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면역저하 환자에서 발생한 진균성 비중격 농양 1예

A Case of Fungal Nasal Septal Abscess in the Immunocompromised Patient

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초록

Nasal septal abscess is the result of trauma to the nose with septal hematoma and subsequent infection. Proper management of a nasal septal abscess requires prompt diagnosis, adequate surgical drainage, and antibiotics to prevent the potentially dangerous spread of infection and the development of severe functional and cosmetic sequelae. In the immunocompromised patient, nasal septal abscess can occur without trauma and can rapidly progress to a state of life threatening complication. We had experienced a case of fungal nasal septal abscess without antecedent trauma in immunocompromised kidney transplantation patient. Through prompt incision and drainage and appropriate antifungal agent, the infection was resolved without complication. In the immunocompromised patients, it is important to recognize the potential for the immunocompromised condition to influence the development of septal abscess and the alternate pathogens like fungus. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:1061-4)

Abstract

Nasal septal abscess is the result of trauma to the nose with septal hematoma and subsequent infection. Proper management of a nasal septal abscess requires prompt diagnosis, adequate surgical drainage, and antibiotics to prevent the potentially dangerous spread of infection and the development of severe functional and cosmetic sequelae. In the immunocompromised patient, nasal septal abscess can occur without trauma and can rapidly progress to a state of life threatening complication. We had experienced a case of fungal nasal septal abscess without antecedent trauma in immunocompromised kidney transplantation patient. Through prompt incision and drainage and appropriate antifungal agent, the infection was resolved without complication. In the immunocompromised patients, it is important to recognize the potential for the immunocompromised condition to influence the development of septal abscess and the alternate pathogens like fungus. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:1061-4)

참고문헌 (8)

  1. Amburus PS, "Management of nasal septal abscess", Laryngoscope, 91(4), pp.575~582 (1981)
  2. Walker R, "Fungal nasal septal abscess in the immunocompromised patient", Otolaryngol Head Neck Surg, 136(3), pp.506~507 (2007)
  3. Shah SB, "Nontraumatic nasal septal abscesses in the immunocompromised: Etiology, recognition, treatment, and sequelae", Am J Rhinol, 14(1), pp.39~43 (2000)
  4. Pirsing W, "Histologic notes and actual observation on the nasal septal abscess especially in children", Int J Pediatr Otorhinolaryngol, 8(1), pp.43~54 (1984)
  5. Debnam JM, "Nasal septal abscess in patients with immunosuppression", AJNR Am J Neuroradiol, 28(10), pp.1878~1879 (2007)
  6. Dornbush HJ, "Fusarium verticillioides abscess of the nasal septum in an immunosuppressed child: Case report and identification of the morphologically atypical fungal strain", J Clin Microbiol, 43(4), pp.1998~2001 (2005)
  7. Pang KP, "Nasal septal abscess: An unusual complication of acute spheno-ethmoiditis", J Laryngol Otol, 116(7), pp.543~545 (2002)
  8. Huang PH, "Nasal septal abscess", Otolaryngol Head Neck Surg, 135(2), pp.335~336 (2006)

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