A rare presentation of rhino-orbital-cutaneous mucormycosis in an immunocompetent patient: a case report.
Pan Afr Med J
; 48: 13, 2024.
Article
em En
| MEDLINE
| ID: mdl-39184848
ABSTRACT
Mucormycosis is a rare opportunistic infection caused by Mucorales fungi. Cutaneous mucormycosis typically present as chronic indolent infection, whereas rhino-orbital mucormycosis is rapidly progressive disease often invade the adjacent cerebral tissue associated with high mortality. This case represents the atypical clinical history of rhino-orbital-cutaneous mucormycosis. The patient was presented with a right orbital cellulitis associated with an extensive multiple suppurative deep cutaneous infection and worsening headache. The skin lesion was initiated from a localized abscess at the right periorbital area nine months before admission. Suspicion of fungal infection was raised after weeks of non-responsive antibiotics treatment. Aggressive treatment with exoneration of the right eye and surgical debridement was undertaken. Periodic acid Schiff staining from healthy periorbital tissue revealed ribbon-like hyphae with pauciseptate and 90° branching identified as Mucoraceaefamily. The resolution was seen after four weeks of antifungal treatment with Amphotericin B.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Anfotericina B
/
Desbridamento
/
Mucormicose
/
Antifúngicos
Limite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Pan Afr Med J
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Indonésia
País de publicação:
Uganda