재발이 의심되어 반복적 수술을 시행한 비강내 침습적 모균증 1예
A Case of Recurrent Nasal Mucormycosis Treated by Repetitive Surgical Debridement
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초록
Rhinocerebral mucormycosis is one of the most rapidly progressing and lethal forms of fungal infection in hu- mans. It could be so fatal and cause death in diabetic or immuno-compromised patients. The rhinocerebral mu- cormycosis first occurs in the nose, and might rapidly spread to the orbit and intracranium. Our case was a 60-years-old female who had headache, facial pain. Despite surgical treatment, the patient had recurred several times and had suspected necrotic tissue in the nose. Therefore, we were able to treat this patient appropriately with repeated extensive surgical debridement and antifungal agents. Since rhinocerebral mucormycosis is a fre- quent recurrence, as in this case, more aggressive surgical treatments and antifungal agents should be used in the early stages.
Abstract
Rhinocerebral mucormycosis is one of the most rapidly progressing and lethal forms of fungal infection in hu- mans. It could be so fatal and cause death in diabetic or immuno-compromised patients. The rhinocerebral mu- cormycosis first occurs in the nose, and might rapidly spread to the orbit and intracranium. Our case was a 60-years-old female who had headache, facial pain. Despite surgical treatment, the patient had recurred several times and had suspected necrotic tissue in the nose. Therefore, we were able to treat this patient appropriately with repeated extensive surgical debridement and antifungal agents. Since rhinocerebral mucormycosis is a fre- quent recurrence, as in this case, more aggressive surgical treatments and antifungal agents should be used in the early stages.
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