Davis Konnor, Almog Roy, Peleg Yuval, Spiegelman Lindsey
University of California, Irvine, School of Medicine, Irvine, CA.
University of California, Irvine, Department of Emergency Medicine, Orange, CA.
J Educ Teach Emerg Med. 2023 Jul 31;8(3):V10-V13. doi: 10.21980/J81M1G. eCollection 2023 Jul.
This is a case report of a 46-year-old female with undiagnosed diabetes, COVID-19, and mucormycosis. Mucormycosis is a rare, rapidly progressive disease process characterized by an insidious onset of vague symptoms and is associated with a high mortality rate. The patient initially presented at two outside ophthalmology clinics due to right eye pain and was prescribed steroids. Upon presentation to our institution's Emergency Department, the patient's pain had significantly increased along with new symptoms of ptosis and failure to adduct the right eye. Laboratory results demonstrated leukocytosis, hyperglycemia, and a positive SARS-CoV-2 test. Magnetic resonance imaging confirmed a diagnosis of mucormycosis and the patient underwent surgery and began intravenous antifungal therapy. This discussion addresses the presenting features of mucormycosis in the emergency department while highlighting the need for immediate investigation due to the fungi's rapidly progressive nature.
Mucormycosis, mucor, diabetes, COVID-19, ROCM.
这是一例关于一名46岁女性的病例报告，该女性患有未确诊的糖尿病、新冠肺炎和毛霉菌病。毛霉菌病是一种罕见的、进展迅速的疾病过程，其特征为隐匿起病的模糊症状，且死亡率很高。患者最初因右眼疼痛在两家外部眼科诊所就诊，并被开具了类固醇药物。在到我们机构的急诊科就诊时，患者的疼痛显著加剧，同时出现了上睑下垂和右眼内收障碍等新症状。实验室检查结果显示白细胞增多、血糖升高以及严重急性呼吸综合征冠状病毒2（SARS-CoV-2）检测呈阳性。磁共振成像确诊为毛霉菌病，患者接受了手术并开始静脉注射抗真菌治疗。本讨论阐述了急诊科毛霉菌病的表现特征，同时强调了由于真菌进展迅速，需要立即进行检查。
毛霉菌病、毛霉、糖尿病、新冠肺炎、眼眶毛霉菌病
