1/5. Palatal necrosis in an AIDS patient: a case of mucormycosis.We report a case of rhinocerebral mucormycosis presenting in a patient with AIDS and review the literature on mucormycosis occurring in the setting of hiv disease. mucormycosis in hiv is rare. However, it can be the presenting opportunistic infection in AIDS. Predisposing factors for Mucor infection in hiv disease include low CD4 count, neutropenia, and active intravenous drug use. mucormycosis can present in the basal ganglia, the skin, the gastrointestinal tract, the respiratory tract, or may be disseminated. The disease may develop insidiously or may progress rapidly with a fulminant course. Therapy usually consists of surgical debridement/excision accompanied by intravenous amphotericin b.- - - - - - - - - - ranking = 1keywords = mucormycosis (Clic here for more details about this article) |
2/5. Successful treatment of rhino-orbital mucormycosis without exenteration: the use of multiple treatment modalities.PURPOSE: To describe the successful management of rhino-orbital mucormycosis without the use of orbital exenteration. METHOD: Case report. RESULTS: The patient had successful eradication of the fungal infection with retention of normal vision and ocular function. CONCLUSIONS: The use of multiple treatment modalities including aggressive surgical debridement guided by intraoperative frozen section monitoring, intravenous liposomal amphotericin b, intraorbital regular amphotericin b and hyperbaric oxygen may allow complete resolution of orbital phycomycosis and spare the patient from the blindness and disfigurement associated with exenteration.- - - - - - - - - - ranking = 0.83333333333333keywords = mucormycosis (Clic here for more details about this article) |
3/5. Rhinocerebral mucormycosis associated with diabetic ketoacidosis.Rhinocerebral mucormycosis with hemiparesis occurred in a young woman who was not a known diabetic. Rhyzopus species grew from the initial nasal biopsy. The patient was treated with amphotericin b, in addition to control of diabetic ketoacidosis. Surgical intervention was not done. The patient died on the fourth day of hospitalisation.- - - - - - - - - - ranking = 0.83333333333333keywords = mucormycosis (Clic here for more details about this article) |
4/5. Rhino-orbital-cerebral mucormycosis--a clinico-pathological report of two cases.Rhino-orbital-cerebral mucormycosis is an acute fungal infection of the oropharynx, paranasal sinuses, orbit and intracranial structures. It is rare, occurring mainly in diabetics in ketoacidosis. The clinical presentation is highly suggestive of the diagnosis. Current treatment has resulted in a greatly improved prognosis for survival and clinical awareness of this disease is important for early initiation of treatment with optimal effect. A clinico-pathological report of two cases is presented.- - - - - - - - - - ranking = 0.83333333333333keywords = mucormycosis (Clic here for more details about this article) |
5/5. Colonization of nasal ulcers as a source of candida parapsilosis fungemia.candida parapsilosis fungemia secondary to nasal colonization following application of nasal prongs for oxygen therapy developed in a 61-year-old man with known chronic lymphocytic leukemia and pulmonary infiltrates. amphotericin b controlled the candidal infection, but the patient died of complications related to aspergillus pneumonitis, intra-abdominal mucormycosis, and leukemia. The source of candidal infection was probably a combination of nasal ulceration resulting from oxygen administration by nasal prongs and alteration of the normal mucosal flora by multiple broad-spectrum antibiotics. oxygen administration by mask to patients at risk of opportunistic infections may help obviate this potential complication, with its attendant danger of spread to the brain and cavernous sinuses. We discuss the rarity of triple infection with these three organisms.- - - - - - - - - - ranking = 0.16666666666667keywords = mucormycosis (Clic here for more details about this article) |