Treatment of cerebral mucormycosis with drug therapy alone: A case report.
Med Mycol Case Rep
; 23: 4-7, 2019 Mar.
Article
em En
| MEDLINE
| ID: mdl-30425919
ABSTRACT
We report on an elderly male patient with headache and right-side weakness. Imaging studies revealed multiple space-occupying lesions in the parietal and occipital cerebral regions. Biopsy revealed broad aseptate ribbon-like structures branching at right angles, suggestive of mucormycosis. Improvement was observed after medical therapy with 20 weeks of liposomal amphotericin B (5â¯mg/kg/day) combined with posaconazole, followed by posaconazole (400â¯mg twice a day) alone for 1 month. The patient recovered without neurological deficits; however, multidrug-resistant bacteraemia and hospital-acquired pneumonia occurred, resulting in death. Nevertheless, our report shows that this lethal fungal infection can sometimes show favourable progress with drug therapy alone.
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MEDLINE
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En
Ano de publicação:
2019
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Article