NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH VIÊM MŨI XOANG MẠN TÍNH DO NẤM TRÊN BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TẠI THÀNH PHỐ CẦN THƠ NĂM 2022-2024

Abstract

Background: Sinusitis is a common disease in most people around the world, leading to significant societal burden in terms of healthcare costs and reduced labor productivity. There are many causes of sinusitis such as bacteria, viruses, and fungi… In recent years in our country, fungal sinusitis has been on the rise along with urbanization, environmental pollution, global warming, and especially immunocompromised patients such as those with diabetes. Objectives: To describe the clinical and subclinical characteristics of fungal sinusitis in diabetic patients in Can Tho city from 2022 to 2024. Materials and methods: A prospective- descriptive study with clinical intervention method on 33 diabetic patients with fungal chronic sinusitis who were treated by endoscopic surgery at Can Tho General Hospital from June 2022 to March 2024. Results: The average age of the subjects was 51.91±11.25. The main functional symptoms often encountered are runny nose (93.9%), severe facial pain (75.8%), with a higher level of symptoms in the group with poor blood sugar control. Endoscopy shows images of cloudy mucus (69.7%). Computed tomography (CT) images of unilateral maxillary sinus opacity accounted for 81.8%. Fresh microscopic results find fungi: Candida (96.9%), Aspergillus (3.1%). Conclusion: Chronic fungal sinusitis in diabetic patients in Can Tho has the main clinical symptoms of runny nose and severe facial pain, the main agent is the Candida group.