벨 마비 치료를 위한 침술 치료 후 발생한 침습적 비강-안와-뇌두부 진균증 1예
A Case of Invasive Rhino-Orbito-Cerebral Mucormycosis After Acupuncture Therapy for Bell’s Palsy
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Rhino-orbito-cerebral mucormycosis (ROCM) is a rare fungal infection that may be fatal inimmunocompromised patients. Acupuncture is commonly used in Eastern Asia in addition tosteroid medication for the treatment of Bell’s palsy. For such patients with comorbid medicalconditions, potential risks might arise after the acupuncture procedure; however, ROCM followingacupuncture therapy has not been reported to date. Here we present a rare case of invasivemucormycosis that began from the facial skin after acupuncture procedure. In thiscase, the patient was suspected of ROCM infection and emergently treated with surgical debridementand antifungal therapy. Despite early surgical debridement and medical treatment,the patient died due to brain infarction and invasion of mucormycosis into the internal carotidartery and cavernous sinus. Although acupuncture therapy is considered relatively safe ingeneral, care should be taken when performing acupuncture in patients with underlying diseasesthat cause immunosuppression.
Abstract
Rhino-orbito-cerebral mucormycosis (ROCM) is a rare fungal infection that may be fatal inimmunocompromised patients. Acupuncture is commonly used in Eastern Asia in addition tosteroid medication for the treatment of Bell’s palsy. For such patients with comorbid medicalconditions, potential risks might arise after the acupuncture procedure; however, ROCM followingacupuncture therapy has not been reported to date. Here we present a rare case of invasivemucormycosis that began from the facial skin after acupuncture procedure. In thiscase, the patient was suspected of ROCM infection and emergently treated with surgical debridementand antifungal therapy. Despite early surgical debridement and medical treatment,the patient died due to brain infarction and invasion of mucormycosis into the internal carotidartery and cavernous sinus. Although acupuncture therapy is considered relatively safe ingeneral, care should be taken when performing acupuncture in patients with underlying diseasesthat cause immunosuppression.