Mucormycosis Rhinosinusitis at Diagnosis of Acute Lymphoblastic Leukemia: Diagnostics and Management Challenges in a Low-Middle-income Country

被引：1
|
作者：
Mandegari, Elham [1 ]
Fu, Ligia [1 ]
Arambu, Carolina [1 ]
Montoya, Sandra [1 ]
Pena, Armando [1 ]
Johnson, Kyle M. [2 ]
Perfect, John R. [4 ]
Caniza, Miguela A. [2 ,3 ]
机构：
[1] Univ Hosp, Tegucigalpa, Honduras
[2] St Jude Childrens Res Hosp, Dept Infect Dis, Memphis, TN 38105 USA
[3] St Jude Childrens Res Hosp, Int Outreach Program, Memphis, TN 38105 USA
[4] Duke Univ, Med Ctr, Dept Infect Dis, Durham, NC USA
来源：
JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY | 2015年 / 37卷 / 03期
关键词：
invasive fungal disease; mucor; pediatric cancer; antifungal; Honduras; low-middle-income country; INVASIVE FUNGAL-INFECTIONS; PEDIATRIC ONCOLOGY; AMPHOTERICIN-B; CHILDREN; NEUTROPENIA; MORTALITY; RIFAMPIN; CANCER; AGENTS;
D O I：
10.1097/MPH.0000000000000198
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
We present the case of an adolescent with mucor rhinosinusitis diagnosed concomitantly with acute lymphoblastic leukemia at a hospital in Tegucigalpa, Honduras. We also discuss the challenges faced in the dual management of hematologic malignancies and invasive fungal disease in a low-middle-income country, such as access to diagnostics, immunosuppressants, imaging, and antifungals. Despite these shortcomings, the patient was successfully treated for both the diseases. Low-middle-income country hospitals can effectively treat invasive fungal diseases by providing adequate diagnostic and support services, which can improve the outcomes of pediatric cancer patients.
引用
收藏
页码：E173 / E177
页数：5
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