Aspergillosis

When a child with cancer develops invasive fungal sinusitis, how do you balance urgent surgery, antifungal therapy, and the wait for neutrophil recovery? On this episode of the BackTable Creator Weekend™ series on pediatric head and neck cancer, host Dr. Rob Tuliszewski welcomes Dr. Dennis Kuo, a pediatric hematologist-oncologist, and Dr. Leidy Tovar Padua, a pediatric infectious diseases specialist, both at Rady Children's Hospital-San Diego and UC San Diego, to walk through pediatric invasive fungal sinusitis from first suspicion to recovery. They discuss who is at highest risk, the fever and neutropenia workup, imaging and plasma next-generation sequencing, how urgently to call ENT, and antifungal prophylaxis.