Early Diagnosis and Aggressive Surgical Resection Matters to Cure Rhinocerebral Mucormycosis: Six Case Reports.

Rhino-cerebral antifungal mucormycosis necrosis paranasal sinuses surgical debridement

Journal

Journal of stomatology, oral and maxillofacial surgery
ISSN: 2468-7855
Titre abrégé: J Stomatol Oral Maxillofac Surg
Pays: France
ID NLM: 101701089

Informations de publication

Date de publication:
01 May 2024
Historique:
received: 22 04 2024
accepted: 27 04 2024
medline: 4 5 2024
pubmed: 4 5 2024
entrez: 3 5 2024
Statut: aheadofprint

Résumé

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.

Identifiants

pubmed: 38702012
pii: S2468-7855(24)00143-5
doi: 10.1016/j.jormas.2024.101898
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

101898

Informations de copyright

Copyright © 2024. Published by Elsevier Masson SAS.

Déclaration de conflit d'intérêts

Declaration of competing interest none.

Auteurs

Maximiliano Repetto (M)

Department of Oral and Maxillofacial Surgery, Hospital Hernán Henriquez Aravena, Manuel Montt 115, Temuco, Chile.

David González-Quintanilla (D)

Doctorate Program in Dental Sciences. School of Dentistry, Universidad de Chile, Sergio Livingstone Polhammer 943, Independencia, Santiago, Chile; School of Health Sciences, Dentistry, Universidad Viña del Mar, Diego Portales 90, Viña del Mar, Chile.

Ana Alarcón (A)

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Chile, Sergio Livingstone Polhammer 943, Independencia, Santiago, Chile; Department of Oral and Maxillofacial Surgery, Hospital San Borja Arriarán, Santiago, Chile. Av. Santa Rosa 1234, Santiago, Chile.

Erita Cordero (E)

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Chile, Sergio Livingstone Polhammer 943, Independencia, Santiago, Chile; Department of Oral and Maxillofacial Surgery, Hospital San Borja Arriarán, Santiago, Chile. Av. Santa Rosa 1234, Santiago, Chile.

Patricio Quiñones (P)

Department of Oral and Maxillofacial Surgery, Hospital San Juan de Dios, Av. Portales 3239, Santiago, Chile; Department of Oral and Maxillofacial Surgery, Clínica Alemana, Av Vitacura 5951, Vitacura, Chile.

Juan Argandoña (J)

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Chile, Sergio Livingstone Polhammer 943, Independencia, Santiago, Chile; Department of Oral and Maxillofacial Surgery, Hospital San Juan de Dios, Av. Portales 3239, Santiago, Chile.

Andrés Melian (A)

Department of Oral and Maxillofacial Surgery, Hospital San José, San José 1196, Independencia, Chile.

Diego Lazo (D)

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Chile, Sergio Livingstone Polhammer 943, Independencia, Santiago, Chile; Department of Oral and Maxillofacial Surgery, Hospital San José, San José 1196, Independencia, Chile.

Marcelo Mardones (M)

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Chile, Sergio Livingstone Polhammer 943, Independencia, Santiago, Chile; Department of Oral and Maxillofacial Surgery, Hospital San José, San José 1196, Independencia, Chile.

Juan Cortés (J)

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Chile, Sergio Livingstone Polhammer 943, Independencia, Santiago, Chile; Department of Oral and Maxillofacial Surgery, Hospital San Borja Arriarán, Santiago, Chile. Av. Santa Rosa 1234, Santiago, Chile.

Luis A Córdova (LA)

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Chile, Sergio Livingstone Polhammer 943, Independencia, Santiago, Chile; Craniofacial Research Lab, Faculty of Dentistry, Universidad Andrés Bello, Santiago, Chile. Echaurren 272, Santiago, Chile; IMPACT, Center of Interventional Medicine for Precision and Advanced Cellular Therapy, Santiago, Chile. Av. Mons. Álvaro del Portillo 12455, Las Condes, Santiago, Chile. Electronic address: luis.cordova@unab.cl.

Classifications MeSH