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:
Univ Indonesia, Fac Med, Dept Urol, Salemba Tengah St 29, Cent Jakarta 10430, Special Capital, IndonesiaUniv Indonesia, Fac Med, Dept Urol, Salemba Tengah St 29, Cent Jakarta 10430, Special Capital, Indonesia
Amuda, Bil'awal Ramadhan
Situmorang, Gerhard Reinaldi
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Univ Indonesia, Fac Med, Dept Urol, Salemba Tengah St 29, Cent Jakarta 10430, Special Capital, IndonesiaUniv Indonesia, Fac Med, Dept Urol, Salemba Tengah St 29, Cent Jakarta 10430, Special Capital, Indonesia
Situmorang, Gerhard Reinaldi
Rasyid, Nur
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Univ Indonesia, Fac Med, Dept Urol, Salemba Tengah St 29, Cent Jakarta 10430, Special Capital, IndonesiaUniv Indonesia, Fac Med, Dept Urol, Salemba Tengah St 29, Cent Jakarta 10430, Special Capital, Indonesia
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Univ Zagreb, Univ Hosp Ctr Zagreb, Dept Nephrol Arterial Hypertens Dialysis & Transp, Zagreb, Croatia
Univ Zagreb, Sch Med, Zagreb, CroatiaUniv Zagreb, Univ Hosp Ctr Zagreb, Dept Nephrol Arterial Hypertens Dialysis & Transp, Zagreb, Croatia
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Triserv Gen Hosp, Div Nephrol, Dept Med, Natl Def Med Ctr, Taipei, Taiwan
Hualien Armed Forces Gen Hosp, Div Nephrol, Dept Med, Haulien, TaiwanTriserv Gen Hosp, Div Nephrol, Dept Med, Natl Def Med Ctr, Taipei, Taiwan
Wu, T. -J.
Chiang, W. -F.
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Triserv Gen Hosp, Div Nephrol, Dept Med, Natl Def Med Ctr, Taipei, TaiwanTriserv Gen Hosp, Div Nephrol, Dept Med, Natl Def Med Ctr, Taipei, Taiwan
Chiang, W. -F.
Wu, S. -T.
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Triserv Gen Hosp, Div Nephrol, Dept Med, Natl Def Med Ctr, Taipei, TaiwanTriserv Gen Hosp, Div Nephrol, Dept Med, Natl Def Med Ctr, Taipei, Taiwan
Wu, S. -T.
Lin, S. -H.
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Triserv Gen Hosp, Div Nephrol, Dept Med, Natl Def Med Ctr, Taipei, TaiwanTriserv Gen Hosp, Div Nephrol, Dept Med, Natl Def Med Ctr, Taipei, Taiwan