scholarly journals Rhino-Orbital mucormycosis in an immunocompetent pediatric patient with hyperglycemia of the hospitalized patient

2021 ◽  
Vol 15 (07) ◽  
pp. 1035-1038
Author(s):  
Héctor Manuel Prado-Calleros ◽  
Juan Pablo Brito-Vera ◽  
Gabriela Moreno-Coutiño ◽  
Lilian Elizabeth Andrade-Morelos ◽  
Mónica Patricia Escobedo-Torres ◽  
...  

Introduction: Acute invasive rhino-orbital mucormycosis usually affects diabetic or neutropenic patients, and only exceptionally develops in immunocompetent adults and children. Methodology: A 12-years-old immunocompetent female, presented with complicated rhinosinusitis with a subperiosteal orbital abscess, without improvement after initial medical and surgical management, the patient also developed hyperglycemia of the hospitalized patient that represented a challenging and potentially lethal clinical scenario. Results: Diagnosed with an unsuspected rhino-orbital mucormycosis by direct microscopy and PCR, she survived after amphotericin B and surgical treatment. Conclusions: In cases with torpid clinical evolution, even in apparently immunocompetent patients, appropriate multidisciplinary workup must be performed to rule out opportunistic etiologies including mucormycosis to improve survival.

2008 ◽  
Vol 134 (7) ◽  
pp. 764 ◽  
Author(s):  
Neil Tanna ◽  
Diego A. Preciado ◽  
Matthew S. Clary ◽  
Sukgi S. Choi

Author(s):  
Jihane Elmahi ◽  
A. Radi ◽  
M. Kmari ◽  
A. Hassani ◽  
R. Abilkasseme ◽  
...  

Background: Orbital cellulitis is a diagnostic and therapeutic emergency, jeopardizing the  vital and functional prognosis. This study aimed to analyze the epidemiological, therapeutic and evolutional aspects of orbital cellulitis cases treated at the pediatric service at Mohamed V military hospital. Patients and methods: retrospective study including all the children aged between 1 month and 15 years treated for orbital cellulitis at the pediatric service of the Mohamed V Hospital over a period of 3 years (1st January 2016-31st December 2019). Results: 24 cases of orbital cellulitis were gathered. Age varied between 1 month and 15 years with a median of age of 6. years. Feminine predominance (58%) was noted . The disease mainly involved the sinus (32%).Clinically, fever was present in 10 patients (41%),palpebral edema was universal, proptosis was noted in 5 cases(20.8%),chemosis and ptosis were noted in 4 cases(16.6%),bacteriological testing identified micro-organisms in 3 cases. An orbital CT scan was performed in all cases of our study, showing preseptal cellulitis in 14 cases (58.3%), orbital cellulitis in 3 cases(12.5%),and orbital abscess in 7 cases. The medical treatment consisted of ceftriaxone, metronidazole and aminoside or amoxicilline clavulanic acid, corticosteroid therapy prescribed in 5 cases. Surgical treatment was indicated in 3 patients. The outcome of All cases was favorable. Conclusion: The majority of our cases had a positive evolution highlighting the advantage of an early diagnosis, and adapted antibiotic and a multidisciplinary patient care making the need for surgery rarely necessary.


2021 ◽  
Vol 140 ◽  
pp. 110524
Author(s):  
Michelle White ◽  
Jennifer L. Harb ◽  
Malgorzata Dymerska ◽  
Sylvia H. Yoo ◽  
Pasquale Eckert ◽  
...  

BMJ ◽  
2008 ◽  
Vol 337 (dec09 1) ◽  
pp. a2428-a2428 ◽  
Author(s):  
A Appelboam ◽  
A D Reuben ◽  
J R Benger ◽  
F Beech ◽  
J Dutson ◽  
...  

2015 ◽  
Vol 24 (3) ◽  
pp. 202-206
Author(s):  
Halil Hüseyin ÇAĞATAY ◽  
Metin EKİNCİ ◽  
Yaran KOBAN ◽  
Özlem DARAMAN ◽  
Ersin OBA ◽  
...  

2007 ◽  
Vol 24 (3) ◽  
pp. 571-574 ◽  
Author(s):  
Afsun Sahin ◽  
Nilgun Yildirim ◽  
Emre Cingi ◽  
Metin A. Atasoy

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