Rhino-Orbital mucormycosis in an immunocompetent pediatric patient with hyperglycemia of the hospitalized patient

  • Héctor M Prado-Calleros Otolaryngology and Head and Neck Surgery Department, General Hospital "Dr. Manuel Gea González", México City, México http://orcid.org/0000-0001-8187-230X
  • Juan Pablo Brito-Vera Otolaryngology and Head and Neck Surgery Department, General Hospital "Dr. Manuel Gea González", México City, México
  • Gabriela Moreno-Coutiño Mycology Department, General Hospital "Dr. Manuel Gea González", México City, México
  • Lilian Elizabeth Andrade-Morelos Mycology Department, General Hospital "Dr. Manuel Gea González", México City, México
  • Mónica Patricia Escobedo-Torres Pediatrics Infectology Department, General Hospital "Dr. Manuel Gea González", México City, México
  • Genoveva Vázquez-Zavala Pediatrics Intensive Care Division, General Hospital "Dr. Manuel Gea González", México City, México
  • Rigoberto Hernández-Castro Ecology of Pathogens Department, General Hospital "Dr. Manuel Gea González", México City, México
Keywords: mucormycosis, immunocompetent, rhinosinusitis

Abstract

Introduction: Acute invasive rhino-orbital mucormycosis usually affects diabetic or neutropenic patients, and only exceptionally develops in immunocompetent adults and children.

Methodology: A 12-years-old immunocompetent female, presented with complicated rhinosinusitis with a subperiosteal orbital abscess, without improvement after initial medical and surgical management, the patient also developed hyperglycemia of the hospitalized patient that represented a challenging and potentially lethal clinical scenario.

Results: Diagnosed with an unsuspected rhino-orbital mucormycosis by direct microscopy and PCR, she survived after amphotericin B and surgical treatment.

Conclusions: In cases with torpid clinical evolution, even in apparently immunocompetent patients, appropriate multidisciplinary workup must be performed to rule out opportunistic etiologies including mucormycosis to improve survival.

Published
2021-07-31
How to Cite
1.
Prado-Calleros HM, Brito-Vera JP, Moreno-Coutiño G, Andrade-Morelos LE, Escobedo-Torres MP, Vázquez-Zavala G, Hernández-Castro R (2021) Rhino-Orbital mucormycosis in an immunocompetent pediatric patient with hyperglycemia of the hospitalized patient. J Infect Dev Ctries 15:1035-1038. doi: 10.3855/jidc.14299
Section
Case Reports