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Rodrigues MG, Sekiguchi WK, Gonçalves S, Casal YR, Frassetto FP, da Silva VTG, Santo MPDE, Magri MMC. Loss of an eye to mucormycosis following corticosteroid therapy for COVID-19. Autops Case Rep 2022; 12:e2021345. [PMID: 35194552 PMCID: PMC8782614 DOI: 10.4322/acr.2021.345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Accepted: 11/23/2021] [Indexed: 11/23/2022] Open
Abstract
Mucormycosis is a rare, sometimes severe fungal infection that has emerged as a possible complication of COVID-19. We report a case of a non-diabetic, apparently immunocompetent patient diagnosed with rhino-orbital-cerebral mucormycosis shortly after COVID-19 treatment with dexamethasone. The patient received optimized systemic antifungal therapy and extensive surgical treatment. So far, four months after the last hospital discharge, the patient has been in good general condition. This case is a dramatic reminder that beneficial corticosteroid therapy in general inevitably carries a risk of opportunistic infection, and corticosteroid therapy for COVID-19 risks orbital-rhinocerebral mucormycosis that clinicians should watch for with vigilance.
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Affiliation(s)
- Mariana Gonçalves Rodrigues
- Universidade de São Paulo (USP), Hospital das Clínicas da Faculdade de Medicina, Disciplina de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brasil
| | - William Kazunori Sekiguchi
- Universidade de São Paulo (USP), Hospital das Clínicas da Faculdade de Medicina, Departamento de Moléstias Infecciosas, São Paulo, SP, Brasil
| | - Sérgio Gonçalves
- Universidade de São Paulo (USP), Hospital das Clínicas da Faculdade de Medicina, Disciplina de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brasil
| | - Yuri Reis Casal
- Universidade de São Paulo (USP), Hospital das Clínicas da Faculdade de Medicina, Departamento de Patologia, São Paulo, SP, Brasil
| | - Fernando Pereira Frassetto
- Universidade de São Paulo (USP), Hospital das Clínicas da Faculdade de Medicina, Departamento de Patologia, São Paulo, SP, Brasil
| | - Vinicius Trindade Gomes da Silva
- Universidade de São Paulo (USP), Hospital das Clínicas da Faculdade de Medicina, Departamento de Neurocirurgia, São Paulo, SP, Brasil
| | | | - Marcello Mihailenko Chaves Magri
- Universidade de São Paulo (USP), Hospital das Clínicas da Faculdade de Medicina, Departamento de Moléstias Infecciosas, São Paulo, SP, Brasil
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de Brito MH, de Oliveira MCB, Casal YR, Abdo ANR, Lucato LT, Simabukuro MM. Teaching Video NeuroImages: Multisystemic Erdheim-Chester Disease Presenting as a Cerebellar Ataxia. Neurology 2021; 96:e3005-e3006. [PMID: 33593861 DOI: 10.1212/wnl.0000000000011714] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Marcelo Houat de Brito
- From the Departments of Neurology (M.H.d.B., M.C.B.d.O., M.M.S.), Pathology (Y.R.C.), and Radiology (L.T.L.), Faculdade de Medicina, Hospital das Clínicas, Universidade de São Paulo; Instituto do Câncer do Estado de São Paulo (M.H.d.B., M.C.B.d.O., A.N.R.A.), Brazil.
| | - Marcos Castello Barbosa de Oliveira
- From the Departments of Neurology (M.H.d.B., M.C.B.d.O., M.M.S.), Pathology (Y.R.C.), and Radiology (L.T.L.), Faculdade de Medicina, Hospital das Clínicas, Universidade de São Paulo; Instituto do Câncer do Estado de São Paulo (M.H.d.B., M.C.B.d.O., A.N.R.A.), Brazil
| | - Yuri Reis Casal
- From the Departments of Neurology (M.H.d.B., M.C.B.d.O., M.M.S.), Pathology (Y.R.C.), and Radiology (L.T.L.), Faculdade de Medicina, Hospital das Clínicas, Universidade de São Paulo; Instituto do Câncer do Estado de São Paulo (M.H.d.B., M.C.B.d.O., A.N.R.A.), Brazil
| | - Andre Neder Ramires Abdo
- From the Departments of Neurology (M.H.d.B., M.C.B.d.O., M.M.S.), Pathology (Y.R.C.), and Radiology (L.T.L.), Faculdade de Medicina, Hospital das Clínicas, Universidade de São Paulo; Instituto do Câncer do Estado de São Paulo (M.H.d.B., M.C.B.d.O., A.N.R.A.), Brazil
| | - Leandro Tavares Lucato
- From the Departments of Neurology (M.H.d.B., M.C.B.d.O., M.M.S.), Pathology (Y.R.C.), and Radiology (L.T.L.), Faculdade de Medicina, Hospital das Clínicas, Universidade de São Paulo; Instituto do Câncer do Estado de São Paulo (M.H.d.B., M.C.B.d.O., A.N.R.A.), Brazil
| | - Mateus Mistieri Simabukuro
- From the Departments of Neurology (M.H.d.B., M.C.B.d.O., M.M.S.), Pathology (Y.R.C.), and Radiology (L.T.L.), Faculdade de Medicina, Hospital das Clínicas, Universidade de São Paulo; Instituto do Câncer do Estado de São Paulo (M.H.d.B., M.C.B.d.O., A.N.R.A.), Brazil
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Picarelli H, Yamaki VN, Casal YR, de Brito MH, de Lima LGCA, Ayres AS, de Oliveira MCB. CLIPPERS With Exclusive Extra Pontine Involvement. Neurol Neuroimmunol Neuroinflamm 2021; 8:8/3/e989. [PMID: 33771838 PMCID: PMC8075571 DOI: 10.1212/nxi.0000000000000989] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Accepted: 01/20/2021] [Indexed: 11/15/2022]
Affiliation(s)
- Helder Picarelli
- From the Department of Surgery (H.P.), Department of Surgery (V.N.Y.), Division of Anatomical Pathology (Y.R.C.), Neurology Unit (M.H.d.B), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Division of Anatomical Pathology (L.G.C.A.L.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Department of Diagnostic Imaging (A.S.A.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Neurology Unit (M.C.B.O.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil.
