Acute Invasive Fungal Sinusitis: Difference between revisions

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(Created page with "{{infobox Disease |Title = |Aliases = |Image = |Caption = |ICD-9 = |ICD-10 = |MeSH = |Gene = |Locus = |OMIM = |EyeWiki = |Radiopaedia = [https://radiopaedia.org/articles/acute-invasive-fungal-sinusitis?lang=us Acute Invasive Fungal Sinusitis] }} == Overview == === History === == Pathophysiology == === Relevant Anat...")
 
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{{infobox Disease
{{infobox Disease
|Title              =  
|Title              =  
|Aliases            =  
|Aliases            = Acute fulminant invasive fungal sinusitis (AFIFS)
|Image              =  
|Image              = [Mucor Orbital Invasion.jpg]
|Caption            =  
|Caption            = Coronal CT scan demonstrating AIFS with extension into the right orbit
|ICD-9              =  
|ICD-9              =  
|ICD-10            =  
|ICD-10            =  
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|Locus              =  
|Locus              =  
|OMIM              =  
|OMIM              =  
|EyeWiki            =  
|EyeWiki            = [https://eyewiki.org/Invasive_Fungal_Infections_of_the_Orbit_and_Sinuses Invasive Fungal Infections]
|Radiopaedia        = [https://radiopaedia.org/articles/acute-invasive-fungal-sinusitis?lang=us Acute Invasive Fungal Sinusitis]
|Radiopaedia        = [https://radiopaedia.org/articles/acute-invasive-fungal-sinusitis?lang=us Acute Invasive Fungal Sinusitis]
}}
}}
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== Pathophysiology ==
== Pathophysiology ==
=== Relevant Anatomy ===
=== Relevant Anatomy ===
=== Disease Etiology ===
=== Disease Etiology ===
=== Genetics ===
There are many different fungal species that can be invasive, but the most common are the Zygomycetes (''Muror'', ''Rhizopus'', and ''Rhizomucor'') and ''Aspergillus'' species.
 
=== Histology ===
=== Histology ===
Histologic evaluation is necessary to determine the species of invasion, which can influence treatment decisions with respect to antifungal coverage. ''Mucor'' and ''Rhizopus'' are both characterized by non-septate fungal hyphae with 90-degree angle branching. Aspergillus also has non-septate hyphae, but typically has 45-degree angle branching.
<gallery>
Zygomycosis, mucormycosis 1.jpg|Mucormycosis
Zygomycosis, mucormycosis 2.jpg|Mucormycosis
Zygomycosis Mucormycosis (13430751363).jpg|Mucormycosis with intravascular invasion
Aspergillosis, angioinvasive, intravascular (5390967599).jpg|Aspergillosis with intravascular invasion
Aspergillosis, angioinvasive, - GMS stain (5390967417).jpg|Aspergillosis with intravascular invasion, GMS stain
</gallery>


== Diagnosis ==
== Diagnosis ==

Latest revision as of 16:14, 1 December 2024


Overview

History

Pathophysiology

Relevant Anatomy

Disease Etiology

There are many different fungal species that can be invasive, but the most common are the Zygomycetes (Muror, Rhizopus, and Rhizomucor) and Aspergillus species.

Histology

Histologic evaluation is necessary to determine the species of invasion, which can influence treatment decisions with respect to antifungal coverage. Mucor and Rhizopus are both characterized by non-septate fungal hyphae with 90-degree angle branching. Aspergillus also has non-septate hyphae, but typically has 45-degree angle branching.

Diagnosis

Patient History

Physical Examination

Laboratory Tests

Imaging

Differential Diagnosis

Management

Medical Management

Surgical Management

Outcomes

Complications

Prognosis

References