Novais António Grilo, Capelo Joana, Costa Marta, Conceição Mariana, Crespo Pedro, Mocho Luísa, Leão Beatriz, Malheiro Luís, Silva Susana, Sarmento António
Internal Medicine Department, Centro Hospitalar Tondela-Viseu, Portugal.
Pneumology Department, Centro Hospitalar Tondela-Viseu, Portugal.
IDCases. 2020 Nov 1;22:e00993. doi: 10.1016/j.idcr.2020.e00993. eCollection 2020.
Mucormycosis is a rare fungal infection caused by Mucorales order fungi. The rhino-cerebral form of mucormycosis is most commonly seen in patients with diabetes mellitus, whereas, pulmonary mucormycosis is a rare manifestation in patients with haematological malignancy and transplant recipients. We report a case of pulmonary mucormycosis presenting with a late acute onset diabetes on a patient immunosuppressed with a low dose of steroids. We aim to illustrate the need for a high clinical suspicion for the diagnosis of mucormycosis and to report the importance of early and aggressive inhiation of antifungal therapy.
毛霉病是一种由毛霉目真菌引起的罕见真菌感染。鼻脑型毛霉病最常见于糖尿病患者，而肺毛霉病在血液系统恶性肿瘤患者和移植受者中是一种罕见表现。我们报告一例肺毛霉病病例，该患者在接受低剂量类固醇免疫抑制治疗时出现迟发性急性糖尿病。我们旨在说明对毛霉病诊断需要高度临床怀疑，并报告早期积极启动抗真菌治疗的重要性。