| | - Vitor Nagai Yamaki
- From the Department of Surgery (H.P.), Department of Surgery (V.N.Y.), Division of Anatomical Pathology (Y.R.C.), Neurology Unit (M.H.d.B), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Division of Anatomical Pathology (L.G.C.A.L.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Department of Diagnostic Imaging (A.S.A.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Neurology Unit (M.C.B.O.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil
| | - Yuri Reis Casal
- From the Department of Surgery (H.P.), Department of Surgery (V.N.Y.), Division of Anatomical Pathology (Y.R.C.), Neurology Unit (M.H.d.B), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Division of Anatomical Pathology (L.G.C.A.L.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Department of Diagnostic Imaging (A.S.A.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Neurology Unit (M.C.B.O.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil
| | - Marcelo Houat de Brito
- From the Department of Surgery (H.P.), Department of Surgery (V.N.Y.), Division of Anatomical Pathology (Y.R.C.), Neurology Unit (M.H.d.B), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Division of Anatomical Pathology (L.G.C.A.L.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Department of Diagnostic Imaging (A.S.A.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Neurology Unit (M.C.B.O.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil
| | - Luiz Guilherme Cernaglia Aureliano de Lima
- From the Department of Surgery (H.P.), Department of Surgery (V.N.Y.), Division of Anatomical Pathology (Y.R.C.), Neurology Unit (M.H.d.B), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Division of Anatomical Pathology (L.G.C.A.L.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Department of Diagnostic Imaging (A.S.A.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Neurology Unit (M.C.B.O.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil
| | - Aline Sgnolf Ayres
- From the Department of Surgery (H.P.), Department of Surgery (V.N.Y.), Division of Anatomical Pathology (Y.R.C.), Neurology Unit (M.H.d.B), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Division of Anatomical Pathology (L.G.C.A.L.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Department of Diagnostic Imaging (A.S.A.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Neurology Unit (M.C.B.O.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil
| | - Marcos Castello Barbosa de Oliveira
- From the Department of Surgery (H.P.), Department of Surgery (V.N.Y.), Division of Anatomical Pathology (Y.R.C.), Neurology Unit (M.H.d.B), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Division of Anatomical Pathology (L.G.C.A.L.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Department of Diagnostic Imaging (A.S.A.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil; Neurology Unit (M.C.B.O.), Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brazil
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de Queiroz APL, Athanazio RA, Olm MAK, Rubbo B, Casal YR, Lucas J, Behan L. Translation of the quality-of-life measure for adults with primary ciliary dyskinesia and its application in patients in Brazil. J Bras Pneumol 2019; 45:e20170358. [PMID: 31038545 PMCID: PMC6715036 DOI: 10.1590/1806-3713/e20170358] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2017] [Accepted: 05/02/2018] [Indexed: 01/16/2023] Open
Abstract
Primary ciliary dyskinesia (PCD) is a genetic disorder that is typically inherited in an autosomal recessive manner. It is clinically characterized by recurrent respiratory infections. However, its repercussions for patient quality of life should not be overlooked. Studies have shown that PCD has a significant impact on the lives of patients, although there are as yet no PCD-specific markers of quality of life. To address that problem, researchers in the United Kingdom developed a quality-of-life questionnaire for patients with PCD. The present communication focuses on the process of translating that questionnaire into Brazilian Portuguese, through a partnership between researchers in Brazil and those in the United Kingdom, as well as its subsequent application in patients in Brazil.
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Affiliation(s)
| | - Rodrigo Abensur Athanazio
- . Divisão de Pneumologia, Instituto do Coração - InCor - Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil
| | - Mary Anne Kowal Olm
- . Departamento de Patologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil
| | - Bruna Rubbo
- . Primary Ciliary Dyskinesia Centre, NIHR Biomedical Research Centre, University of Southampton, Southampton, United Kingdom
- . University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - Yuri Reis Casal
- . Escola Bahiana de Medicina e Saúde Pública, Salvador (BA) Brasil
| | - Jane Lucas
- . Primary Ciliary Dyskinesia Centre, NIHR Biomedical Research Centre, University of Southampton, Southampton, United Kingdom
- . University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - Laura Behan
- . Primary Ciliary Dyskinesia Centre, NIHR Biomedical Research Centre, University of Southampton, Southampton, United Kingdom
- . University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
- . School of Applied Psychology, University College Cork, Cork, Ireland
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