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解析毛霉病的复杂性——一例罕见病例报告

Unravelling the Complexity of Mucormycosis-A Rare Case Report.

作者信息

Deenadayalan N, Pandyan P Deepak Abraham, Satheesh C, Aparnaa M, Samyo George Stephenson

机构信息

Department of Oral and Maxillofacial Surgery, Madha Dental College and Hospital, Chennai, Tamil Nadu, India.

出版信息

Ann Maxillofac Surg. 2024 Jan-Jun;14(1):96-98. doi: 10.4103/ams.ams_204_23. Epub 2024 Jul 19.

Abstract

RATIONALE

Mucormycosis is a rare, life-threatening, invasive fungal infection often referred to as black fungus. It has gained significant attention due to its increasing incidence during the coronavirus pandemic of 2019.

PATIENT CONCERN

An 8-month-old child, whose identity is being withheld, arrived at our clinic with her parents with the chief complaint of swelling in the upper lip and cheek.

DIAGNOSIS

Various laboratory procedures, including blood cultures and imaging scans were performed to determine the presence of mucormycosis.

TREATMENT

Under general anaesthesia, decortication and resection was done surgically, followed by an intraoral elastomeric impression made over the resected region. Soft silicone splints as oral seals for the suckling reflex were made postoperatively within a week. Immediate post-operative therapeutic low-level laser therapy was done.

OUTCOME

Wound healing has been achieved.

TAKE-AWAY LESSONS: Multidisciplinary intervention provides the best outcomes for the successful treatment and rehabilitation of paediatric patients with mucormycosis of the facial region.

摘要

理论依据

毛霉病是一种罕见的、危及生命的侵袭性真菌感染,常被称为黑真菌。由于其在2019年冠状病毒大流行期间发病率不断上升,已引起了广泛关注。

患者情况

一名8个月大的儿童(其身份暂不透露)与父母一起来到我们诊所,主要症状是上唇和脸颊肿胀。

诊断

进行了包括血培养和影像学扫描在内的各种实验室检查,以确定是否存在毛霉病。

治疗

在全身麻醉下,进行了外科去皮和切除手术,随后在切除区域制作了口内弹性印模。术后一周内制作了柔软的硅胶夹板作为哺乳反射的口腔密封装置。术后立即进行了低强度激光治疗。

结果

伤口已愈合。

经验教训

多学科干预为成功治疗和康复面部毛霉病的儿科患者提供了最佳效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dcf/11340844/d4a4c0963859/AMS-14-96-g001.jpg

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