Rhinomaxillary Mucormycosis in a Renal Transplant Recipient: Case Report

被引:5
作者
Azarpira, Negar [1 ]
Ashraf, Mohamd Javad [2 ]
Kazemi, Kourosh [3 ]
Khademi, Bighan [4 ]
机构
[1] Shiraz Univ Med Sci, Organ Transplant Res Ctr, Shiraz, Iran
[2] Shiraz Univ Med Sci, Dept Pathol, Shiraz, Iran
[3] Shiraz Univ Med Sci, Transplant Ctr, Shiraz, Iran
[4] Shiraz Univ Med Sci, Dept Otolaryngol, Shiraz, Iran
关键词
Kidney; Zygomycosis; Immunosuppression; Fungal; Infection; FUNGAL-INFECTIONS; ZYGOMYCOSIS; ALLOGRAFT; EPIDEMIOLOGY;
D O I
10.6002/ect.2012.0006
中图分类号
R3 [基础医学]; R4 [临床医学];
学科分类号
1001 ; 1002 ; 100602 ;
摘要
Objectives: Rhinomaxillary mucormycosis is a clinical manifestation of zygomycosis in solid-organ transplant recipients. Without proper diagnosis and treatment, rhino-orbital-cerebral zygomycosis, particularly a central nervous system disease, will develop with substantial complications. Case report: A 42-year-old man who had undergone renal transplant was admitted to our otolaryngology department with unilateral bloody nasal discharge. Mucormycosis was detected in the necrotic tissue of the maxillary sinus. Surgical ablation of the infected parts, along with antifungal treatment, restricted extension of the infection. Conclusions: Early detection of opportunistic infections in transplant recipients plays an important role in preventing dissemination. Fungal infections, including zygomycosis, should be considered in all solid-organ recipients, especially in persons with local unusual manifestations. Early diagnosis and successful treatment reduce mortality.
引用
收藏
页码:605 / 608
页数:4
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