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Register a new userIsolated sphenoid fungal sinusitis
التهاب الجيب الوتدي الفطري المنعزل
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Added by
Tishreen University ورقة بحثية
Publication date
2013
fields
Medicine
and research's language is
العربية
Authors
فايز العلوني( باحث )
Created by
Shamra Editor
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لقد تأكدنا من خلال مراجعة الأدب الطبي من ندرة مصادفة إصابة الجيب الوتدي وحيد الجانب المعزول بالرشاشيات السود, و من أن التشخيص غالباً ما يكون صعباً و خاصة قبل تطور وسائل التصوير الشعاعي لأن المريض يراجع عادة بأعراض غير وصفية مثل الصداع و اضطراب الرؤيا و شلول غير مفسرة في الأعصاب القحفية. قدمنا في هذه الدراسة حالة سريرية لالتهاب فطري بالرشاشيات معزول في الجيب الوتدي الأيسر فقط, عند مريضة تشكو من صداع و شفع, تم التشخيص بمساعدة التصوير الطبقي المحوري, و الرنين المغناطيسي و تمت المعالجة بالتنظير و بمساعدة جهاز الملاحة و كانت النتيجة زوال الأعراض تماماً.
From literature review concerning diagnosis and management of isolated sphenoid fungal sinusitis we found that this isolated lesion is extremely rare especially in immunocompetent patients; it is frequently difficult to diagnose, as patients present with nonspecific symptoms such as headach, visual disturbance and cranial nerve palsies. Diagnosis of the disease is typically not made until advanced imaging has been developed. We presented a case of isolated fungal sinusitis of left sphenoid sinus with headach and diplopia, treated by endoscopic sphenoidotomy with the help of the navigation system, after which recovery was full.
References used
LEW D, SOUTHWICK FS, MONTGOMERY WW, WEBER AL, BAKE AS, sphenoid sinusitis
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To evaluate the symptoms, causes, methods of management and efficacy of this
methods of isolated sphenoid sinus disease.
Isolated sphenoid sinus disease is uncommon, but it may be critical and a cause of important
ocular and neurological complications.
We conducted a randomized clinical trial on 32 subjects in 2 groups with chronic
diseases of the sphenoid sinus (each consisting of 16 patients) to evaluate CT navigation
during Functional Endoscopic Sinus Surgery. All patients registered in our st
udy met the
widely accepted criteria to be treated with FESS. 16 patients were operated on with FESS
with CT navigation while 16 patients were operated on with FESS without navigation. The
result drawn showed no significant statistical difference in the outcome of the operations
when we used the CT navigation during FESS compared with the time we did not use it.
However, we believe it is an asset to the ENT surgeon in difficult and critical operations
like the sphenoid sinus surgery as it brings precision and peace to the surgeon. We
recommend using CT navigation as a useful adjunct added to the surgeon’s knowledge &
experience but not as a replacement to these necessities.
We decided to carry out this study to highlight the risk factors, clinical presentations and
prognosis for AFS in the neonatal care department at Al-Assad University Hospital in Lattakia,
and thus reaching conclusions and recommendations that avoid
high incidence rates of this lifethreatening
condition. The aim of the study was to shed light on the clinical and laboratory
characteristics of the AFS when developing the diagnosis and to study its potential risk factors for
its occurrence of neonates in the department of neonatal care. The gold standard for diagnosing
AFS in our study was the positive results of blood culture by isolating fungal yeasts from all
neonates of the study sample.
This study include isolation and the identification of Coagulase –
Negative Staphylococci from milk samples collected from clinical
and sub-clinical bovine mastitis (180 apparently normal milk
samples, and 130 bovine with clinical mastitis) , whic
h is detected
by CMT and bacteriological isolation 368(%45.77) isolates of CNS
were obtained,which belonging to 8 species which were: S.
chromogenes 80(21.86%) , S . xylosus 86 (23.5%), S. epidermidis
65 (17.76%),S.haemolyticus 64 (17.49%), S. sciuri 32 (8.74%), S.
saprophyticus 19 (5.19%),S.hominis 18(4.91%), and S.lentus
2(0.55%).
Fifty-one female and thirty-three male patients who suffered from UTI and
attended Al-Thawra General Hospital at Ibb City in Yemen, were examined
for the effects of different antibiotics on E. coli isolated from the mid-stream
urine samples.
The
results showed a variable degree of resistance revealed by E. coli
isolates. It ranged between ١٠٠٪ ((against Penicillin G and Ampicillin) and zero
resistance ((against Kanamycin, Ciprofloxacin, and Gentamicin). Other tested
antibiotics showed resistance ranging between ٤٠ and ٣,٣٤٪.
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