Division of Oculofacial Plastic and Reconstructive Surgery, Shiley Eye Institute, Viterbi Family Department of Ophthalmology, UC San Diego, La Jolla, CA, USA.
Department of Pathology, UC San Diego, La Jolla, CA, USA.
Orbit. 2021 Dec;40(6):521-524. doi: 10.1080/01676830.2020.1814354. Epub 2020 Aug 30.
The authors describe a rare presentation of invasive fungal rhino-orbital cellulitis caused by in an immunocompetent child. The patient was initially diagnosed and treated as , which has a high mortality rate and is primarily seen in immunocompromised patients. Though of the same order, Mucorales, the families and , may be difficult to differentiate on histologic examination and must be distinguished by fungal culture and speciation. Our patient responded well to sino-orbital debridement and systemic treatment with amphotericin and posaconazole.
作者描述了一例免疫功能正常的儿童中由 引起的侵袭性真菌性鼻眶蜂窝织炎的罕见表现。该患者最初被诊断和治疗为 ，其死亡率高，主要见于免疫功能低下的患者。虽然同属毛霉目，但 和 家族可能在组织学检查上难以区分，必须通过真菌培养和种系鉴定来区分。我们的患者对鼻窦眶切开术和全身性两性霉素 B 和泊沙康唑治疗反应良好。
