کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4195466 1608922 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Chronic rhino-orbito-cerebral mucormycosis: A case report and review of the literature
ترجمه فارسی عنوان
موکورمایکوزیس رینو اوربیتو مغزی مزمن : گزارش موردی و مرور مقالات
کلمات کلیدی
mucormicosis مزمن؛ Mucormicosis رینوسربرال؛ Mucoraceae؛ رینو اوربیتو مغزی؛ آمفوتریسین
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی


• We describe the case of a chronic rhino-orbito-cerebral mucormycosis.
• Chronic mucormycosis has low rate of frequency and is difficult to diagnose.
• A quarter of chronic rhino-orbito-cerebral mucormycosis cases are in immunocompetents.
• Surgical debridement is the corner stone of mucormycosis treatment.
• Survival rate in chronic mucormycosis cases (83%) is higher than acute cases (10–35%).

Mucormycosis is a life-threatening disease, were rhinocerebral infection is most commonly seen in the clinical setting. Chronic mucormycosis is a rare presentation that exhibits a challenging diagnosis. We describe the case of a 47 year old diabetic man with complains of left zygomatic arch swelling of 3 months evolution. He had received previous antibiotic treatment without improvement. Biopsy of maxillary sinus revealed the presence of non-septated, 90° angle branched hyphae compatible with zygomicetes. The patient was treated with surgical debridement and amphotericin B until there was no evidence of fungi in the tissue by biopsy. We reviewed chronic rhino-orbito-cerebral mucormycosis from 1964–2014 and 22 cases were found, being this the second case of chronic mucormycosis reported in Mexico. A quarter of the cases were seen in immunocompetent hosts. As only 20% of the causal agent can be isolated by culture, the diagnosis is mainly made by biopsy. Besides treatment with amphotericin B, posaconazole as alternative, and control of the underlying comorbidities, surgical debridement represents the corner stone therapy. We recommend at least 36 month follow-up, due to the 13% risk of recurrence. A chronic presentation has a general survival rate of approximately 83%.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annals of Medicine and Surgery - Volume 6, March 2016, Pages 87–91
نویسندگان
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