A Small Cut, a Big Challenge: Pediatric Mucormycosis in an Unexpected Host

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL Clinical Case Reports Pub Date : 2025-02-07 DOI:10.1002/ccr3.70176
Marriam Tanvir, Ali Tanvir, Saad Khan, Fathimathul Henna, Syeda Mashal Fatima, Aqsa Munir, Javed Iqbal
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Abstract

Mucormycosis is an infrequent fungal infection commonly seen in immunocompromised individuals. However, it can also occur in immunocompetent patients, especially following trauma. We present a case of a 15-month-old girl with increasing swelling and redness in her left eye after a minor traumatic injury. Imaging showed sinusitis with orbital involvement. Histopathology validated the diagnosis of mucormycosis caused by Rhizopus species. The patient had emergency surgery, followed by antifungal and antibiotic therapy. Despite febrile reactions to the treatment, the infection was managed, and the patient was discharged after 2 months. This case highlights the importance of considering mucormycosis in immunocompetent patients with unexplained ocular symptoms after trauma. Early diagnosis and aggressive treatment are essential for improving outcomes, especially in pediatric patients.

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一个小伤口,一个大挑战:儿科毛霉菌病在一个意想不到的宿主
毛霉病是一种罕见的真菌感染,常见于免疫功能低下的个体。然而,它也可能发生在免疫功能正常的患者,尤其是创伤后患者。我们目前的情况下,一个15个月大的女孩增加肿胀和红肿在她的左眼后,轻微的创伤性损伤。影像学显示鼻窦炎伴眼眶受累。组织病理学证实了由根霉引起的毛霉病的诊断。患者接受了紧急手术,随后接受了抗真菌和抗生素治疗。尽管对治疗有发热反应,但感染得到了控制,患者于2个月后出院。本病例强调了在创伤后有不明原因眼部症状的免疫功能正常患者中考虑毛霉菌病的重要性。早期诊断和积极治疗对于改善预后至关重要,特别是对儿科患者。
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来源期刊
Clinical Case Reports
Clinical Case Reports MEDICINE, GENERAL & INTERNAL-
自引率
14.30%
发文量
1268
审稿时长
13 weeks
期刊介绍: Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).
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