INVASIVE SINUSITIS WITH INTRACRANIAL EXTENSION CAUSED BY CURVULARIA-LUNATA

被引：20
|
作者：
ISMAIL, Y
JOHNSON, RH
WELLS, MV
PUSAVAT, J
DOUGLAS, K
ARSURA, EL
机构：
[1] UCLA, SCH MED, KERN MED CTR, DEPT MED, 1830 FLOWER ST, BAKERSFIELD, CA 93302 USA
[2] CENT CALIF HEART INST, BAKERSFIELD, CA USA
来源：
ARCHIVES OF INTERNAL MEDICINE | 1993年 / 153卷 / 13期
关键词：
D O I：
10.1001/archinte.153.13.1604
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Curvularia lunata has previously been linked to localized sinus infection in immunocompetent hosts. We treated a case of pansinusitis with extensive bone destruction and intracranial extension caused by C lunata. Curvularia lunata was identified when typical fungal macroconidia appeared on culture. Numerous surgical procedures, in addition to a 12-month course of antifungal therapy consisting of 4 g of intravenous amphotericin B and an 8-month course of 400 mg of oral ketoconazole daily, were required to control the infection. This unusual case of invasive sinusitis caused by C lunata alerts the treating physician to the presence of this mold and gives an overview of diagnostic method as well as the management.
引用
收藏
页码：1604 / 1606
页数：3
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