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Updated: Oct 13, 2026

Detection of Invasive Pulmonary Aspergillosis in Haematological Malignancy Patients by using Lateral-flow Technology
Published on: March 22, 2012
[Severe nasosinus aspergillosis in immunosuppressed patients. Apropos of 3 cases]
J M Juvanon1, M Feuilhade de Chauvin, I S Delacour
1Service d'ORL et de Chirurgie Cervico-faciale, Hôpital intercommunal, Créteil.
Abstract:
Nasosinusal lesions due to Aspergillus rarely occur during immunosuppressive chemotherapy, but are extremely grave, and often fatal due to the extensive necrotizing mucoperiostitis of facial bones provoked under these conditions. Three cases are reported, with recovery in one case only, after exenteration of orbit and denudation of dura mater in orbital roof.
Insights
Nasosinusal lesions caused by Aspergillus are rare but severe during immunosuppressive chemotherapy. Aggressive surgical intervention may be necessary for survival, as seen in one of three reported cases.
Area of Science:
- Mycology
- Oncology
- Otolaryngology
Background:
- Immunosuppressive chemotherapy can predispose patients to opportunistic fungal infections.
- Invasive Aspergillus infections of the nasosinusal region are uncommon but carry a high mortality rate.
Observation:
- Three cases of nasosinusal lesions caused by Aspergillus in patients undergoing immunosuppressive chemotherapy are presented.
- These lesions led to extensive necrotizing mucoperiostitis of the facial bones.
Findings:
- The infection is extremely grave, with a high fatality rate.
- One patient recovered after radical surgery, including orbital exenteration and dural denudation.
Implications:
- Early recognition and aggressive management are crucial for improving outcomes.
- Surgical intervention, despite its morbidity, may be life-saving in selected cases.
- Further research into preventative strategies and novel treatments is warranted.
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