Rhino-orbital Mucormycosis in an Immunocompetent Pediatric Patient, Resembling an Orbital Mass- A Case Report

Autor: Seyed Mohsen Rafizadeh, Mehdi Aminizade, Fahime Asadi Amoli, Mahtab Rabbani Anari, Mahmoud khodabandeh, abbas mohammadi
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Case Reports in Clinical Practice, Vol 8, Iss 1 (2023)
Druh dokumentu: article
ISSN: 2538-2683
2538-2691
DOI: 10.18502/crcp.v8i1.13101
Popis: Rhino-orbital mucormycosis in an immunocompetent pediatric patient can present as an orbital mass. We report a 9-year-old male that presented with periorbital swelling and limitation of left eye movement from one month ago. The patient was treated at another center with a diagnosis of mucormycosis but was referred due to worsening symptoms. Orbital and paranasal sinus CT scan revealed opacities in the left paranasal sinus and soft tissue density in the medial and inferior orbital wall. The patient underwent orbitotomy and mass debulking surgery on suspicion of a possible neoplastic mass. Pathologic evaluations revealed mucormycosis. After receiving intravenous liposomal amphotericin-B that was followed by oral posaconazole syrup for two months and sinus debridement, the symptoms regressed. In immunocompromised pediatric patients, mucormycosis should be considered in the differential diagnosis of an orbital mass.
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