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A Case Report of Complete Resolution of Auricular Mucormycosis in an 18-Month-Old Diabetic Child

BACKGROUND: One of the most rare but deadly types of infectious fungal infection is Mucormycosis. All the cases reported with this type of infection are immunocompromised individuals. The challenge of early detection and intervention makes it one of the high mortality rates among other infectious di...

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Autores principales: Aljehani, Mariam, Alahmadi, Hatem, Alshamani, Mansour
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8068535/
https://www.ncbi.nlm.nih.gov/pubmed/33954001
http://dx.doi.org/10.1155/2021/6618191
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author Aljehani, Mariam
Alahmadi, Hatem
Alshamani, Mansour
author_facet Aljehani, Mariam
Alahmadi, Hatem
Alshamani, Mansour
author_sort Aljehani, Mariam
collection PubMed
description BACKGROUND: One of the most rare but deadly types of infectious fungal infection is Mucormycosis. All the cases reported with this type of infection are immunocompromised individuals. The challenge of early detection and intervention makes it one of the high mortality rates among other infectious diseases. Case Report. We report an 18-month-old girl with undiagnosed diabetes presented with a very aggressive form of necrotic infection of the ear auricle with facial nerve palsy. Using a series of magnetic resonance imaging, antibiotics, and high clinical suspicion, a diagnosis was established, and the patient was sent to the operation theatre for surgical debridement. Monthly follow-ups showed improvement of the facial palsy, and a plan for artificial auricle is set to occur in the following months before the age of five. Discussion. Mucormycosis is considered a very fatal and aggressive infection that has a very high mortality rate in immunocompromised patients. Early detection of such cases with an array of magnetic resonance imaging (MRI) and computed tomography (CT) is crucial in early treatment. Early aggressive surgical debridement and empirical coverage of bacterial, viral, and fungal infections can also alleviate the chances of preventing any secondary infection to develop in such cases. CONCLUSION: A combination of antifungal, antibiotic, and antiviral with timely surgical intervention improved the patient with complete resolution of the facial nerve palsy and no further recurrence of the infection.
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spelling pubmed-80685352021-05-04 A Case Report of Complete Resolution of Auricular Mucormycosis in an 18-Month-Old Diabetic Child Aljehani, Mariam Alahmadi, Hatem Alshamani, Mansour Case Rep Otolaryngol Case Report BACKGROUND: One of the most rare but deadly types of infectious fungal infection is Mucormycosis. All the cases reported with this type of infection are immunocompromised individuals. The challenge of early detection and intervention makes it one of the high mortality rates among other infectious diseases. Case Report. We report an 18-month-old girl with undiagnosed diabetes presented with a very aggressive form of necrotic infection of the ear auricle with facial nerve palsy. Using a series of magnetic resonance imaging, antibiotics, and high clinical suspicion, a diagnosis was established, and the patient was sent to the operation theatre for surgical debridement. Monthly follow-ups showed improvement of the facial palsy, and a plan for artificial auricle is set to occur in the following months before the age of five. Discussion. Mucormycosis is considered a very fatal and aggressive infection that has a very high mortality rate in immunocompromised patients. Early detection of such cases with an array of magnetic resonance imaging (MRI) and computed tomography (CT) is crucial in early treatment. Early aggressive surgical debridement and empirical coverage of bacterial, viral, and fungal infections can also alleviate the chances of preventing any secondary infection to develop in such cases. CONCLUSION: A combination of antifungal, antibiotic, and antiviral with timely surgical intervention improved the patient with complete resolution of the facial nerve palsy and no further recurrence of the infection. Hindawi 2021-02-20 /pmc/articles/PMC8068535/ /pubmed/33954001 http://dx.doi.org/10.1155/2021/6618191 Text en Copyright © 2021 Mariam Aljehani et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Aljehani, Mariam
Alahmadi, Hatem
Alshamani, Mansour
A Case Report of Complete Resolution of Auricular Mucormycosis in an 18-Month-Old Diabetic Child
title A Case Report of Complete Resolution of Auricular Mucormycosis in an 18-Month-Old Diabetic Child
title_full A Case Report of Complete Resolution of Auricular Mucormycosis in an 18-Month-Old Diabetic Child
title_fullStr A Case Report of Complete Resolution of Auricular Mucormycosis in an 18-Month-Old Diabetic Child
title_full_unstemmed A Case Report of Complete Resolution of Auricular Mucormycosis in an 18-Month-Old Diabetic Child
title_short A Case Report of Complete Resolution of Auricular Mucormycosis in an 18-Month-Old Diabetic Child
title_sort case report of complete resolution of auricular mucormycosis in an 18-month-old diabetic child
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8068535/
https://www.ncbi.nlm.nih.gov/pubmed/33954001
http://dx.doi.org/10.1155/2021/6618191
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