title: Limited Role of Sinus CT in the Management of Febrile Pediatric HSCT Recipients.
abstract: Management guidelines have questioned the role of sinus computed tomography (CT). We reviewed 55 febrile episodes with sinus CT during 1 year after admission for hematopoietic stem cell transplant to determine predictive factors for positive sinus CT and the impact on management. Positive sinus CT findings were seen in 42% of febrile episodes. No characteristics were identified as predictors of a positive sinus CT. No other infectious source was identified in 17% of positive sinus CT episodes, with no pharmacotherapy modifications based solely on a positive sinus CT. Sinus CT should be examined in multicenter groups to develop practice guidelines.
authors.affiliation: Departments of *Pediatrics †Public Health Sciences, Medical University of South Carolina, Charleston, SC.
authors.forename: Anca
authors.initials: A
authors.lastname: Dumitriu
authors.forename: Kent
authors.initials: K
authors.lastname: Armeson
authors.forename: Michelle
authors.initials: M
authors.lastname: Hudspeth
mesh_terms: D002648:Child; D005334:Fever / Q000000981:diagnostic imaging*; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects*; D006801:Humans; D014057:Tomography, X-Ray Computed / Q000379:methods*