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一名合并肺炎克雷伯菌感染的新冠肺炎患者的鼻眶毛霉病

Rhino-Orbital Mucormycosis in a COVID-19 Patient Co-Infected With Klebsiella Pneumoniae.

作者信息

Wadhwa Lovish, Khurana Shikhar

机构信息

Internal Medicine, Ramaiah Medical College, Bangalore, IND.

Internal Medicine-Neurology, Ramaiah Medical College, Bangalore, IND.

出版信息

Cureus. 2021 Aug 17;13(8):e17249. doi: 10.7759/cureus.17249. eCollection 2021 Aug.

Abstract

We present a case of a 34-year-old male with coronavirus disease 2019 (COVID-19) and uncontrolled blood sugar with right orbital cellulitis and right ethmoidal and maxillary sinusitis. Histopathology of a middle meatus tissue biopsy collected via diagnostic nasal endoscopy (DNE) revealed the presence of and After the administration of intravenous (IV) insulin, cefoperazone-sulbactam, and posaconazole (due to the non-availability of amphotericin B), he underwent surgical debridement and functional endoscopic sinus surgery (FESS). After being on antibiotics and antifungals for two weeks post-surgery, the patient had a favorable outcome and further tests revealed improved blood counts and inflammatory markers.

摘要

我们报告一例34岁男性患者,患有2019冠状病毒病(COVID-19)且血糖控制不佳,同时伴有右眼眶蜂窝织炎及右筛窦和上颌窦炎。通过诊断性鼻内镜检查(DNE)采集的中鼻道组织活检的组织病理学检查显示存在[此处原文缺失相关内容]。在静脉注射胰岛素、头孢哌酮-舒巴坦以及泊沙康唑(由于无法获得两性霉素B)后,他接受了手术清创和功能性鼻内镜鼻窦手术(FESS)。术后使用抗生素和抗真菌药物两周后,患者取得了良好的治疗效果,进一步检查显示血细胞计数和炎症指标有所改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4241/8445006/4080718115dd/cureus-0013-00000017249-i01.jpg

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