Zygomycosis:: an uncommon cause for peripheral facial palsy in diabetes

被引：14
|
作者：
Meas, T.
Mouly, S.
Kania, R.
Herve, D.
Herman, P.
Kevorkian, J. P.
Virally, M.
Laloi-Michelin, M.
Medeau, V.
Guillausseau, P. J.
机构：
[1] Hop Lariboisiere, Dept Internal Med B, APHP, F-75010 Paris, France
[2] Hop Lariboisiere, Dept Internal Med A, APHP, F-75010 Paris, France
[3] Hop Lariboisiere, Dept Otorhinolaryngol, APHP, F-75010 Paris, France
[4] Hop Lariboisiere, Dept Otorhinolaryngol, Dept Neurol, F-75010 Paris, France
[5] Univ Paris 07, Denis Diderot, France
来源：
DIABETES & METABOLISM | 2007年 / 33卷 / 03期
关键词：
mucormycosis; facial palsy; diabetes mellitus; amphotericin B; treatment;
D O I：
10.1016/j.diabet.2006.12.001
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Mucormycosis is an emerging fungal infection with a high rate of mortality. Diabetic and immuno-compromised patients are the most frequent hosts. We report a case of rhino-orbito-cerebral mucormycosis revealed by facial palsy in a diabetic, immuno-compromised patient with difficult life conditions. He received intravenous antifungal treatment (amphotericin B) and early surgical debridement and completely recovered with no recurrence after 3 months of follow-up. Physicians should be aware of such atypical clinical presentations due to the need for early appropriate combined medical and surgical management to improve disease recovery and prognosis. (c) 2007 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：227 / 229
页数：3
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