're talking about the emergency cases that

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are life threatening in the head and neck,

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and one of the ones that I spoke about was the invasive fungal

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sinusitis. Fungal sinusitis is a very complex topic,

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and we could probably do a mastery course just

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on fungal infections throughout the body.

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Suffice it to say that with regard to the sinusitis,

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there are non invasive and there are invasive forms.

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The non invasive forms tend to be associated with

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allergic fungal rhinosinusitis and fungus balls,

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and they really do not constitute emergent indications

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for imaging or for intervention. And by enlarged,

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these may be secondary to things like Rhizopus or Bipolaris.

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The invasive fungal sinusitis are almost always

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due to aspergillus and mucormycosis,

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and they infect a different host.

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These patients generally have chronic sinusitis and an allergic

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atopy that is associated with the fungal polyps,

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whereas these patients tend to be immunocompromised

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and are more susceptible to aggressive infections.

Report

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Tags

Neuroradiology

Head and Neck

Emergency

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