Aspergillosis of the nose and paranasal sinuses: a review of 54 cases
Rev. patol. trop
;
44(1): 13-19, 2015. ilus
Article
in English
| LILACS
| ID: lil-758561
ABSTRACT
Aspergillus species are considered opportunistic fungi of increasing clinical importance. Informationregarding extrapulmonary involvement is scarce. The aim of this study was to isolate the differentspecies of Aspergillus from patients with rhinosinusitis. A retrospective study was conducted ina university hospital in Porto Alegre, Brazil (19862014). For mycological diagnoses, paranasaltissue obtained at surgery was subjected to histopathology examination and sent for fungal cultures.Of the 54 samples analyzed, 32 were diagnosed positive by culture. The underlying causes ofimmunodeficiency were six with transplantation (three bone marrow,two lung, one kidney) andtwo with hematological disease (one bone marrow neoplasia and two leukemia). In the presentstudy, the clinical manifestations of rhinosinusitis aspergillosis were 20 allergic reactions, 20fungus balls, and 14 acute invasive cases. The species isolated from the 54 samples were Aspergillusfumigatus (n=14); A. flavus (n=6); A. niger (n=2); A. terreus (n=1); A. fischeri (n=1); and Aspergillussp., (n=3). Two concomitant species of Aspergillus were observed in two patients A. fumigatus andA. flavus; and A. fumigatus and A. niger. In four patients, Aspergillus was associated with other fungi. These were A. flavus and Fusarium, A. fumigatus and Rhyzopus, A. flavus and Mucorales, and Aspergillus sp. and Mucorales. The most common species of Aspergillus that were responsiblefor paranasal sinus infections were A. fumigatus, A. flavus, and A. niger...
RESUMO
Espécies de Aspergillus são considerados fungos oportunistas de crescente importância clínica.Informações sobre o envolvimento extrapulmonar é escassa. O objetivo deste estudo foi isolaras diferentes espécies de Aspergillus em pacientes com rinossinusite. Um estudo retrospectivofoi realizado em um hospital universitário em Porto Alegre, Brasil (1986-2014). Para diagnósticomicológico, tecido paranasais obtido no momento da cirurgia foi submetido a exame histopatológicoe encaminhados para cultivos de fungos. Das 54 amostras analisadas, 32 foram diagnosticados pelocultivo positivo. As causas subjacentes da imunodeficiência foram seis com transplante (medulaóssea, três, pulmão, dois; rim, um) e dois com doenças hematológicas (neoplasia osso estreito,um; leucemia, duas). No presente estudo, as manifestações clínicas de rinossinusite aspergilarforam alérgica, 20; bolas fúngica, 20; e aguda invasiva, 14. As espécies fúngicas isoladas foramAspergillus fumigatus, 14; A. flavus, seis; A. niger, dois; A. terreus, um; A. fischeri, um; e Aspergillussp., três. Duas espécies de Aspergillus concomitantes foram observadas em dois pacientes A.fumigatus e A. flavus; e A. fumigatus e A. niger. Em quatro pacientes, Aspergillus foi associado comoutros fungos A. flavus e Fusarium, um; A. fumigatus e Rhyzopus, um; A. flavus e Mucorales, um; eAspergillus sp. e Mucorales, um. Os isolados mais comuns de Aspergillus que são responsáveis porinfecções dos seios paranasais são A. fumigatus, A. flavus e A. niger...
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Aspergillosis
/
Aspergillosis, Allergic Bronchopulmonary
/
Aspergillus flavus
/
Aspergillus fumigatus
/
Aspergillus niger
Type of study:
Observational study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Rev. patol. trop
Journal subject:
Tropical Medicine
/
Pathology
Year:
2015
Type:
Article
Affiliation country:
Brazil
/
United kingdom
Institution/Affiliation country:
Hospital Moinhos de Vento/BR
/
Irmandade Santa Casa de Misericórdia/BR
/
Liverpool University/GB
/
Universidade Federal do Rio Grande do Sul/BR
Similar
MEDLINE
...
LILACS
LIS