一名患有新冠肺炎的墨西哥患者的鼻眶毛霉菌病：病例报告
Rhino-orbital mucormycosis in a Mexican patient with COVID-19: Case report.
作者信息
Gálvez-Romero José Luis, Perea-Peña Abraham, Huerta-Jurado Paola, Parra-Salazar Marco Antonio, Tepalcingo-Aguilar Lisette Mary, Ramírez-Sandoval María Patricia, Gijón-Mitre Rubén, Navarro-Alvarado Raquel, Hernández-Moreno Laura Lilia, Barradas-Arroyo Denis, Coronado-Cervántes Betsy, Rodríguez-Serrano José Antonio, Baños-Lara Ma Del Rocío
机构信息
ISSSTE High Specialty Hospital, Puebla, México.
Universidad Popular Autónoma del Estado de Puebla; Faculty of Medicine; Puebla, México.
出版信息
Rev Alerg Mex. 2023 Jan 4;69(2):93-97. doi: 10.29262/ram.v69i2.1185.
BACKGROUND
A variety of bacterial and fungal co-infections may be attributed to the coronavirus disease 2019 (COVID-19), particularly in people who already have a medical condition such diabetes mellitus or those who received large dosages of steroids.
CASE REPORT
We described a 52-year-old diabetic man who was receiving high doses of dexamethasone and antibiotics while receiving ambulatory care for COVID-19 pneumonia. His anterior rhinoscopy revealed a necrotic scab, and a sample confirmed Mucor spp. He underwent surgery and was given amphotericin as a result of the severity of the condition, palpebral ptosis, and right ocular palsy he was experiencing. The patien ́s progression was satisfactory.
CONCLUSIONS
pre-existing diabetes mellitus, previous steroid and antimicrobial use, as well as SARS-CoV-2 infection are some of the risk factors associated with Mucor spp. infection. Prompt detection of mucormycosis is important in the management of these affected patients.
背景
多种细菌和真菌合并感染可能与2019冠状病毒病（COVID-19）有关，尤其是在已有糖尿病等疾病的人群或接受大剂量类固醇治疗的人群中。
病例报告
我们描述了一名52岁的糖尿病男性，他在因COVID-19肺炎接受门诊治疗时，正在接受高剂量地塞米松和抗生素治疗。他的前鼻镜检查发现有坏死痂皮，样本证实为毛霉属。由于病情严重、出现上睑下垂和右眼麻痹，他接受了手术并使用了两性霉素。患者的病情进展令人满意。
结论
既往糖尿病、既往使用类固醇和抗菌药物以及感染严重急性呼吸综合征冠状病毒2型（SARS-CoV-2）是与毛霉属感染相关的一些危险因素。在这些受影响患者的管理中，及时检测毛霉病很重要。
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