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KMID : 1144320120440020080
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감염과 화학요법
2012 Volume.44 No. 2 p.80 ~ p.83
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A Case of Alternaria Rhinosinusitis in a Patient with Myelodysplastic Syndrome during Neutropenic Period
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Heo Ju-Yeon
Yang Yeo-Ree
Kim Jong-Wook
Choi Jae-Ki
Park Mi-Hee
Lim Ye-Jee
Hong Kyung-wook
Lee Dong-Gun
Eom Ki-Seong
Kim Yoo-Jin
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Abstract
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The genus Alternaria contains several species of melanized hypomycetes that cause opportunistic human infections. The most frequent clinical manifestations of alternariosis are cutaneous and subcutaneous infections, followed by oculomycosis, invasive and non-invasive rhinosinusitis, and onychomycosis. So far, only 17 cases of rhinosinusitis caused by Alternaria species have been reported since 1977. Although several domestic cases of cutaneous alternariosis have been reported, there is no report of Alternaria rhinosinusitis in Korea. The majority of Alternaria rhinosinusitis involves immunocompromised patients. We report the first case of alternariosis in a patient with neutropenia and myelodysplastic syndrome that was treated with endoscopic debridement and a conventional antifungal agent.
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KEYWORD
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Alternaria, Sinusitis, Myelodysplastic Syndrome
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