A Case of Recovered Severe Rhino-Orbito-Cerebral Mucormycosis
محل انتشار: علوم اعصاب کاسپین، دوره: 9، شماره: 1
سال انتشار: 1401
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 92
نسخه کامل این مقاله ارائه نشده است و در دسترس نمی باشد
- صدور گواهی نمایه سازی
- من نویسنده این مقاله هستم
استخراج به نرم افزارهای پژوهشی:
شناسه ملی سند علمی:
JR_CJNS-9-1_008
تاریخ نمایه سازی: 29 آذر 1401
چکیده مقاله:
Background: Mucormycosis is a rare disease with high morbidity and mortality, and its diagnosis
is difficult and often delayed. Also, the disease tends to progress rapidly. Therefore, urgent surgical
and medical intervention is lifesaving.
Case Presentation: A ۲۴-year-old woman with diabetes since ۳ months ago presented with
excessive tearing in her left eye, unilateral headache with epistaxis, and loss of consciousness at
Razi Hospital, Rasht City, Iran, in June ۲۰۲۱. A clinical and pathologic diagnosis of mucormycosis
was established. Imaging the head and paranasal sinuses revealed extensive involvement of the
brain, paranasal sinuses, and left orbit. Treatment with liposomal amphotericin B (۵ mg/kg) was
administered for about ۵۰ days until discharge. During the treatment period, the patient underwent
several surgical procedures, such as enucleation of the left eye, surgery on soft and hard palates,
sinuses, and neurosurgery for debridement of necrotizing tissues. After ۵۰ days of intensive medical
and surgical treatments, the patient was recovered and discharged.
Conclusion: In the era of the COVID-۱۹ pandemic, many diabetic patients acquire that infection.
Physicians caring for these patients should be alert to mucormycosis as a complication of severe
or mild COVID-۱۹ infection. Early diagnostic and therapeutic interventions could be lifesaving for
these patients.
کلیدواژه ها:
نویسندگان
Lida Mahfoozi
Infectious Disease Department, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
Paridokht Karimian
Department of Pathology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran