A case of rhinocerebral mucormycosis with brain abscess drained by endoscopic endonasal skull base surgery

Kensuke Uraguchi; Kenichi Kozakura; Satoshi Oka; Takaya Higaki; Seiichiro Makihara; Toshi Imai; Akira Doi; Tsuyoshi Ohta; Shin Kariya; Kazunori Nishizaki

Medical Mycology Case Reports (Dec 2020)

A case of rhinocerebral mucormycosis with brain abscess drained by endoscopic endonasal skull base surgery

Kensuke Uraguchi,
Kenichi Kozakura,
Satoshi Oka,
Takaya Higaki,
Seiichiro Makihara,
Toshi Imai,
Akira Doi,
Tsuyoshi Ohta,
Shin Kariya,
Kazunori Nishizaki

Affiliations

Kensuke Uraguchi: Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan; Department of Otorhinolaryngology, Kochi Health Sciences Center, Kochi, Japan
Kenichi Kozakura: Department of Otorhinolaryngology, Kochi Health Sciences Center, Kochi, Japan
Satoshi Oka: Department of Hematology and Blood Transfusion, Kochi Health Sciences Center, Kochi, Japan
Takaya Higaki: Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan; Corresponding author.
Seiichiro Makihara: Department of Otorhinolaryngology, Head and Neck Surgery, Kagawa Rosai Hospital, Kagawa, Japan
Toshi Imai: Department of Hematology and Blood Transfusion, Kochi Health Sciences Center, Kochi, Japan
Akira Doi: Department of Otorhinolaryngology, Kochi Health Sciences Center, Kochi, Japan
Tsuyoshi Ohta: Department of Neurosurgery, Kochi Health Sciences Center, Kochi, Japan
Shin Kariya: Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
Kazunori Nishizaki: Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan

Journal volume & issue: Vol. 30
pp. 22 – 25

Abstract

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A 70-year-old Japanese man undergoing remission induction therapy for acute monocytic leukemia (AML-M5b) developed fever and headache, and was started on antibiotics and liposomal amphotericin B (L-AMB). There was no improvement, and computed tomography and contrast-enhanced magnetic resonance imaging revealed acute rhinosinusitis and brain abscess. Successful endoscopic endonasal surgery was performed at this point, providing drainage for the rhinosinusitis and abscess. Histopathological findings showed the mucormycosis.

Published in Medical Mycology Case Reports

ISSN: 2211-7539 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Medicine (General); Science: Biology (General)
Website: https://www.journals.elsevier.com/medical-mycology-case-reports/

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