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[Mucormycosis and diabetes: three cases reported].

A Trabelsi1, A Soua, B Sriha

  • 1Anatomopathologie et Cytologie Pathologique, Parasitologie, CHU F. Hached, Sousse, Tunisie. trabelsiamel@voila.fr

Revue Medicale De Liege
|July 23, 2005
PubMed
Summary

Mucormycosis, a severe fungal infection, frequently affects patients with diabetic ketoacidosis. This report details three cases, highlighting the critical need for prompt diagnosis and treatment of this potentially fatal condition.

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Area of Science:

  • Mycology
  • Infectious Diseases
  • Endocrinology

Background:

  • Mucormycosis is a rare but life-threatening opportunistic fungal infection.
  • It is strongly associated with predisposing conditions, notably diabetic ketoacidosis.
  • Early recognition and intervention are crucial for patient outcomes.

Observation:

  • Three cases of mucormycosis are presented: rhino-orbito-cerebral, rhino-orbital, and pulmonary.
  • All patients had underlying diabetic ketoacidosis.
  • Diagnosis was confirmed through histopathological identification of Mucorales fungi.

Findings:

  • Two of the three patients experienced a fatal outcome despite therapy.
  • One patient survived following appropriate medical and antifungal treatment.

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  • The severity of mucormycosis in diabetic ketoacidosis patients is underscored.
  • Implications:

    • This case series emphasizes the aggressive nature of mucormycosis in immunocompromised individuals, particularly those with diabetic ketoacidosis.
    • Highlights the importance of diagnostic mycology and pathology in identifying Mucorales.
    • Suggests a need for heightened clinical suspicion and timely management strategies for mucormycosis in at-risk populations.