Acute invasive fungal sinusitis must be suspected when an immunocompromised patient develops fever and signs of inflammation of the paranasal sinuses. Prompt recognition is critical because the infection can evolve over hours. In the current era of transplant immunosuppression, chemotherapy, and advanced HIV, clinicians must be able to make the diagnosis and institute prompt therapy. Unfortunately, the causative zygomycetous fungi are ubiquitous in nature. As a consequence, immunosuppressed patients are exposed to these fungi during day-to-day activities.
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.