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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Title
Description
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Talk by Gilbert Massard – at the Aspergillosis for Patients meeting in Rome, Feb 3rd 2010
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Talk by David Andes – at the Aspergillosis for Patients meeting in Rome, Feb 3rd 2010.
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Talk by Brahm Segal – at the Aspergillosis for Patients meeting in Rome, Feb 3rd, 2010.
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Talk by David Denning – at the Aspergillosis for Patients meeting in Rome, Feb 3rd, 2010.
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Talk by Russell Lewis – at the Aspergillosis for Patients meeting in Rome, Feb 3rd, 2010.
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An introduction to this meeting by Dr Geoffrey Scott, Consultant Microbiologist.
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Talk by Rick Moss – at the Aspergillosis for Patients meeting in Rome, Feb 3rd, 2010.
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Talk by Malcolm Richardson – at the Aspergillosis for Patients meeting in Rome, Feb 3rd, 2010, with specific references to aspergillus.
