Rincón Cindy Carolina Abril, Silva-Ramos Carlos Ramiro, Arancibia Joel Amuruz, Prada-Avella Ma Camila, Suárez Amaranto
Servicio de Pediatría, Clínica Pediátrica Colsánitas, Bogotá D.C., Colombia.
Grupo de Enfermedades Infecciosas, Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Bogotá D.C., Colombia.
Infez Med. 2022 Jun 1;30(2):298-303. doi: 10.53854/liim-3002-17. eCollection 2022.
Mucormycosis is a disease caused by opportunistic fungi of the order Mucorales that generally affects immunocompromised patients or those with underlying disease. It has a high mortality rate and is the third most common invasive fungal infection. The following is a case report of a 12-year-old pediatric patient diagnosed with B-cell acute lymphoblastic leukemia, who presented an aggressive infectious disease two months after beginning chemotherapy, which began in the right frontal and maxillary sinuses, with subsequent progression and extension, progressively deteriorating the patient's clinical status. Culture and biopsy of the affected areas were performed, confirming by histopathology and isolation a rhino-orbito-cerebral mucormycosis due to . The patient was treated with specific antifungal therapy as an inpatient and left the service after obtaining negative cultures, continuing with outpatient antifungal treatment.
毛霉病是一种由毛霉目机会性真菌引起的疾病,通常影响免疫功能低下的患者或患有基础疾病的患者。它具有很高的死亡率,是第三常见的侵袭性真菌感染。以下是一例12岁儿科患者的病例报告,该患者被诊断为B细胞急性淋巴细胞白血病,在开始化疗两个月后出现侵袭性感染性疾病,始于右侧额窦和上颌窦,随后进展并扩散,逐渐使患者的临床状况恶化。对受影响区域进行了培养和活检,通过组织病理学和分离确诊为鼻眶脑毛霉病。患者作为住院患者接受了特异性抗真菌治疗,在培养结果转阴后出院,继续接受门诊抗真菌治疗。