Talwalkar Pradeep G
S.L. Raheja Hospital, Mumbai.
J Assoc Physicians India. 2009 May;57:407-9.
Four successive cases of rhino-occulo-cerebral mucormycosis [ROCM] in patients suffering from type 2 diabetes mellitus are described. The clinical presentation is given in details. The need for high degree of suspicion, prompt diagnosis and complete surgical evacuation of inflammatory mass; and prompt initiation of antifungal therapy is discussed. The side effects associated with amphoterecin and issue regarding its total dosage is discussed.
本文描述了4例2型糖尿病患者相继发生鼻眼脑毛霉菌病(ROCM)的病例。详细介绍了临床表现。讨论了高度怀疑、及时诊断、彻底手术清除炎性肿块以及及时启动抗真菌治疗的必要性。还讨论了两性霉素相关的副作用及其总剂量问题。