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上颌骨毛霉菌病:临床医生的谜团。

Mucormycosis of Maxilla: An Enigma to the Clinician.

机构信息

Department of Oral Medicine and Radiology, Haldia Institute of Dental Sciences and Research Haldia, West Bengal, India.

出版信息

J Coll Physicians Surg Pak. 2022 Sep;32(9):1219-1221. doi: 10.29271/jcpsp.2022.09.1219.

Abstract

Mucormycosis is an acute opportunistic infection caused by a saprophytic fungus found in the soil, decaying fruits, and vegetables. It is a rapidly progressing fungal infection mainly seen in nose and its surrounding sinuses due to inhalation of the spores of fungus from the contaminated areas. If not diagnosed and treated early, it can be life-threatening. A case of a 60-year male farmer is reported with an extensive spread of the fungal infection involving alveolar bone of maxilla, zygomatic process, and the right orbit. The radiographs demonstrated alveolar, palatal, and zygomatic bone destruction. The diagnosis of mucormycosis was made through clinical, radiographic, and histopathologic findings. An early diagnosis and treatment with antifungal drugs like amphotericin B and surgical resection can improve the prognosis. Key Words: Mucormycosis, Maxilla, Zygomatic bone, Antifungal.

摘要

毛霉菌病是一种由土壤、腐烂的水果和蔬菜中发现的腐生真菌引起的急性机会性感染。它是一种快速进展的真菌感染,主要见于鼻腔及其周围鼻窦,由于吸入来自污染区域的真菌孢子。如果不早期诊断和治疗,可能会危及生命。报告了一例 60 岁男性农民的病例,其真菌感染广泛扩散,累及上颌牙槽骨、颧骨和右眼眶。放射线照相显示牙槽、腭和颧骨骨破坏。通过临床、放射学和组织病理学发现诊断为毛霉菌病。早期诊断和使用两性霉素 B 等抗真菌药物以及手术切除可以改善预后。关键词:毛霉菌病、上颌骨、颧骨、抗真菌。

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