A Case Report of Complete Resolution of Auricular Mucormycosis in an 18-Month-Old Diabetic Child.

IF 0.4 Q4 OTORHINOLARYNGOLOGY Case Reports in Otolaryngology Pub Date : 2021-02-20 eCollection Date: 2021-01-01 DOI:10.1155/2021/6618191
Mariam Aljehani, Hatem Alahmadi, Mansour Alshamani
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引用次数: 4

Abstract

Background: One of the most rare but deadly types of infectious fungal infection is Mucormycosis. All the cases reported with this type of infection are immunocompromised individuals. The challenge of early detection and intervention makes it one of the high mortality rates among other infectious diseases. Case Report. We report an 18-month-old girl with undiagnosed diabetes presented with a very aggressive form of necrotic infection of the ear auricle with facial nerve palsy. Using a series of magnetic resonance imaging, antibiotics, and high clinical suspicion, a diagnosis was established, and the patient was sent to the operation theatre for surgical debridement. Monthly follow-ups showed improvement of the facial palsy, and a plan for artificial auricle is set to occur in the following months before the age of five. Discussion. Mucormycosis is considered a very fatal and aggressive infection that has a very high mortality rate in immunocompromised patients. Early detection of such cases with an array of magnetic resonance imaging (MRI) and computed tomography (CT) is crucial in early treatment. Early aggressive surgical debridement and empirical coverage of bacterial, viral, and fungal infections can also alleviate the chances of preventing any secondary infection to develop in such cases.

Conclusion: A combination of antifungal, antibiotic, and antiviral with timely surgical intervention improved the patient with complete resolution of the facial nerve palsy and no further recurrence of the infection.

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18月龄糖尿病患儿耳毛霉菌病完全治愈1例报告。
背景:毛霉病是最罕见但致命的感染性真菌感染之一。所有报告的这类感染病例都是免疫功能低下的个体。早期发现和干预的挑战使其成为其他传染病中死亡率很高的疾病之一。病例报告。我们报告一个18个月大的女孩与未确诊的糖尿病提出了一个非常积极的形式坏死性感染的耳廓面神经麻痹。通过一系列磁共振成像,抗生素和临床高度怀疑,诊断成立,并将患者送往手术室进行手术清创。每月的随访显示面瘫有所改善,并计划在5岁前的几个月内进行人工耳廓手术。讨论。毛霉病被认为是一种非常致命的侵袭性感染,在免疫功能低下的患者中具有很高的死亡率。用一系列磁共振成像(MRI)和计算机断层扫描(CT)早期发现这些病例对于早期治疗至关重要。早期积极的手术清创和细菌、病毒和真菌感染的经验覆盖也可以减少在这种情况下预防任何继发感染的机会。结论:联合应用抗真菌药、抗生素和抗病毒药物,及时手术治疗,可使面神经麻痹患者完全康复,不再发生感染。
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Case Reports in Otolaryngology
Case Reports in Otolaryngology OTORHINOLARYNGOLOGY-
自引率
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发文量
20
审稿时长
13 weeks
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