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J Pediatr Endocrinol Metab ; 34(7): 941-945, 2021 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-33819417

RESUMO

OBJECTIVES: Mucormycosis is a life-threatening condition that can be present in diabetes mellitus. Although the rhino-orbito-cerebral form is the most common, other types may be developed as well. CASE PRESENTATION: The present study reports two children with diabetes who had the cutaneous and pulmonary forms of mucormycosis. The first case was a four-year-old boy without a history of diabetes admitted due to loss of consciousness and a necrotic lesion on his hand. The second was an 11-year-old boy with dyspnea, polyuria, and polydipsia who had developed diabetes two years before, and whose chest X-ray had shown a pulmonary lesion. Both cases were treated with surgical implementation and appropriate antifungal therapy. CONCLUSIONS: Mucormycosis is a fatal condition that can even be present at the onset of diabetes mellitus. Therefore, any diabetic patient with any presentation of respiratory symptoms such as coughs, or any cutaneous lesion should be examined carefully for mucormycosis after which prompt treatment must begin.


Assuntos
Diabetes Mellitus Tipo 1/complicações , Pneumopatias Fúngicas/etiologia , Mucormicose/etiologia , Dermatopatias Infecciosas/etiologia , Antifúngicos/uso terapêutico , Criança , Pré-Escolar , Cetoacidose Diabética/tratamento farmacológico , Humanos , Pneumopatias Fúngicas/tratamento farmacológico , Masculino , Mucormicose/tratamento farmacológico , Dermatopatias Infecciosas/tratamento farmacológico
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