1/11. Potential risk of serious oral infections in the diabetic patient: a clinical report.Diabetes has many manifestations, including increased vulnerability to bacterial and fungal infections, that may be of concern to the dental profession. Oral candidosis and other opportunistic fungal infections may be early, nonspecific signs of uncontrolled diabetes. Rhinocerebral involvement often extends to the paranasal sinuses, pharynx, palate, orbit, and brain, causing severe tissue destruction and necrosis. This clinical report describes a young woman with diabetes who developed mucormycosis of the maxilla. Tissue destruction resulted in loss of the entire premaxilla, the anterior half of the hard palate, and all maxillary teeth except for the right and left second molars. An interim clear acrylic resin prosthesis was fabricated to restore facial contours and speech and to allow mastication. This prosthesis subsequently was duplicated, and teeth were added for improved lip support, esthetics, and mastication.- - - - - - - - - - ranking = 1keywords = mucormycosis (Clic here for more details about this article) |
2/11. Extensive maxillary sequestration resulting from mucormycosis.mucormycosis is an invasive and potentially lethal infection caused primarily by fungi of the order mucorales. An ulcer or extraction in the mouth can be the port of fungal invasion, particularly when the patient is immunocompromised. Early recognition and aggressive treatment have reduced the mortality and morbidity. We present a case of oral mucormycosis with extensive maxillary osteonecrosis that is of interest because the patient ignored the initial warning signs and was rescued from the fulminating stage by thorough debridement and medical treatment.- - - - - - - - - - ranking = 5keywords = mucormycosis (Clic here for more details about this article) |
3/11. Adjunctive hyperbaric oxygen in the treatment of bilateral cerebro-rhino-orbital mucormycosis.survival is uncommon in bilateral cerebro-rhino-orbital mucormycosis treated surgically and medically. A 66-year-old man in previously good health had bilateral cerebro-rhino-orbital mucormycosis and newly diagnosed nonketotic diabetes mellitus at initial examination. Total loss of vision, proptosis, and ophthalmoplegia of both eyes were present. The patient was treated with aggressive surgical and medical therapies that included bilateral orbital exenteration, intravenous and local amphotericin b, hyperbaric oxygen, and control of the diabetes mellitus. One and one-half years after onset of the illness, the patient is alert and clinically stable. The importance of prompt diagnosis and aggressive treatment of this disease is emphasized by this case. Additionally, we suggest that adjunctive hyperbaric oxygen is a reasonable modality in the treatment of this often fatal disease.- - - - - - - - - - ranking = 6keywords = mucormycosis (Clic here for more details about this article) |
4/11. Invasive fungal infection of the maxilla following dental extractions in a patient with chronic obstructive pulmonary disease.We report on a 74-year-old male patient with chronic obstructive pulmonary disease (COPD) who developed an invasive fungal disease of the facial bones after several teeth were extracted. He had recently suffered an exacerbation of COPD, treated with a course of corticosteroid therapy. mucormycosis is an opportunistic fungal pathogen that has the ability to cause significant morbidity and frequently mortality in the susceptible patient. An overview of this class of pathogens and the history, examination findings (clinical and radiographic), pathogenesis and medical-surgical treatment of mucormycosis is presented.- - - - - - - - - - ranking = 1keywords = mucormycosis (Clic here for more details about this article) |
5/11. Dental implant-assisted prosthetic rehabilitation of a patient with a bilateral maxillectomy defect secondary to mucormycosis.Prosthodontic rehabilitation of patients with bimaxillary resection involving the maxillae, hard and soft palates, and paranasal sinuses presents a significant challenge in restoring speech, deglutition, mastication, and respiration. This clinical report describes the prosthodontic management of a young girl treated for leukemia who required a bilateral maxillectomy secondary to mucormycosis. Distraction osteogenesis, bone grafts, osseointegrated implants, and magnet attachments were used to provide retention, support, and stability of a large definitive obturator.- - - - - - - - - - ranking = 5keywords = mucormycosis (Clic here for more details about this article) |
6/11. Orofacial mucormycosis.Two cases of orofacial mucormycosis are reported. The first patient represents the typical progression of rhinocerebral mucormycosis with infiltration of the sinuses, the orbit, and the brain. The second patient had a tumorous maxillary lesion resembling fibrous dysplasia clinically and radiographically. Microscopically, the fungal infection in case 2 was associated with new bone formation. The significance of this phenomenon is discussed, and the importance of early diagnosis and possible treatment regimens are highlighted.- - - - - - - - - - ranking = 6keywords = mucormycosis (Clic here for more details about this article) |
7/11. Murocmycotic slough of nasal floor and palate in the anephric patient.A case of nasopalatine mucormycosis in a patient with chronic renal failure is reported. Early recognition is contingent on histopathological examination of tissue and culturing. Vigorous treatment with amphotericin b and surgical intervention averted possible orbital-cranial involvement and effected a cure. When a chronically debilitated patient has signs of intraoral necrosis or facial swelling and necrosis, or both, the clinician should be alert to the possibility of a mucormycotic infection.- - - - - - - - - - ranking = 1keywords = mucormycosis (Clic here for more details about this article) |
8/11. Acute, life-threatening disease first appearing as odontogenic pain.Rapidly spreading rhinocerebral infection by Phycomycetes (mucormycosis) in a diabetic patient with ketoacidosis is described. The dentist and dental specialists should be alert to the early signs and symptoms of this disease as they evaluate and follow patients who are debilitated and who have odontogenic pain. It cannot be overemphasized that a successful outcome is critically dependent on early recognition and prompt therapy, especially in a person with diabetic acidosis as death may occur within 2-5 days after the first symptoms appear.- - - - - - - - - - ranking = 1keywords = mucormycosis (Clic here for more details about this article) |
9/11. Nonfatal maxillocerebral mucormycosis with orbital involvement in a dehydrated infant.mucormycosis in infants is exceedingly rare, and over 90% of reported cases have been fatal. A case of a dehydrated three-week-old infant with involvement of the palate, maxilla, orbit, and brain is described with extensive laboratory and radiological investigation. This infant survived after surgical debridement and therapy with amphotericin b.- - - - - - - - - - ranking = 4keywords = mucormycosis (Clic here for more details about this article) |
10/11. Rhinomaxillary mucormycosis in a kidney transplant patient.Rhinomaxillary mucormycosis is an uncommon but important pathologic entity with a rapidly fatal course if treatment is delayed. This is of particular interest to dentists, since many of the earliest clinical signs appear in the oral and perioral regions. Successful therapy demands early diagnosis by biopsy, institution of amphotericin b therapy, and surgical debridement. A case of nonfatal rhinomaxillary mucormycosis is presented, and all other reported cases in transplant patients are reviewed.- - - - - - - - - - ranking = 6keywords = mucormycosis (Clic here for more details about this article) |
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