Volume 22, Issue 5 (Iranian South Medical Journal 2019)
Iran South Med J 2019, 22(5): 364-370 |
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kaboodkhani R, Bolkheir A, Zaree H, Vahdat K. Primary Cutaneous Mucormycosis of the Neck:A CaseReport with Review of Literature. Iran South Med J 2019; 22 (5) :364-370
URL: http://ismj.bpums.ac.ir/article-1-1178-en.html
URL: http://ismj.bpums.ac.ir/article-1-1178-en.html
1- Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran
2- Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran , bolkhayramirreza@yahoo.com
3- The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
2- Otolaryngology Research Center, Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran , bolkhayramirreza@yahoo.com
3- The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
Abstract: (2695 Views)
Background: Cutaneous mucomycosis is an invasive fungal infection that usually develops in the immunodeficient patients. Although it also occurs in cases without underlying disease. So far in Iran and the world, primary cutaneous mucormycosis of the neck without predisposing factor has not been reported.
Materials and Methods: In this case,we present a 51 years old patient with progressive neck swelling and skin necrosis without any underlying disease. Firstly, treated as Ludwig Angina and necrotizing fasciitis. Finally diagnosed as neck mucormycosis according to pathologic result. systemic antifungal treatment and multiple surgical debridements with close intervals performed for him.
Results: Primary cutaneous mucormycosis should be considered in any case of cutaneous necrosis ,even without underlying disease. A multidisciplinary approach is essential to improve survival rate of neck mucormycosis patients.
Conclusion: Rapid diagnosis and initiation of systemic antifungal therapy along with invasive surgical debridement can improve survival rate and subsequent soft tissue reconstruction of the neck mucormycosis in patients without underlaying disease.
Materials and Methods: In this case,we present a 51 years old patient with progressive neck swelling and skin necrosis without any underlying disease. Firstly, treated as Ludwig Angina and necrotizing fasciitis. Finally diagnosed as neck mucormycosis according to pathologic result. systemic antifungal treatment and multiple surgical debridements with close intervals performed for him.
Results: Primary cutaneous mucormycosis should be considered in any case of cutaneous necrosis ,even without underlying disease. A multidisciplinary approach is essential to improve survival rate of neck mucormycosis patients.
Conclusion: Rapid diagnosis and initiation of systemic antifungal therapy along with invasive surgical debridement can improve survival rate and subsequent soft tissue reconstruction of the neck mucormycosis in patients without underlaying disease.
Type of Study: Case Report |
Subject:
Otolaryngology
Received: 2019/08/9 | Accepted: 2019/10/17 | Published: 2019/12/1
Received: 2019/08/9 | Accepted: 2019/10/17 | Published: 2019/12/1
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