Features and Diagnosis
Fig. 1 Stage 1: Early rhino-maxillary fungal sinusitis Stage 2: Rhino-orbital (Fig 2; Figs. 4, 5, 6 in Chapter “Radiology in Invasive Fungal Sinusitis”) Fig. 2 Stage 2: Rhino-sino-orbital fungal…
Fig. 1 Stage 1: Early rhino-maxillary fungal sinusitis Stage 2: Rhino-orbital (Fig 2; Figs. 4, 5, 6 in Chapter “Radiology in Invasive Fungal Sinusitis”) Fig. 2 Stage 2: Rhino-sino-orbital fungal…
Fig. 1 Coronal CT shows soft tissue opacification of the left ethmoid and maxillary sinuses. Note subtle irregularity of adjacent left lamina papyracea with minimal intraorbital fat stranding, suggesting acute…
Fig. 1 Subcutaneous (arrow) Conidiobolus rhinofacial infection Basidiomycota includes Cryptococcus neoformans. This organism is an encapsulated yeast which can cause disease in immunocompetent individuals as well as immunosuppressed patients. Infection…
Fig. 1 PAS-stained sections showing broad aseptate fungal hyphae (arrows) infiltrating the vessel wall causing a thrombus Fig. 2 PAS-stained section showing infarcted adipose tissue with broad aseptate fungal hyphae…
Fig. 1 Risk factors for invasive fungal sinusitis – many of them are interrelated Documented mucormycosis is at least five to ten times less common as compared to other mold…
Drug Dose Advantages Disadvantages Special precautions AmBD 1–1.5 mg/kg/day Inexpensive Nephrotoxicity Test dose, premedication to prevent hypersensitivity reaction Maximum experience Poor CNS penetration LAmB 5–10 mg/kg/day Less nephrotoxicity Expensive Good…
Fig. 1 Classification of fungal sinusitis based on tissue invasion. After Chakrabarti et al. [19] Saprophytic fungal infestation: This is described as asymptomatic colonization of mucous crusts within the sino-nasal…