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Published on: March 9, 2018
Prognostic factors in post-Covid-19 acute invasive fungal sinusitis
Ahmed Salama Abdelmeguid1, Mohamed Mohamed Abdel-Fattah El-Okda1, Menna Allah Mostafa Abozaid1
1Department of Otorhinolaryngology, Mansoura University, Mansoura, Egypt, Postal code: 35511.
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.
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