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Related Experiment Videos

Rhinosinusitis in transplant patients.

H J Dhong1, J C Lee, J S Ryu

  • 1Department of Otorhinolaryngology/Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Kangnam-gu, Seoul, Korea. hjdhong@smc.samsung.co.kr

Clinical Otolaryngology and Allied Sciences
|September 18, 2001
PubMed
Summary

Perioperative infection control is crucial for organ transplant success. Early detection and prompt management of rhinosinusitis in transplant patients can prevent severe complications.

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Area of Science:

  • Transplant Surgery
  • Infectious Diseases
  • Otolaryngology

Background:

  • Perioperative infection control is vital for successful organ transplantation.
  • Rhinosinusitis can pose significant risks in transplant recipients.
  • Early detection and management are essential to improve outcomes.

Purpose of the Study:

  • To analyze the clinical course of rhinosinusitis in organ transplant patients.
  • To evaluate the incidence and management of rhinosinusitis before and after transplantation.
  • To highlight the importance of prompt diagnosis and treatment in immunocompromised hosts.

Main Methods:

  • Retrospective review of medical records for 278 organ transplant patients over 4 years.
  • Analysis of rhinosinusitis incidence, detection timing (pre- vs. post-transplant), and interventions.

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  • Correlation of rhinosinusitis with outcomes, including need for sinus surgery and invasive fungal infections.
  • Main Results:

    • Rhinosinusitis was present in 11.5% (32/278) of patients.
    • 19 cases detected pre-transplant, 13 post-transplant.
    • Post-transplant rhinosinusitis led to sinus surgery in 10 patients and invasive fungal infections in 3.

    Conclusions:

    • Rhinosinusitis in transplant recipients can present subtly but progress rapidly.
    • Prompt evaluation and management of unexplained fever or nasal symptoms are critical.
    • Vigilance for rhinosinusitis is necessary to prevent severe or fatal outcomes in immunocompromised patients.