Sino-nasal Mucormycosis in non-compliant insulin-dependent diabetic patient: A case report with an insight on underlying psychological factors

Surgery Case Reports Pub Date : 2024-02-07 DOI:10.1016/j.sycrs.2024.100005

Mahmoud Anous , Mai Alotaibi , Razan Alqahtani , Fatmah Alhendi

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Abstract

Background

Mucormycosis is a severe fungal infection manifested mostly in immunocompromised hosts. Underlying causes for Mucormycosis include uncontrolled diabetes mellitus (DM), malignancies, chronic corticosteroid use, and organ transplant.

Case report

a 57-year-old Caucasian female, with insulin-dependent DM, presented to otolaryngology casualty complaining about a severe headache and nasal discharge. Clinical, laboratory, imaging, and histopathological investigations confirmed the diagnosis of Mucormycosis due to uncontrolled DM. Mucormycosis was managed pharmacologically, surgically, and by improving glycemic control. Psychological factors leading to non-adherence to insulin therapy were investigated and psychiatric evaluation and counseling were emphasized.

Practical implications

Healthcare providers should be aware of the signs, symptoms, and underlying causes of Mucormycosis and should manage it promptly. Mental health status should be part of the patient's evaluation and treatment plan.

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胰岛素依赖型糖尿病患者鼻腔黏液瘤病：病例报告及对潜在心理因素的见解

背景粘孢子菌病是一种严重的真菌感染，主要发生在免疫力低下的宿主身上。病例报告一名 57 岁的白种女性，患有胰岛素依赖型糖尿病，因剧烈头痛和流鼻涕到耳鼻喉科急诊就诊。通过临床、实验室、影像学和组织病理学检查，确诊为因糖尿病未得到控制而引起的粘孢子菌病。对黏液瘤病采取了药物、手术和改善血糖控制等治疗措施。调查了导致不坚持胰岛素治疗的心理因素，并强调了心理评估和咨询。心理健康状况应成为患者评估和治疗计划的一部分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Surgery Case Reports

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