印度中部一家三级医疗中心的糖尿病患者粘孢子菌病病例报告及其治疗方法

Manoj Gupta, S. Vaidya
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引用次数: 0

摘要

背景:粘孢子菌病是真菌感染中进展最快、最严重的一种,通常在吸入真菌孢子后从鼻腔和副鼻窦开始发病。 病例详情:这是一份病例报告,患者为一名 65 岁男性,长期患有 2 型糖尿病,因右侧鼻部疼痛和肿胀以及鼻-眶-脑-粘液瘤病的症状和体征入住我院。 方法:注意鼻腔、鼻中隔、鼻甲、鼻窦、上颚和眼眶的受累程度,并根据受累程度决定药物和手术治疗方案。每次清创、CT 和核磁共振成像结果都是手术后 KOH 切片和 HPE 报告的主要依据。 结论:我们在此报告了一例糖尿病患者的粘液瘤病,该病具有侵袭性和惊人的死亡率,通过快速诊断、手术清创和使用两性霉素 B 等药物可以降低死亡率。
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A Case Report of Mucormycosis in a Diabetic Patient and an Approach to its Management in a Tertiary Care Centre of Central India
Background: Mucormycosis is one of the most rapidly progressing and fulminant forms of fungal infection which  usually begins in the nose and paranasal sinuses following inhalation of fungal spores. Case details:This is a case report of a 65 year old male ,admitted in our hospital with long history of Type 2 diabetes  with pain and swelling on right side of nose  and signs and symptoms indicating Rhino-Orbital-Cerebral-mucormycosis.  Methodology:The level of involvement like nasal cavity, septum, turbinates, sinuses, palate, orbit involvement was noted and the protocol of medical and surgical management was decided in accordance to that. Post surgery KOH mount and HPE report after every debridement,CT and MRI findings were the mainstay. Conclusion : We here report a case of mucormycosis in diabetic patient shows aggressive and alarming mortality,which can be reduced by rapid diagnosis, surgical debridment and administration of drugs like amphotericin B.
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