Hard palate perforation due to invasive aspergillosis in a patient with acute lymphoblastic leukemia
| Autor: | Zeynep Karakas, Sinan Nur Kesim, Fatih Kabakas, Ömer Berköz, Aylin Bilgin Karabulut |
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| Rok vydání: | 2004 |
| Předmět: |
Palate
Hard medicine.medical_specialty Lymphoblastic Leukemia Fistula medicine.medical_treatment Perforation (oil well) Oral Surgical Procedures Disease Aspergillosis Medicine Humans Debridement business.industry General Medicine Precursor Cell Lymphoblastic Leukemia-Lymphoma medicine.disease Surgery medicine.anatomical_structure Otorhinolaryngology Child Preschool Pediatrics Perinatology and Child Health Palatal fistula Female Hard palate business Oral Fistula Jaw Diseases |
| Zdroj: | International journal of pediatric otorhinolaryngology. 69(10) |
| ISSN: | 0165-5876 |
| Popis: | Invasive aspergillosis (IA) is a major cause of morbidity and mortality in immunosuppressed patients. Primary oral invasive aspergillosis is a rare condition. We present an acute lymphoblastic leukemia (ALL) patient with hard palate perforation due to invasive aspergillosis. Two months after the appearance of the fungal lesions, perforation of the hard palate was seen despite amphotericin-b and itracanazole therapy. After debridement of necrotic tissue the patient was followed for spontaneous closure for 6 months but it was seen that the fistula persisted despite the disappearance of the infection. The patient was operated for closure of the palatal fistula and there was no recurrence in 6 months of follow up. Surgical and medical management was performed successfully. Invasive oral aspergillosis is a potentially lethal disease and it should be considered in immunosuppressed patients with oral lesions. |
| Databáze: | OpenAIRE |
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