ABSTRACT
A zigomicose é uma doença invasiva, que acomete tanto imunocompetentes como imunocomprometidos, dependendo do tipo da cepa. O diagnóstico é clínico e histopatológico, e o tratamento é baseado em antifúngico e em limpeza cirúrgica. O presente relato de caso é sobre um menino com zigomicose rinofacial invasiva com tratamento final bem-sucedido, após terapias antifúngicas e limpezas cirúrgicas.
Zygomycosis is an invasive disease that affects both immunocompetent and immunocompromised, depending on the type of strain. This disease diagnosis is clinical and histopathological, and its treatment is based on antifungal therapy and surgical cleaning. This paper reports a case of a boy with invasive zygomycosis rinofacial who final treatment was successful after underwent antifungal and surgical therapies.
Subject(s)
Humans , Male , Child , Paranasal Sinus Diseases/microbiology , Zygomycosis/pathology , Zygomycosis/therapy , Dermatomycoses/microbiology , Facial Dermatoses/microbiology , Paranasal Sinus Diseases/pathology , Paranasal Sinus Diseases/therapy , Tomography, X-Ray Computed , Amphotericin B/therapeutic use , Treatment Outcome , Dermatomycoses/pathology , Dermatomycoses/therapy , Facial Dermatoses/pathology , Facial Dermatoses/therapy , Immunocompetence , Antifungal Agents/therapeutic useABSTRACT
Only few cases of rhino-orbital mucormycosis in patients with liver cirrhosis are described in the literature and most of these patients showed an associated diabetes mellitus. We describe a case of rhino-orbital mucormycosis in a patient with liver cirrhosis without other risk factors.
Subject(s)
Female , Humans , Middle Aged , Eye Infections, Fungal/complications , Liver Cirrhosis/complications , Mucormycosis/complications , Orbital Diseases/complications , Paranasal Sinus Diseases/complications , Amphotericin B/therapeutic use , Antifungal Agents/therapeutic use , Eye Infections, Fungal/diagnosis , Eye Infections, Fungal/therapy , Immunocompetence , Mucormycosis/diagnosis , Mucormycosis/therapy , Orbit Evisceration , Orbital Diseases/diagnosis , Orbital Diseases/therapy , Paranasal Sinus Diseases/diagnosis , Paranasal Sinus Diseases/therapy , Tomography, X-Ray ComputedABSTRACT
As lesões isoladas das cavidades esfenoidais são raras. Neste artigo, seis casos de pacientes submetidos a cirurgia endoscópica são relatados. Manifestações clínicas, diagnóstico e tratamento são também discutidos.
Subject(s)
Humans , Female , Adolescent , Adult , Middle Aged , Endoscopy , Sphenoid Sinus , Paranasal Sinus Diseases/diagnosis , Paranasal Sinus Diseases/therapy , Retrospective StudiesABSTRACT
O autor faz um estudo das sinusopatias e tece consideraçöes sobre a anatomia dos seios paranasais e suas relaçöes com as estruturas adjacentes. Comenta as patologias primárias dos seios, enfatizando a necessidade do diagnóstico diferencial das sinusopatias. Finaliza fazendo consideraçöes sobre o câncer sinusal e a necessidade do diagnóstico precoce, com a finalidade de melhorar os resultados sombrios do tratamento desta grave enfermidade