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
-
Title
Description
-
Powerpoint presentation December 2009
-
Published on 23 Apr 2014.
Wild Type A. fumigatus strain differences and antifungal susceptibility in Invasive Pulmonary Aspergillosis
-
Published on 18 Jun 2014 CT scan image of a dog with Nasal Aspergillosis
-
Uploaded on 11 Feb 2012 Dr. Sunena Argo discusses the diagnosis and management of ABPA
-
Uploaded on 12 Feb 2012 Dr. Heather Doss reviews the diagnosis and management of ABPA. Held on Oct 17, 2011.
-
Published on 28 Dec 2012 Developed and produced for http://www.MechanismsinMedicine.com Animation Description: One of the most lethal complications of invasive aspergillosis is dissemination to the brain. The diagnosis is difficult and it has been associated with near 100% mortality, however aggressive antifungal therapy can improve outcomes. Watch this animation for more information.
-
“With every breath you take, you are inhaling a potentially deadly pathogen. You can’t see this parasite floating into your nostrils and weaving its way down into your lungs. You probably breathe many of them right back out again, but some stick with every breath. If you’re a healthy non-smoker, have no fear, your immune system has an excellent chance of destroying the invaders before they can make you sick. If your lungs or immune system are compromised, you still have an excellent chance of escaping these frequent attacks unscathed. But, for the unlucky few among us, the fungal pathogen Aspergillus might just win. Let’s take a closer look and see what we could be in for.”
An online science educational resource – intended for students but is suitable for the layperson.
Requires registration for a free trial.
