Masmoudi M, Hasnaoui M, Ben Abdeljalil N, Guizani R, Lahmar R, Jaoued O, Ben Sik Ali H, Rassas A, Mighri K. Rhino-orbital cerebral mucormycosis in a child with type 1 diabetes: A case report.
SAGE Open Med Case Rep 2021;
9:2050313X211036781. [PMID:
34377490 PMCID:
PMC8326607 DOI:
10.1177/2050313x211036781]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 07/15/2021] [Indexed: 11/16/2022] Open
Abstract
Rhino-orbital cerebral mucormycosis is a rare but potentially severe fungal infection in children with high rate of morbidity and mortality. In pediatric patients, uncontrolled diabetes mellitus is considered to be a predisposing factor only in 15% of cases. To prevent and reduce mortality rate of this severe disease, early diagnosis based on clinical findings and biopsy is highly recommended. Herein, we report a case of rhino-orbital cerebral mucormycosis in a 12-year-old girl with type 1 diabetes to demonstrate that a multimodal management approach, involving early surgery which consists in frequent endoscopic sinus debridement and appropriate antifungal therapy, is essential to effectively reduce the spread of infection and achieve effective outcome.
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