A Case report of Mucormycosis and Myocardial Infarction

A. Tutak, Erkan Çakmak, M. Şahin, B. Turk, M. Şahin, Cafer Yetkin
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Abstract

Mucormycosis is an aggressive and angioinvasive fungal infection which often spreads from the paranasal sinuses to the orbital or cranial area. Our case was a 52-year-old male patient with a history of diabetes mellitus (DM) and coronary artery disease (CAD). The patient, referred to the emergency department due to confusion and drowsiness, was admitted to the intensive care unit (ICU) with a diagnosis of diabetic ketoacidosis (DKA). During the physical examination in the ICU, samples were taken from the roof of the mouth with a preliminary diagnosis of mucormycosis. Amphotericin B was initiated to the patient. Inferior myocardial infarction (MI) developed in the follow-up and the patient died at the 20th hour of ICU admission. When the records of the patient were examined, it was determined that he was referred to the outpatient clinic for the examination three times in the last 15 days. In this paper, our aim is to review patients with mucormycosis and MI and to emphasize the importance of physical examination.
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毛霉病并发心肌梗死1例
毛霉菌病是一种侵袭性和血管侵袭性真菌感染,通常从鼻窦扩散到眼眶或颅区。我们的病例是一名52岁男性患者,有糖尿病(DM)和冠状动脉疾病(CAD)病史。患者因神志不清和困倦被转至急诊科,诊断为糖尿病酮症酸中毒(DKA),住进重症监护病房(ICU)。在ICU体检期间,从口腔上颚采集样本,初步诊断为毛霉病。患者开始使用两性霉素B。随访中出现下伏心肌梗死(MI),患者于入院第20小时死亡。当检查患者的记录时,确定他在过去15天内被转介到门诊进行了三次检查。在本文中,我们的目的是回顾毛霉菌病和心肌梗死的患者,并强调体格检查的重要性。
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