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Published on: June 2, 2011
Thoracic mucormycosis in immunocompetent patients
Karthik Panchanatheeswaran1, Duvuru Ram2, Sreevathsa Prasad3
1Department of Cardiothoracic Surgery, Velammal Medical College Hospital & Research Institute, Madurai, India.
Background:
Mucormycosis is an invasive fungal infection. It is rare and commonly associated with fatal outcomes.
Methods:
We report two cases of thoracic mucormycosis in immunocompetent patients. First, is an immunocompetent child with mediastinal mass and extension into the pericardium and left atrium. The second is a young woman with a left pulmonary artery pseudoaneurysm.
Results:
The first patient could not be salvaged while the second patient was successfully managed with surgical intervention and systemic antifungal treatment.
Conclusion:
Mucormycosis should be considered as a differential diagnosis in the management of immunocompetent patients in patients with pyrexia of unknown origin and a mediastinal mass. Early and aggressive surgical management along with systemic antifungal treatment improves the survival in this subset of patients.
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