Re: Invasive aspergillosis of the orbit in immunocompetence

[Guest guest]

Thanks Darlene,

--- In , Darlene <darlenesb2000@...>

wrote:

>

> Framme C, Rosenfeld J, Sachs HG.Augenklinik und Poliklinik,

Universität Regensburg.

>

>

> BACKGROUND:

> An isolated aspergillosis of the sphenoidal sinus is a difficult

> diagnosis because the often misleading clinical symptoms of this

rare

> disease can develop late and first be presented to the

ophthalmologist.

> Because of this even life-threatening disease in normally

> immunodeficient patients, fast diagnostics and treatment is

indicated.

> CASE REPORT: We report about an immunocompetent man to suffer from

an

> invasive aspergillosis involving the sphenoidal sinus after external

> operation of a mucocele. Aspergillus infiltrated the right orbit by

> bone erosion and led to an acute loss of vision on his right eye

and a

> pathological visual field (visual acuity 0.1). A systemical

antimycotic

> therapy was performed and the right orbit and the optical channel

were

> operated to remove the mycosis. During operation the optical nerve

was

> found to be completely surrounded by the mycosis. After surgery

visual

> acuity recovered slowly but completely in about two weeks (visual

> acuity 1.0) and visual field examination revealed normal findings.

> These findings were stable now for one year. CONCLUSION: The main

> findings of unilateral acute visual loss and pre-operations of the

> paranasal sinuses in combination with persistent headache can lead

to

> the suspect of an aspergillosis infection. It is important to

establish

> correct diagnosis--especially in immunocompetent patients--early to

> prevent a probably irreversible visual loss and in an advanced

stage to

> handle the life-threatening risk of this disease.

> PMID: 10827465 [PubMed - indexed for MEDLINE]

>

>

> http://www.ncbi.nlm.nih.gov/sites/entrez?

Db=pubmed & Cmd=ShowDetailView & TermToSearch=10827465 & ordinalpos=17 & itool

=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum

>

>

>

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[Guest guest]

Jeanine, you are very welcome. Darlene

[] Re: Invasive aspergillosis of the orbit in

immunocompetence

Thanks Darlene,

--- In , Darlene <darlenesb2000@ ...>

wrote:

>

> Framme C, Rosenfeld J, Sachs HG.Augenklinik und Poliklinik,

Universität Regensburg.

>

>

> BACKGROUND:

> An isolated aspergillosis of the sphenoidal sinus is a difficult

> diagnosis because the often misleading clinical symptoms of this

rare

> disease can develop late and first be presented to the

ophthalmologist.

> Because of this even life-threatening disease in normally

> immunodeficient patients, fast diagnostics and treatment is

indicated.

> CASE REPORT: We report about an immunocompetent man to suffer from

an

> invasive aspergillosis involving the sphenoidal sinus after external

> operation of a mucocele. Aspergillus infiltrated the right orbit by

> bone erosion and led to an acute loss of vision on his right eye

and a

> pathological visual field (visual acuity 0.1). A systemical

antimycotic

> therapy was performed and the right orbit and the optical channel

were

> operated to remove the mycosis. During operation the optical nerve

was

> found to be completely surrounded by the mycosis. After surgery

visual

> acuity recovered slowly but completely in about two weeks (visual

> acuity 1.0) and visual field examination revealed normal findings.

> These findings were stable now for one year. CONCLUSION: The main

> findings of unilateral acute visual loss and pre-operations of the

> paranasal sinuses in combination with persistent headache can lead

to

> the suspect of an aspergillosis infection. It is important to

establish

> correct diagnosis--especial ly in immunocompetent patients--early to

> prevent a probably irreversible visual loss and in an advanced

stage to

> handle the life-threatening risk of this disease.

> PMID: 10827465 [PubMed - indexed for MEDLINE]

>

>

> http://www.ncbi. nlm.nih.gov/ sites/entrez?

Db=pubmed & Cmd= ShowDetailView & TermToSearch= 10827465 & ordinalpos= 17 & itool

=EntrezSystem2. PEntrez.Pubmed. Pubmed_ResultsPa nel.Pubmed_ RVDocSum

>

>

>

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> Make your homepage.

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