Escalante Avila A, Medina Gómez J, de Juan Ivars C, Portell Soriano M, Fernández Vega M
Acta Otorrinolaringol Esp. 1989 Jan-Feb;40(1):51-2.
We present a 43-year-old patient with a history of immunodepression secondary to a renal transplant, chronic herpetic hepatitis and steroid diabetes, who showed sudden symptomatology suggestive of rhinocerebral mucormycosis, which was confirmed through cultures of the material obtained after a Caldwell-Luc operation of the affected sinus. Once the diagnosis was confirmed, a radical left superior maxillectomy was performed and medical treatment with progressive doses of amphotericin B was given. The patient improved markedly and left the hospital four months later.
我们报告一名43岁患者,有肾移植后继发免疫抑制、慢性疱疹性肝炎和类固醇糖尿病病史,该患者突然出现提示鼻脑毛霉菌病的症状,通过对患侧鼻窦行柯-陆氏手术获取的材料进行培养得以确诊。确诊后,实施了左侧上颌骨根治性切除术,并给予递增剂量的两性霉素B进行药物治疗。患者明显好转,4个月后出院。