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ASPERGILLUS SINUSITIS IN A RENAL TRANSPLANT RECIPIENT: A CASE REPORT

NIKOLINA BAŠIĆ-JUKIĆ   ORCID icon orcid.org/0000-0002-0221-2758 ; Zagreb University Hospital Centre, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation and University of Zagreb, School of Medicine, Zagreb, Croatia
MISLAV MOKOS ; University of Zagreb, School of Medicine, Zagreb, Croatia
IVANA JURIĆ ; Zagreb University Hospital Centre, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia
VESNA FURIĆ-ČUNKO ; Zagreb University Hospital Centre, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia
LEA KATALINIĆ ; Zagreb University Hospital Centre, Department of Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia

Puni tekst: hrvatski, pdf (765 KB) str. 99-101 preuzimanja: 25* citiraj
APA 6th Edition
BAŠIĆ-JUKIĆ, N., MOKOS, M., JURIĆ, I., FURIĆ-ČUNKO, V. i KATALINIĆ, L. (2020). ASPERGILOZA PARANAZALNIH SINUSA U BOLESNIKA S TRANSPLANTIRANIM BUBREGOM . Acta medica Croatica, 74 (1), 99-101. Preuzeto s https://hrcak.srce.hr/237948
MLA 8th Edition
BAŠIĆ-JUKIĆ, NIKOLINA, et al. "ASPERGILOZA PARANAZALNIH SINUSA U BOLESNIKA S TRANSPLANTIRANIM BUBREGOM ." Acta medica Croatica, vol. 74, br. 1, 2020, str. 99-101. https://hrcak.srce.hr/237948. Citirano 02.07.2020.
Chicago 17th Edition
BAŠIĆ-JUKIĆ, NIKOLINA, MISLAV MOKOS, IVANA JURIĆ, VESNA FURIĆ-ČUNKO i LEA KATALINIĆ. "ASPERGILOZA PARANAZALNIH SINUSA U BOLESNIKA S TRANSPLANTIRANIM BUBREGOM ." Acta medica Croatica 74, br. 1 (2020): 99-101. https://hrcak.srce.hr/237948
Harvard
BAŠIĆ-JUKIĆ, N., et al. (2020). 'ASPERGILOZA PARANAZALNIH SINUSA U BOLESNIKA S TRANSPLANTIRANIM BUBREGOM ', Acta medica Croatica, 74(1), str. 99-101. Preuzeto s: https://hrcak.srce.hr/237948 (Datum pristupa: 02.07.2020.)
Vancouver
BAŠIĆ-JUKIĆ N, MOKOS M, JURIĆ I, FURIĆ-ČUNKO V, KATALINIĆ L. ASPERGILOZA PARANAZALNIH SINUSA U BOLESNIKA S TRANSPLANTIRANIM BUBREGOM . Acta medica Croatica [Internet]. 2020 [pristupljeno 02.07.2020.];74(1):99-101. Dostupno na: https://hrcak.srce.hr/237948
IEEE
N. BAŠIĆ-JUKIĆ, M. MOKOS, I. JURIĆ, V. FURIĆ-ČUNKO i L. KATALINIĆ, "ASPERGILOZA PARANAZALNIH SINUSA U BOLESNIKA S TRANSPLANTIRANIM BUBREGOM ", Acta medica Croatica, vol.74, br. 1, str. 99-101, 2020. [Online]. Dostupno na: https://hrcak.srce.hr/237948. [Citirano: 02.07.2020.]

Sažetak
Invasive fungal sinusitis is rare in renal transplant population. We present a case of 65-year-old male patient who developed slowly progressive rhinosinusitis with tissues destruction. Amphotericine B resistant Aspergillus fl avus and voriconasole sensitive Aspergillus sclerotiorum were isolated as causative pathogens. Voriconasole therapy was initiated along with reduction of the immunosuppression. Frequent disease relapses required prolonged voriconasole treatment, which was later switched to caspofungine because of development of resistance. At the last outpatient control, he was stable, without infective symptoms, with stable renal allograft function. In conclusion, paranasal sinuses aspergillosis is rare in renal transplant recipients. Early diagnosis with aggressive surgical treatment and resection of necrotic tissue, accompanied with the long term antifungal therapy increases the probability of favourable outcome.

Ključne riječi
renal transplantation; sinusitis; rhinosinusitis; Aspergillus; Voriconasol; , Caspofungine; outcome

Hrčak ID: 237948

URI
https://hrcak.srce.hr/237948

[hrvatski]

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