FUNGAL SINUSITIS WITH
PHARYNGITIS
By: Karishma
V PHARMD
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INTRODUCTION
• DEFINITION: Fungal sinusitis is the inflammation of
the lining mucosa of the paranasal sinuses due to
fungal infection .
• The maxillary sinus is the most commonly involved.
• There are 3 types of sinusitis:
• ACUTE : it usually has symptoms that are similar to
a cold/fever, such as runny nose, cough, sore throat
etc....
• CHRONIC: it produces the same symptoms as
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• The acute sinusitis, but for longer than 8 weeks.
• SUB ACUTE: it has the same symptoms, and can
trouble one for 4 to 8 weeks.
• PHARYNGITIS: a sore throat, also called a throat
infection or pharyngitis ,is a painful inflammation of
the back part of the throat(pharynx).
• The most common cause of sore throat is infection
with bacteria or viruses.
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SUBJECTIVE EVIDENCE
• PATIENT DEMOGRAPHICS:
• Name : xx
• IPN.O :2883375
• Sex : 35yrs
• D.O.A : 7/12/2020
• Unit : special
• CHEIF COMPLAINTS:
• c/o throat pain (25days), nasal discharge from 2 days
• h/o fever (99F) 25 days ago.
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• PAST MEDICAL HISTORY:
• H/O acute sinusitis since 1 yr
• K/C/O type 2 diabetes mellitus
• K/C/O hypothyroidism since 3 yrs.
• MEDICAL HISTORY INCLUDING PRESENT
MEDICATIONS:
• T. thyronorm 100mcg OD (1-0-0)
• T. Gemer -3 BD (1-0-0)
• T. Levoflox 750mg OD (1-0-0)
• T. Bilastine 20mg (0-0-1)
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• FAMILY HISTORY:
• Father – Diabetic (late age)
• PERSONAL HISTORY:
• Apettite – normal
• Sleep - good
• Bowel - constipation (1 month)
• Bladder – regular
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FINDINGS
VITALS DAY 1 DAY 2 DAY 3
Pulse 110beats/min 84beats/min
90beats/min
Blood pressure 140/90mmhg 135/80mmhg 130/80mmhg
Respiratory 24cycle/min - 22cycles/min
rate
Spo2 98% @RA - 99% @RA
CVS S1S2+ S1S2+ _
RS B/L VBS+ BAE+ -
GRBS 359mg/dl 120mg/dl -
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OBJECTIVE EVIDENCE
• 7/12/2020 :
• HBA1C – 9.5* (4-6.5)
• Tri idothyronine - 0.86ng/ml (0.70-2.04)
• Thyroxine - 11.98micg/dl (4.60-12.00)
• Thyroid stimulating hormone – 2.470micIU/ml
• (0.340-4.250).
• ASSESSMENT :
• Based on subjective and objective evidence the final
diagnosis was FUNGAL SINUSITIS WITH ACUTE
PHARYNGITIS.
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PLAN(PHARMACOLOGICAL TREATMENT)
S.N0 DRUG DOS RO FRE DAY DAY2 DAY3 DAY4
WITH E UTE QU 1
GENERIC EN
NAME CY
1. Inj .piptaz 4.5gr iv tid 7/12 8/12 9/12 10/12
(pipercillin,ta ms
zobactum)
2. Inj .pantop 40mg iv bd 7/12 8/12 9/12 10/12
(pantoprazole
)
3. Inj. Dynapar 1amp iv bd 7/12 8/12 9/12 10/12
(diclofenac)
4. [Link] 5ml p/o bd - 8/12 9/12 10/12
n plus
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5. Inj. 2.65m sc 45IU - - - 10/1
Ryzudeg(insulin g,1.05 2
degledec, insulin mg
aspart)
6. Inj. actrapid 40IU/ Sc 0-15- - - - 10/1
(human insulin) ML 0 2
7. T. Recide 60mg p/o 1-0-1 - - 9/12 10/1
xr( glicazide) 2
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• PHARMACIST INTERVENTIONS:
• c/o of fever – the drug was not prescribed for
fever.
• T. Dolo 650mg can be given.
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NON PHARMACOLOGICAL TREATMENT
• Drink plenty of water to ease most minor symptoms of
chronic sinus infection.
• Pineapple is rich in anti oxidants which protects the
delicate mucous membrane from damage .
• The enzymes in pineapple also break down junk that
builds up in sinuses and reduce inflammation.
• Garlic has powerful antioxidant and inflammatory
properties.
• Rich antioxidants such as citrus, kiwi, spinach, berries,
pumpkin, sweet potatoes.
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• Coconut oil is very good at reducing inflammation and
also killing many bacteria, viruses, and fungi.
• Avoid dairy products that cause congestion.
• Excercise regularly which improves circulation moves
lymph fluid aids the immune system and increases
mucus production.
• Inhale steam can loosen mucus break up build ups and
gently clear sinuses.
• Warm herbal teas.
• Apply warm compress.
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