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一名急性淋巴细胞白血病患儿的鼻眶脑毛霉菌病。病例报告及文献综述

Rhino-orbito-cerebral mucormycosis in an acute lymphoblastic leukemia pediatric patient. Case report and review of literature.

作者信息

Rincón Cindy Carolina Abril, Silva-Ramos Carlos Ramiro, Arancibia Joel Amuruz, Prada-Avella Ma Camila, Suárez Amaranto

机构信息

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.

出版信息

Infez Med. 2022 Jun 1;30(2):298-303. doi: 10.53854/liim-3002-17. eCollection 2022.

Abstract

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.

摘要

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。

相似文献

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Rhino-Orbito-Cerebral Mucormycosis: A Challenging Case.鼻眶脑毛霉菌病:一个具有挑战性的病例
Cureus. 2023 Sep 6;15(9):e44768. doi: 10.7759/cureus.44768. eCollection 2023 Sep.
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Rhino-Orbital Cerebral Mucormycosis: A Fatal Evolution.鼻眶脑毛霉菌病:致命的病程发展
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本文引用的文献

1
Mucormycosis in COVID-19: A systematic review of literature.2019冠状病毒病中的毛霉病:文献系统评价
Infez Med. 2021 Dec 10;29(4):504-512. doi: 10.53854/liim-2904-2. eCollection 2021.
3
Mucormycosis treatment: Recommendations, latest advances, and perspectives.毛霉病治疗:推荐意见、最新进展和展望。
J Mycol Med. 2020 Sep;30(3):101007. doi: 10.1016/j.mycmed.2020.101007. Epub 2020 Jun 20.
6
Challenges in the diagnosis and treatment of mucormycosis.毛霉病诊断与治疗中的挑战。
Med Mycol. 2018 Apr 1;56(suppl_1):93-101. doi: 10.1093/mmy/myx101.
9
Mucormycoses.毛霉病
Infect Dis Clin North Am. 2016 Mar;30(1):143-63. doi: 10.1016/j.idc.2015.10.011.

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