Objectives: Rhinomaxillary mucormycosis is a clinical manifestation of zygomycosis in solid-organ transplant recipients. Without proper diagnosis and treatment, rhino-orbital-cerebral zygomycosis, particularly a central nervous system disease, will develop with substantial complications. Case report: A 42-year-old man who had undergone renal transplant was admitted to our otolaryngology department with unilateral bloody nasal discharge. Mucormycosis was detected in the necrotic tissue of the maxillary sinus. Surgical ablation of the infected parts, along with antifungal treatment, restricted extension of the infection. Conclusions: Early detection of opportunistic infections in transplant recipients plays an important role in preventing dissemination. Fungal infections, including zygomycosis, should be considered in all solid-organ recipients, especially in persons with local unusual manifestations. Early diagnosis and successful treatment reduce mortality.
机构:
Henry Ford Hosp, Dept Internal Med, Div Nephrol, 2799West Grand Blvd, Detroit, MI 48202 USAHenry Ford Hosp, Dept Internal Med, Div Nephrol, 2799West Grand Blvd, Detroit, MI 48202 USA
Hamdi, Tamim
Karthikeyan, Vanji
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机构:
Henry Ford Hosp, Dept Internal Med, Div Nephrol, 2799West Grand Blvd, Detroit, MI 48202 USAHenry Ford Hosp, Dept Internal Med, Div Nephrol, 2799West Grand Blvd, Detroit, MI 48202 USA
Karthikeyan, Vanji
Alangaden, George J.
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机构:
Henry Ford Hosp, Dept Internal Med, Div Infect Dis, Detroit, MI 48202 USAHenry Ford Hosp, Dept Internal Med, Div Nephrol, 2799West Grand Blvd, Detroit, MI 48202 USA
机构:
Tarrant Nephrol Associates, Premier Phys Grp Hlth, Ft Worth, TX USA
Med City Ft Worth Transplant Inst, Div Transplant Nephrol, Ft Worth, TX USATarrant Nephrol Associates, Premier Phys Grp Hlth, Ft Worth, TX USA
Allam, Sridhar R.
Madhrira, Machaiah M.
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Tarrant Nephrol Associates, Premier Phys Grp Hlth, Ft Worth, TX USA
Med City Ft Worth Transplant Inst, Div Transplant Nephrol, Ft Worth, TX USATarrant Nephrol Associates, Premier Phys Grp Hlth, Ft Worth, TX USA
Madhrira, Machaiah M.
Memon, Imran A.
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Tarrant Nephrol Associates, Premier Phys Grp Hlth, Ft Worth, TX USA
Med City Ft Worth Transplant Inst, Div Transplant Nephrol, Ft Worth, TX USATarrant Nephrol Associates, Premier Phys Grp Hlth, Ft Worth, TX USA
Memon, Imran A.
Tessier, Jeffrey
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机构:
Univ Texas Southwestern Med Ctr Dallas, Div Infect Dis, Dallas, TX 75390 USATarrant Nephrol Associates, Premier Phys Grp Hlth, Ft Worth, TX USA
Tessier, Jeffrey
Johnson, Jennifer A.
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机构:
Tarrant Nephrol Associates, Premier Phys Grp Hlth, Ft Worth, TX USA
Med City Ft Worth Transplant Inst, Div Transplant Nephrol, Ft Worth, TX USATarrant Nephrol Associates, Premier Phys Grp Hlth, Ft Worth, TX USA
Johnson, Jennifer A.
Dao, Ann
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机构:
Med City Ft Worth Transplant Inst, Div Transplant Nephrol, Ft Worth, TX USATarrant Nephrol Associates, Premier Phys Grp Hlth, Ft Worth, TX USA
Dao, Ann
Rofaiel, George
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机构:
Univ Utah, Dept Surg, Div Transplantat ad Adv Hepatobiliary Surg, Salt Lake City, UT USATarrant Nephrol Associates, Premier Phys Grp Hlth, Ft Worth, TX USA