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:: Volume 22, Issue 5 (Iranian South Medical Journal 2019) ::
Iran South Med J 2019, 22(5): 364-370 Back to browse issues page
Primary Cutaneous Mucormycosis of the Neck:A CaseReport with Review of Literature
Reza Kaboodkhani1 , Amirreza Bolkheir 2, Hamideh Zaree1, Katayon Vahdat3
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
Abstract:   (229 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.
Keywords: neck mucormycosis, neck necrosis, surgical debridement, Amphotericin B
Full-Text [PDF 615 kb]   (66 Downloads)    
Type of Study: Case Report | Subject: Otolaryngology
Received: 2019/12/1 | Accepted: 2019/12/1 | Published: 2019/12/1
References
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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


Volume 22, Issue 5 (Iranian South Medical Journal 2019) Back to browse issues page
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