Diagnosis and management of rhinosinusitis before scheduled immunosuppression: a schematic approach to the prevention of acute fungal rhinosinusitis.
Acute (invasive) fungal rhinosinusitis is an aggressive and potentially lethal complication of insulin dependent diabetes, as well as immunosuppression from chemotherapy and bone marrow transplant. The goal of this article is to describe methods to help with the diagnosis and treatment of sinusitis prior to developing this state of immune-compromise. This will help eliminate a significant risk factor for these patients that can lead to serious morbidity and ultimately mortality.
Mirza
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Department of Microbiology, Duke University Medical Center, Durham, North Carolina, USA.
Lanza
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DC
D000208:Acute Disease; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D009181:Mycoses; D012220:Rhinitis / Q000175:diagnosis / Q000382:microbiology / Q000517:prevention & control; D012307:Risk Factors; D012720:Severity of Illness Index; D012852:Sinusitis / Q000175:diagnosis / Q000382:microbiology / Q000517:prevention & control
D007166:Immunosuppressive Agents