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Early diagnosis and aggressive surgical resection matters to cure rhinocerebral mucormycosis: Six case reports
Maximiliano Repetto1, David González-Quintanilla2, Ana Alarcón3
1Department of Oral and Maxillofacial Surgery, Hospital Hernán Henriquez Aravena, Manuel Montt 115, Temuco, Chile.
Abstract:
Rhino-cerebral mucormycosis (RM) is a rare and opportunistic fungal infection observed in immune-compromised patients and metabolic imbalances such as Diabetes Mellitus. RM rapidly infiltrates blood vessels, leading to vascular thrombosis, subsequent tissue necrosis, and high mortality rates (23.6-60%). Due to its fast advancement, RM is a life-threatening condition requiring accurate clinical decisions by the medical and surgical teams. Based on the report of six cases, we emphasize the need for an early diagnosis and starting antifungal pharmacological therapy at the slightest suspicion of RM. Moreover, the restitution of metabolic balance and aggressive surgical debridement are vital steps to control RM, reducing the possibility of fatal outcomes.
Insights
Early diagnosis and treatment are crucial for rhino-cerebral mucormycosis (RM), a dangerous fungal infection in immunocompromised patients. Prompt antifungal therapy, metabolic control, and surgery significantly improve outcomes and reduce high mortality rates.
Area of Science:
- Medicine
- Infectious Diseases
- Mycology
Background:
- Rhino-cerebral mucormycosis (RM) is a rare, opportunistic fungal infection.
- It primarily affects immunocompromised individuals and those with metabolic disorders like Diabetes Mellitus.
- RM is characterized by rapid vascular infiltration, thrombosis, and tissue necrosis, leading to high mortality (23.6-60%).
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