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新冠病毒病并发症中的毛霉菌病。

Mucormycosis as Post Coronavirus Disease Complication.

机构信息

Department of Preventive Dental Sciences, Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.

Department of Oral Surgery and Diagnostic Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Kingdom of Saudi Arabia.

出版信息

Int J Mycobacteriol. 2023 Jan-Mar;12(1):96-99. doi: 10.4103/ijmy.ijmy_207_22.

Abstract

Mucormycosis is called as black fungus, which is caused by fungus belonged to Mucorales. If this fungus, effects healthy individuals it won't cause any serious complications, but it may cause life-threatening issues when Mucorales affects individuals who have low immunity. The mortality rate of black fungus is more than 50%, and it may also range till 100% if the individual is having any preexisting or chronic disease. This was the case of a 55-year-old male patient complaint of having generalized pain in the maxillary teeth bilaterally and suffering fullness in the maxillary sinus. To check on other possible diseases, doctors have conducted other diagnosis tests, and orthopantomogram revealed in the diagnosis that there was the presence of haziness in the left maxillary sinus, which looked like an incompletely formed soap bubble and additionally he diagnosed with coronavirus disease positive. Then, doctors suggested a chest computerized tomography (CT) along with head CT excluding the brain and further investigation of this case was given below in detail. The report reveals acute necrotizing suppurative sinusitis with dead bony tissue, soft-tissue necrosis with fungal infestation showing broad hyphae with right-angle branching suggestive of mucormycosis.

摘要

毛霉菌病又称黑霉病,由毛霉目真菌引起。如果这种真菌影响健康个体,通常不会引起严重并发症,但当毛霉目真菌影响免疫力低下的个体时,可能会导致危及生命的问题。黑霉病的死亡率超过 50%,如果个体患有任何先前存在的或慢性疾病,死亡率可能高达 100%。这就是一位 55 岁男性患者的情况,他抱怨双侧上颌牙齿广泛性疼痛,上颌窦饱满。为了检查其他可能的疾病,医生进行了其他诊断测试,口腔全景片诊断显示左侧上颌窦混浊,看起来像一个未完全形成的肥皂泡,此外他还被诊断为冠状病毒病阳性。然后,医生建议进行胸部计算机断层扫描(CT)和头部 CT(不包括大脑),以进一步详细调查该病例。报告显示急性坏死化脓性鼻窦炎伴死骨组织、软组织坏死伴真菌感染,显示宽的菌丝,直角分枝,提示毛霉菌病。

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