Chronic rhinosinusitis with bone destruction in a teenager with cystic fibrosis

Detalhes bibliográficos
Autor(a) principal: Martins,João Rio
Data de Publicação: 2019
Outros Autores: Neves,João Fonseca, Silva,Teresa Reis, Félix,Miguel
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542019000200006
Resumo: Introduction: Chronic rhinosinusitis (CRS) is almost invariably present in cystic fibrosis (CF) patients, with a detrimental impact in their quality of life. Functional endoscopic sinus surgery (FESS) has been proven effective when medical management approaches are exhausted. Case Summary: A twelve-year-old female with CF and a several-month history of intermittent fever, recurrent cough, and purulent sputum despite intensive medical management was admitted due to fever and frontal headaches starting a few days after initiation of nocturnal non-invasive ventilation. Perinasal and cerebral sinuses' computed tomography scan and magnetic resonance imaging showed a severe CRS complicated with bone destruction of the left frontal sinus and crista galli. Intravenous antibiotics and antifungal were started, and FESS was performed with significant clinical improvement. Microbiologic study was positive for methicillin-resistant Staphylococcus aureus. Discussion: This case shows that regular assessment of sinusal disease in CF children is essential, especially in those with chronic infections. FESS may be usefull when medical management approaches are exhausted, effectively improving patients's quality of life.
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spelling Chronic rhinosinusitis with bone destruction in a teenager with cystic fibrosisbone destructionchronic rhinosinusitiscystic fibrosisendoscopic sinus surgerymethicillin-resistant Staphylococcus aureusIntroduction: Chronic rhinosinusitis (CRS) is almost invariably present in cystic fibrosis (CF) patients, with a detrimental impact in their quality of life. Functional endoscopic sinus surgery (FESS) has been proven effective when medical management approaches are exhausted. Case Summary: A twelve-year-old female with CF and a several-month history of intermittent fever, recurrent cough, and purulent sputum despite intensive medical management was admitted due to fever and frontal headaches starting a few days after initiation of nocturnal non-invasive ventilation. Perinasal and cerebral sinuses' computed tomography scan and magnetic resonance imaging showed a severe CRS complicated with bone destruction of the left frontal sinus and crista galli. Intravenous antibiotics and antifungal were started, and FESS was performed with significant clinical improvement. Microbiologic study was positive for methicillin-resistant Staphylococcus aureus. Discussion: This case shows that regular assessment of sinusal disease in CF children is essential, especially in those with chronic infections. FESS may be usefull when medical management approaches are exhausted, effectively improving patients's quality of life.Centro Hospitalar do Porto2019-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542019000200006Nascer e Crescer v.28 n.2 2019reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542019000200006Martins,João RioNeves,João FonsecaSilva,Teresa ReisFélix,Miguelinfo:eu-repo/semantics/openAccess2024-02-06T17:06:23Zoai:scielo:S0872-07542019000200006Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:46.227385Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Chronic rhinosinusitis with bone destruction in a teenager with cystic fibrosis
title Chronic rhinosinusitis with bone destruction in a teenager with cystic fibrosis
spellingShingle Chronic rhinosinusitis with bone destruction in a teenager with cystic fibrosis
Martins,João Rio
bone destruction
chronic rhinosinusitis
cystic fibrosis
endoscopic sinus surgery
methicillin-resistant Staphylococcus aureus
title_short Chronic rhinosinusitis with bone destruction in a teenager with cystic fibrosis
title_full Chronic rhinosinusitis with bone destruction in a teenager with cystic fibrosis
title_fullStr Chronic rhinosinusitis with bone destruction in a teenager with cystic fibrosis
title_full_unstemmed Chronic rhinosinusitis with bone destruction in a teenager with cystic fibrosis
title_sort Chronic rhinosinusitis with bone destruction in a teenager with cystic fibrosis
author Martins,João Rio
author_facet Martins,João Rio
Neves,João Fonseca
Silva,Teresa Reis
Félix,Miguel
author_role author
author2 Neves,João Fonseca
Silva,Teresa Reis
Félix,Miguel
author2_role author
author
author
dc.contributor.author.fl_str_mv Martins,João Rio
Neves,João Fonseca
Silva,Teresa Reis
Félix,Miguel
dc.subject.por.fl_str_mv bone destruction
chronic rhinosinusitis
cystic fibrosis
endoscopic sinus surgery
methicillin-resistant Staphylococcus aureus
topic bone destruction
chronic rhinosinusitis
cystic fibrosis
endoscopic sinus surgery
methicillin-resistant Staphylococcus aureus
description Introduction: Chronic rhinosinusitis (CRS) is almost invariably present in cystic fibrosis (CF) patients, with a detrimental impact in their quality of life. Functional endoscopic sinus surgery (FESS) has been proven effective when medical management approaches are exhausted. Case Summary: A twelve-year-old female with CF and a several-month history of intermittent fever, recurrent cough, and purulent sputum despite intensive medical management was admitted due to fever and frontal headaches starting a few days after initiation of nocturnal non-invasive ventilation. Perinasal and cerebral sinuses' computed tomography scan and magnetic resonance imaging showed a severe CRS complicated with bone destruction of the left frontal sinus and crista galli. Intravenous antibiotics and antifungal were started, and FESS was performed with significant clinical improvement. Microbiologic study was positive for methicillin-resistant Staphylococcus aureus. Discussion: This case shows that regular assessment of sinusal disease in CF children is essential, especially in those with chronic infections. FESS may be usefull when medical management approaches are exhausted, effectively improving patients's quality of life.
publishDate 2019
dc.date.none.fl_str_mv 2019-06-01
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dc.publisher.none.fl_str_mv Centro Hospitalar do Porto
publisher.none.fl_str_mv Centro Hospitalar do Porto
dc.source.none.fl_str_mv Nascer e Crescer v.28 n.2 2019
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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