Medical Mycology Case Reports (Mar 2018)

Tumor shape pulmonary mucormycosis associated with sinonasal aspergillosis in a diabetic patient

  • Sophie Point,
  • Frédéric Gabriel,
  • Hugues Bégueret,
  • Jacques Jougon,
  • Fanny Lanternier,
  • Frédéric Grenouillet,
  • Manal Abdel Fattah,
  • Emilie Catherinot,
  • Chantal Raherison,
  • Elodie Blanchard

DOI
https://doi.org/10.1016/j.mmcr.2017.08.001
Journal volume & issue
Vol. 19, no. C
pp. 13 – 17

Abstract

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Mucormycosis is a rare and life-threatening fungal infection of the Mucorales order occurring mainly in immunosuppressed patients. The most common forms are rhinocerebral but pulmonary or disseminated forms may occur. We report the case of a 61-year-old patient in whom pulmonary mucormycosis was diagnosed during his first-ever episode of diabetic ketoacidosis. While receiving liposomal amphotericin B, a sinusal aspergillosis due to Aspergillus fumigatus occurred. Evolution was slowly favorable under antifungal tritherapy by liposomal amphotericin B, posaconazole and caspofungin.

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