Volume 25, Issue 114, August 2021

Paranasal Mucormycosis in immunocompromised host (Early diagnosis is the key)

Bushra Al-qurashi^♦, Ismail Khan Mohammed, Omer Al-nashiwaaty, Moataz Al-knawy

Department of Internal Medicine, King Abdullah Medical City in Holy Capital (KAMC-HC), Makkah, Saudi Arabia

^♦Corresponding author
Department of Internal Medicine, King Abdullah Medical City in Holy Capital (KAMC-HC), Makkah, Saudi Arabia

ABSTRACT

Mucormycosis is an emergent life threatening fungal infection that has potential risk of dissemination with significant morbidity and mortality rate particularly among patient with altered immune status. Here, we report a case with hematologic malignancy, who admitted with febrile neutropenia and developed left sided facial swelling on day five on his admission. Early nasal endoscopy lead to early diagnosis of mucormycosis with limited invasion. Treatment with Liposomal amphotericin B for 3month duration was administered intravenously with multiple nasal-endoscopic surgical debridement which result in good recovery without significant morbidity.

Keywords: Mucormycosis; Zygomycetes; Acute lymphoblastic leukemia; Endoscopic debridement

Medical Science, 2021, 25(114), 2038-2042

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