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1 results

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

  • Ahmed Salama Abdelmeguid, Mohamed Mohamed Abdel-Fattah El-Okda, Menna Allah Mostafa Abozaid, Hisham Atef Ebada
  • Journal:
    The Journal of Laryngology & Otology / Volume 138 / Issue 12 / December 2024
    Published online by Cambridge University Press:
    21 October 2024, pp. 1176-1180
    Print publication:
    December 2024
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  • 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.