Bougioukas L, Noyes CD, Peterson K, Smith LM, Hale AJ. Successful treatment of rhino-cerebral mucormycosis with dual antifungal therapy and minimal surgical debridement.
IDCases 2022;
30:e01615. [PMID:
36119757 PMCID:
PMC9474854 DOI:
10.1016/j.idcr.2022.e01615]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 08/23/2022] [Accepted: 09/03/2022] [Indexed: 01/09/2023] Open
Abstract
The authors report the case of a 42-year-old female with history of type I diabetes mellitus and recent episode of diabetic ketoacidosis who presented with symptoms of epistaxis, gastrointestinal upset, hyperglycemia, confusion, and a cough. She was found to have rhino-cerebral mucormycosis with associated multi-focal strokes and a left internal carotid artery pseudoaneurysm. Her infection was successfully treated with dual-antifungal therapy consisting of liposomal amphotericin B and isavuconazole, and required only minimal surgical debridement.
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