Group: Clinical video
Description:
A series of nasal endoscopies – before during and after surgery. Surgical endoscopy by Raphaella Migliavacca. A patient 12 years old with AML undergoes remission following chemotherapy (2 rounds), admitted several months later with high fever and neutropenia. Patient undergoes regime of antifungal therapy including fluconazole, AmpB and voriconazole. (see full case as powerpoint slides presented In Brazil In FocusVII Aug 2009 Raphaella Migliavacca.). Nasal endoscopy was performed both pre-operatively and surgery removed a fungal ball. Biopsy revealed suppurative acute inflammatory findings (middle turbinate) and angioinvasive fungal structures consistent with aspergillosis. Cultures revealed Aspergillus flavus. Eight weeks later another endoscopy post surgery revealed marked improvement and reduced inflammation. The patient was given 12 weeks voriconazole followinf the surgery, followed by 3rd chemotherapy. The patient had recovered and was in complete remission 4 months after the surgical endoscopy.
Medical and Patient education videos
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Fungal infections are an integral part of Infectious Diseases but they are increasingly seen in all specialities. The University of Manchester Medical Mycology taught Masters programme has been designed to provide a significant level of theoretical understanding and practical skills in the field of fungal infectious diseases.
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Professor Denning talks about GAFFI at the London launch of the foundation, in the House of Commons. GAFFI is the global action fund for fighting fungal infections.
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This a longer (3.52) version of a film produced by GAFFI, ,Global Action Fund for Fungal Infections (gaffi.org) to highlight the dangers of fungal Infections worldwide and a call for more research and access to anti-fungal medicines and testing. The film was produced to mark the first year of activities by GAFFI.
