Rhino-orbital mucormycosis in a patient with acquired immunodeficiency syndrome (AIDS) and neutropenia
| Autor: | John B. Kerrison, Charles Hejny, Nancy J. Newman, Cameron M Stone |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Visual acuity Antifungal Agents Neutropenia genetic structures Visual Acuity Leukocyte Count Risk Factors Amphotericin B otorhinolaryngologic diseases Orbital Diseases Paranasal Sinus Diseases Medicine Humans Mucormycosis Mycosis Acquired Immunodeficiency Syndrome Leukopenia business.industry Ethmoidectomy Eye infection Middle Aged medicine.disease Magnetic Resonance Imaging eye diseases Surgery Ophthalmology Debridement Liposomes sense organs medicine.symptom business Complication Eye Infections Fungal |
| Zdroj: | American journal of ophthalmology. 132(1) |
| ISSN: | 0002-9394 |
| Popis: | PURPOSE: To present a case of rhino-orbital mucormycosis in a patient with AIDS and neutropenia managed without exenteration. METHODS: Case report. RESULTS: A 60-year-old African-American man with AIDS developed neutropenia that was probably secondary to antiretroviral therapy. He developed right rhino-orbital mucormycosis and was treated with right partial ethmoidectomy with debridement and liposomal amphotericin B. The infection was cured without need for orbital exenteration, although visual acuity in his right eye ultimately was no light perception. CONCLUSION: Rhino-orbital mucormycosis is uncommon in patients with AIDS. When rhino-orbital mucormycosis occurs, patients require a careful search for an underlying metabolic derangement such as neutropenia. Treatment should be aggressive, but these patients may not require orbital exenteration. |
| Databáze: | OpenAIRE |
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