{"title":"印度中部一家三级医疗中心的糖尿病患者粘孢子菌病病例报告及其治疗方法","authors":"Manoj Gupta, S. Vaidya","doi":"10.58999/cijmr.v2i02.80","DOIUrl":null,"url":null,"abstract":"Background: Mucormycosis is one of the most rapidly progressing and fulminant forms of fungal infection which usually begins in the nose and paranasal sinuses following inhalation of fungal spores. Case details:This is a case report of a 65 year old male ,admitted in our hospital with long history of Type 2 diabetes with pain and swelling on right side of nose and signs and symptoms indicating Rhino-Orbital-Cerebral-mucormycosis. Methodology:The level of involvement like nasal cavity, septum, turbinates, sinuses, palate, orbit involvement was noted and the protocol of medical and surgical management was decided in accordance to that. Post surgery KOH mount and HPE report after every debridement,CT and MRI findings were the mainstay. Conclusion : We here report a case of mucormycosis in diabetic patient shows aggressive and alarming mortality,which can be reduced by rapid diagnosis, surgical debridment and administration of drugs like amphotericin B.","PeriodicalId":127536,"journal":{"name":"Central India Journal of Medical Research","volume":"296 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Case Report of Mucormycosis in a Diabetic Patient and an Approach to its Management in a Tertiary Care Centre of Central India\",\"authors\":\"Manoj Gupta, S. Vaidya\",\"doi\":\"10.58999/cijmr.v2i02.80\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Mucormycosis is one of the most rapidly progressing and fulminant forms of fungal infection which usually begins in the nose and paranasal sinuses following inhalation of fungal spores. Case details:This is a case report of a 65 year old male ,admitted in our hospital with long history of Type 2 diabetes with pain and swelling on right side of nose and signs and symptoms indicating Rhino-Orbital-Cerebral-mucormycosis. Methodology:The level of involvement like nasal cavity, septum, turbinates, sinuses, palate, orbit involvement was noted and the protocol of medical and surgical management was decided in accordance to that. Post surgery KOH mount and HPE report after every debridement,CT and MRI findings were the mainstay. Conclusion : We here report a case of mucormycosis in diabetic patient shows aggressive and alarming mortality,which can be reduced by rapid diagnosis, surgical debridment and administration of drugs like amphotericin B.\",\"PeriodicalId\":127536,\"journal\":{\"name\":\"Central India Journal of Medical Research\",\"volume\":\"296 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-08-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Central India Journal of Medical Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.58999/cijmr.v2i02.80\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Central India Journal of Medical Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.58999/cijmr.v2i02.80","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A Case Report of Mucormycosis in a Diabetic Patient and an Approach to its Management in a Tertiary Care Centre of Central India
Background: Mucormycosis is one of the most rapidly progressing and fulminant forms of fungal infection which usually begins in the nose and paranasal sinuses following inhalation of fungal spores. Case details:This is a case report of a 65 year old male ,admitted in our hospital with long history of Type 2 diabetes with pain and swelling on right side of nose and signs and symptoms indicating Rhino-Orbital-Cerebral-mucormycosis. Methodology:The level of involvement like nasal cavity, septum, turbinates, sinuses, palate, orbit involvement was noted and the protocol of medical and surgical management was decided in accordance to that. Post surgery KOH mount and HPE report after every debridement,CT and MRI findings were the mainstay. Conclusion : We here report a case of mucormycosis in diabetic patient shows aggressive and alarming mortality,which can be reduced by rapid diagnosis, surgical debridment and administration of drugs like amphotericin B.