Nasal Eschar

Idris, Nurliza; Lim, Lynne H.Y.

doi:10.1097/mph.0b013e31824410e3

Cited by 9 publications

(2 citation statements)

References 7 publications

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“…The diagnosis of acute invasive fungal sinusitis is based on mycotic infiltration of the mucosa, submucosa, blood vessels, tissues, or bones (2,3). In this report, we present the case of a 6-month-old patient, who developed rhinofacial Aspergillosis during follow-up for hemophagocytic syndrome.…”

Section: Introductionmentioning

confidence: 94%

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Rhinofacial Aspergillosis in an Infant

Önal

Özer

Atay

et al. 2017

Iran Red Crescent Med J

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Introduction: Invasive fungal sinusitis is a potentially lethal infection in immunocompromised patients, with a reported incidence of around 2%. Neutropenia due to aplastic anemia or secondary to chemotherapy is the main cause of acute invasive fungal sinusitis. Case Presentation: We present the case of a 6-month-old boy with hemophagocytic syndrome. During the follow-up for fever and pancytopenia at the medical faculty hospital of Hacettepe University, Ankara, Turkey, the patient developed discoloration and black crusting of the nasal columella. Antifungal medical treatment and biopsy were recommended owing to the suspicion of invasive fungal infection. The premaxilla, nasal columella, and nasal cartilages were necrotic. Medical and surgical treatments were performed to prevent the spread of infection. After controlling the underlying immunosuppression, nasal reconstruction was advised. Conclusions: Invasive fungal sinonasal disease is a rare clinical phenomenon in immunocompromised patients. Although it is associated with high mortality rates, it can be successfully managed with a combination of surgical and medical treatments.

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Section: Introductionmentioning

confidence: 94%

“…The aim of surgical debridement is to decrease the fungal burden, decelerate the course of disease, remove necrotic tissues, and collect tissues for biopsy. Debridement should continue until bleeding of healthy tissues (repeated if necessary) (3).…”

Section: Discussionmentioning

confidence: 99%