Rhino-orbital mycosis in immunocompetent adult man
Publish place: The 15th Annual Conference and the International Congress of Pathology and Laboratory Medicine
Publish Year: 1392
نوع سند: مقاله کنفرانسی
زبان: English
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شناسه ملی سند علمی:
ACPLMED15_045
تاریخ نمایه سازی: 20 آبان 1397
Abstract:
Rhino-orbital mycosis is a rare but life threatening infection that generally occurs in patientswith diabetes mellitus and other immune deficiency conditions. Rhino-orbital is a medicalemergency condition. Early recognition and treatment are essential because it may lead tobrain involvement. We report a 27-year-old healthy man; presented to us with left-sidedfacial swelling and bloody nasal discharge. He had normal blood sugar and negative HIVresult. Magnetic resonance imaging of the head and sinuses showed inflammation and massin the ethmoid sinus and nose with partial septal destruction, proptosis and global invasion ofthe left eye. Endoscopic biopsy of the sinuses and orbital biopsies revealed severegranulomatous inflammation with degenerated aseptate hyphae on light microscopy. Thepatient was treated with amphotericin B and multiple wound debridements along withethmoidectomy.
Authors
Mohammad Javad Ashraf
Department of Pathology, Department of Otolaryngology,Transplant Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Negar Azarpira
Department of Pathology, Department of Otolaryngology,Transplant Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
M Iravani
Department of Pathology, Department of Otolaryngology,Transplant Research Center, Shiraz University of Medical Sciences, Shiraz, Iran