Date: 3 May 2013
Yamik catheter for rinsing nasal and paranasal cavities. Image A
Copyright:
These images were kindly given by Andreas Neher of the Department of Otorhinolaryngology, Innsbruck Medical University, Anichstr. 35, Innsbruck, Austria. For further details of the procedure please refer to the PDF link above. (C) Fungal Research Trust
Notes:
Rinsing of the nasal and paranasal cavities applied via a novel catheter system (YAMIK). The cavities were rinsed with 10–20 ml of 1% aqueous N-Chlorotaurine (NCT) solution, treatment consisted of three lavages per week for 4 weeks. N-Chlorotaurine is a mild endogenous oxidant with broad-spectrum antimicrobial activity. The use of the catheter proved to be a successful way of rinsing the nasal and paranasal cavities. Link to PDF with further details.
C,D X-ray set up of a healthy volunteer rinsed with 10 ml of radio-opaque solution via YAMIK catheter demonstrating sufficient filling of the paranasal sinuses.
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Images and abstract taken from Mert D et.al., Hematol Rep. 2017 Jun 1;9(2):6997. doi: 10.4081/hr.2017.6997. Invasive Aspergillosis with Disseminated Skin Involvement in a Patient with Acute Myeloid Leukemia: A Rare Case.
Invasive pulmonary aspergillosis is most commonly seen in immunocompromised patients. Besides, skin lesions may also develop due to invasive aspergillosis in those patients. A 49-year-old male patient was diagnosed with acute myeloid leukemia.
The patient developed bullous and zosteriform lesions on the skin after the 21st day of hospitalization. The skin biopsy showed hyphae. Disseminated skin aspergillosis was diagnosed to the patient.
Voricanazole treatment was initiated. The patient was discharged once the lesions started to disappear.
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A pile of woodchip stored for use in a garden usually as a weed suppressing mulch. The heat building up in the pile is illustrated by the plumes of steam eminating from the top of the pile.
Aspergillus fumigatus is particularly well adapted to grow in the heat (up to 60C) found in such piles of rotting organic material and this characteristic, an adaption for its life in its natural environment also enables it to survive and grow in warm mammalian bodies at 37C. Most fungi cannot grow or survive at those temperatures
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MK is 59 years old and presented with right sided pleuritic chest pain and coughing over 1 week. A chest Xray and then CT scan revealed complete collapse of her right lower lobe and middle lobes. Mucous retention is seen just proximal to the abrupt cutoff. There was mild bronchiectasis.
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