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Prognostic factors in post-Covid-19 acute invasive fungal sinusitis

Published online by Cambridge University Press:  21 October 2024

Ahmed Salama Abdelmeguid ,
Mohamed Mohamed Abdel-Fattah El-Okda ,
Menna Allah Mostafa Abozaid  and
Hisham Atef Ebada Open the ORCID record for Hisham Atef Ebada [Opens in a new window]
Ahmed Salama Abdelmeguid
Affiliation:
Department of Otorhinolaryngology, Mansoura University, Mansoura, Egypt, Postal code: 35511
Mohamed Mohamed Abdel-Fattah El-Okda
Affiliation:
Department of Otorhinolaryngology, Mansoura University, Mansoura, Egypt, Postal code: 35511
Menna Allah Mostafa Abozaid
Affiliation:
Department of Otorhinolaryngology, Mansoura University, Mansoura, Egypt, Postal code: 35511
Hisham Atef Ebada*
Affiliation:
Department of Otorhinolaryngology, Mansoura University, Mansoura, Egypt, Postal code: 35511
*
Corresponding author: Hisham Atef Ebada; Email: [email protected]
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Abstract

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.

Keywords

Covid-19invasive fungal infectionssinusitisprognosissurvival
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 12 , December 2024 , pp. 1176 - 1180
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Hisham Atef Ebada takes responsibility for the integrity of the content of the paper

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