Prognostic factors in post-Covid-19 acute invasive fungal sinusitis.

IF 1.1 4区医学 Q3 OTORHINOLARYNGOLOGY Journal of Laryngology and Otology Pub Date : 2024-12-01 Epub Date: 2024-10-21 DOI:10.1017/S0022215124001142

Ahmed Salama Abdelmeguid, Mohamed Mohamed Abdel-Fattah El-Okda, Menna Allah Mostafa Abozaid, Hisham Atef Ebada

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Abstract

Objectives: The aim of this study is to identify the prognostic factors that may have an effect on the outcome of post-coronavirus disease 2019 acute invasive fungal sinusitis in order to help optimise diagnosis and management.

Methods: This retrospective study involved 60 patients with post-coronavirus disease 2019 acute invasive fungal sinusitis. We identified and studied several factors that may have an effect on the prognosis. These factors included patient-related factors, disease-related factors, and treatment-related factors.

Results: Comorbidities especially renal impairment, previous intensive care unit admission, skin involvement, and intracranial spread of infection are associated with significantly poorer outcomes. Early aggressive surgical debridement is an independent factor associated with better prognosis.

Conclusion: Identifying prognostic factors may have a role in prevention of invasive fungal sinusitis, predicting prognosis, and tailoring patient-specific treatment protocols.

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COVID-19 后急性侵袭性真菌性鼻窦炎的预后因素。

目的：本研究旨在确定可能影响2019冠状病毒病后急性侵袭性真菌性鼻窦炎预后的预后因素，以帮助优化诊断和治疗。方法：对60例2019冠状病毒病后急性侵袭性真菌鼻窦炎患者进行回顾性研究。我们确定并研究了几个可能对预后有影响的因素。这些因素包括患者相关因素、疾病相关因素和治疗相关因素。结果：合并症，尤其是肾脏损害、既往重症监护病房住院、皮肤受累和颅内感染扩散与预后明显较差相关。早期积极的手术清创是预后较好的独立因素。结论：确定预后因素可能在预防侵袭性真菌性鼻窦炎、预测预后和制定患者特异性治疗方案方面发挥作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.