Aspergillosis of the Cranial Base
Identifieur interne : 00AA04 ( Main/Exploration ); précédent : 00AA03; suivant : 00AA05Aspergillosis of the Cranial Base
Auteurs : M. M. Carr ; M. D. Cusimano ; P. J. Muller ; J. BilbaoSource :
- Skull base surgery [ 1052-1453 ] ; 1994.
Abstract
Url:
PubMed: 17171166
PubMed Central: 1661794
Affiliations:
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Le document en format XML
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<author><name sortKey="Cusimano, M D" sort="Cusimano, M D" uniqKey="Cusimano M" first="M. D." last="Cusimano">M. D. Cusimano</name>
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<author><name sortKey="Muller, P J" sort="Muller, P J" uniqKey="Muller P" first="P. J." last="Muller">P. J. Muller</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Aspergillosis of the Cranial Base</title>
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<author><name sortKey="Cusimano, M D" sort="Cusimano, M D" uniqKey="Cusimano M" first="M. D." last="Cusimano">M. D. Cusimano</name>
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<author><name sortKey="Muller, P J" sort="Muller, P J" uniqKey="Muller P" first="P. J." last="Muller">P. J. Muller</name>
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<author><name sortKey="Bilbao, J" sort="Bilbao, J" uniqKey="Bilbao J" first="J." last="Bilbao">J. Bilbao</name>
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<series><title level="j">Skull base surgery</title>
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<front><div type="abstract" xml:lang="en"><p><italic>Aspergillus</italic>
is an ubiquitous organism seldom pathogenic in normal hosts. <italic>Aspergillus</italic>
osteomyelitis of the spine occurs rarely in immunocompromised patients as a result of hematogenous spread from distant foci. We present a case of <italic>Aspergillus</italic>
osteomyelitis in the region of the jugular foramen in a previously healthy male with no antecedent event. He presented with dysphagia, hypophonia, and weight loss of several months duration. Diagnosis was delayed due to nonspecific results of various imaging tests. We review the clinical course of fungal osteomyelitis, including appearance on magnetic resonance imaging and computed tomography, culture characteristics, and gross appearance. Current treatment consists of surgical debridement and antifungal medications such as amphotericin B and itraconazole, and the efficacy of these are discussed.</p>
<sec sec-type="scanned-figures"><title>Images</title>
<fig id="F1"><label>Figure 1</label>
<graphic xlink:href="skullbasesurg00049-0048-a" xlink:role="160"></graphic>
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<fig id="F2"><label>Figure 2</label>
<graphic xlink:href="skullbasesurg00049-0048-b" xlink:role="160"></graphic>
</fig>
<fig id="F3"><label>Figure 3</label>
<graphic xlink:href="skullbasesurg00049-0049-a" xlink:role="161"></graphic>
</fig>
<fig id="F4"><label>Figure 4</label>
<graphic xlink:href="skullbasesurg00049-0049-b" xlink:role="161"></graphic>
</fig>
<fig id="F5"><label>Figure 5</label>
<graphic xlink:href="skullbasesurg00049-0050-a" xlink:role="162"></graphic>
</fig>
</sec>
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</front>
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<name sortKey="Muller, P J" sort="Muller, P J" uniqKey="Muller P" first="P. J." last="Muller">P. J. Muller</name>
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