ABSTRACT
Fungal rhinosinusitis (FRS) is one of the most important rhinosinusoidal disorders, which involves a variety of etiological agents. We carried out a study to determine the frequency of fungal agents in sinus samples from patients with clinically suspected rhinosinusitis (RS). A total of 205 clinical samples were assessed from 174 patients with clinically suspected RS, of which 48 were positive for microscopic examination and culture, 47 were positive for direct examination but negative by culture, 4 were negative for direct examination but positive by culture, and 106 were negative for both methodologies. The main fungal agents isolated were Aspergillus spp. (32.7%), followed by Schizophyllum commune (28.8%). Sensitivity and specificity of the direct examination were 92.3% and 69.3%, respectively, and concordance between the direct examination and culture was 48.4%. This study indicated that both Aspergillus and S. commune appear to be the most important agents involved in the development of FRS.
Subject(s)
Fungi/isolation & purification , Mycoses/epidemiology , Mycoses/microbiology , Rhinitis/epidemiology , Rhinitis/etiology , Sinusitis/epidemiology , Sinusitis/etiology , Adolescent , Adult , Aged , Aged, 80 and over , Child , Cross-Sectional Studies , Diagnostic Tests, Routine , Female , Fungi/classification , Humans , Male , Microbiological Techniques , Microscopy , Middle Aged , Retrospective Studies , Sensitivity and Specificity , Young AdultABSTRACT
La presencia de hemorragias, no ocasionadas por lesiones de estructuras vasculares, que se pueden controlar mecánicamente, constituyen coagulopatías y es una de las situaciones que pueden encontrar un cirujano en pacientes críticos o politraumatizados, que aumentan significativamente la morbilidad llegando la mortalidad al 87% 7El conocimiento de los factores relacionados con la etiopatogenia de las coagulopatías, nos permitirá la aplicación de medidas útiles y el correcto manejo por parte del equipo médico, del paciente traumatizado.
The presence of hemorrhage not caused by lesion of vascular structure wich can be controlled mechanically constitute coagulopathies and is one of the problems that a surgeon can find in critical patients or polytraumatized wich raise the morbility, reaching up to an 87% of mortality.The knowledge of the factors related with the etiopatogenia of the coagulopathies will allow us the application of useful standards and the right management by the medical staff of the politraumatized patient.