[Surgical and local treatment in a case of fungal sinusitis in a patient with bone marrow aplasia].
We report a clinical case of severe medullary aplasia complicated by fungal antritis. The treatment adopted for this patient consists in a clean operation of the infective focus and the local instillation of Amfotericina B during the post operative period. In this way the systemic circulation is not interested by the use of Amfotericina B, which is extremely important to avoid the inevitable onset of several unwanted side-effects; besides, we avoid the progression of the infective focus and its systemic diffusion.
Becelli
R
R
Cattedra di Chirurgia Maxillo-Facciale, Università degli Studi di Roma La Sapienza.
Sassano
P
P
Liberatore
G M
GM
Arcese
W
W
Mengarelli
A
A
D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D001228:Aspergillosis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D001231:Aspergillus flavus; D001855:Bone Marrow Diseases / Q000150:complications* / Q000628:therapy; D003131:Combined Modality Therapy; D005670:Fusarium; D006801:Humans; D007165:Immunosuppression Therapy; D008297:Male; D009181:Mycoses / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D009894:Opportunistic Infections / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D012852:Sinusitis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*
D000666:Amphotericin B
Trattamento chirurgico e locale in un caso di sinusite fungina in un paziente con aplasia midollare.