Fulminant Mucormycosis Involving Paranasal Sinuses: A Rare Case Report
Identifieur interne : 000503 ( Pmc/Curation ); précédent : 000502; suivant : 000504Fulminant Mucormycosis Involving Paranasal Sinuses: A Rare Case Report
Auteurs : Komali Garlapati [Inde] ; Sunanda Chavva [Inde] ; Rahul Marshal Vaddeswarupu [Inde] ; Jyotsna Surampudi [Inde]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2014.
Abstract
Mucormycosis is an opportunistic fulminant fungal infection, which has the ability to cause significant morbidity and frequently mortality in the susceptible patient. Common predisposing factors include diabetes mellitus and immunosuppression. The infection begins in the nose and paranasal sinuses due to inhalation of fungal spores. The fungus invades the arteries leading to thrombosis that subsequently causes necrosis of the tissue. The infection can spread to orbital and intracranial structures either by direct invasion or through the blood vessels. Here we describe a case of mucormycosis of maxillary antrum extending to ethmoidal and frontal sinus and also causing necrosis of left maxilla in an uncontrolled diabetic individual to emphasize early diagnosis and treatment of this fatal fungal infection.
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DOI: 10.1155/2014/465919
PubMed: 24523970
PubMed Central: 3912639
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Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Road No. 5, Kamalanagar, Dilsukhnagar, Hyderabad, Andhra Pradesh 500060</wicri:regionArea></affiliation></author><author><name sortKey="Chavva, Sunanda" sort="Chavva, Sunanda" uniqKey="Chavva S" first="Sunanda" last="Chavva">Sunanda Chavva</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Oral Medicine and Radiology, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Andhra Pradesh 500060, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral Medicine and Radiology, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Andhra Pradesh 500060</wicri:regionArea></affiliation></author><author><name sortKey="Vaddeswarupu, Rahul Marshal" sort="Vaddeswarupu, Rahul Marshal" uniqKey="Vaddeswarupu R" first="Rahul Marshal" last="Vaddeswarupu">Rahul Marshal Vaddeswarupu</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Oral Medicine and Radiology, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Andhra Pradesh 500060, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral Medicine and Radiology, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Andhra Pradesh 500060</wicri:regionArea></affiliation></author><author><name sortKey="Surampudi, Jyotsna" sort="Surampudi, Jyotsna" uniqKey="Surampudi J" first="Jyotsna" last="Surampudi">Jyotsna Surampudi</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Oral Medicine and Radiology, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Andhra Pradesh 500060, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral Medicine and Radiology, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Andhra Pradesh 500060</wicri:regionArea></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Mucormycosis is an opportunistic fulminant fungal infection, which has the ability to cause significant morbidity and frequently mortality in the susceptible patient. Common predisposing factors include diabetes mellitus and immunosuppression. The infection begins in the nose and paranasal sinuses due to inhalation of fungal spores. The fungus invades the arteries leading to thrombosis that subsequently causes necrosis of the tissue. The infection can spread to orbital and intracranial structures either by direct invasion or through the blood vessels. Here we describe a case of mucormycosis of maxillary antrum extending to ethmoidal and frontal sinus and also causing necrosis of left maxilla in an uncontrolled diabetic individual to emphasize early diagnosis and treatment of this fatal fungal infection.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Viterbo, S" uniqKey="Viterbo S">S Viterbo</name></author><author><name sortKey="Fasolis, M" uniqKey="Fasolis M">M Fasolis</name></author><author><name sortKey="Garzino Demo, P" uniqKey="Garzino Demo P">P Garzino-Demo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jagdish, C" uniqKey="Jagdish C">C Jagdish</name></author><author><name sortKey="Reetika, S" uniqKey="Reetika S">S Reetika</name></author><author><name sortKey="Pallavi, S" uniqKey="Pallavi S">S Pallavi</name></author><author><name sortKey="Jayanthi, S" uniqKey="Jayanthi S">S Jayanthi</name></author><author><name sortKey="Divya, P" uniqKey="Divya P">P Divya</name></author><author><name sortKey="Balasubramanya, A" uniqKey="Balasubramanya A">A Balasubramanya</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bakathir, Aa" uniqKey="Bakathir A">AA Bakathir</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bouza, E" uniqKey="Bouza E">E Bouza</name></author><author><name sortKey="Mu Oz, P" uniqKey="Mu Oz P">P Muñoz</name></author><author><name sortKey="Guinea, J" uniqKey="Guinea J">J Guinea</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chakrabarti, A" uniqKey="Chakrabarti A">A Chakrabarti</name></author><author><name sortKey="Das, A" uniqKey="Das A">A Das</name></author><author><name sortKey="Sharma, A" uniqKey="Sharma A">A Sharma</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Greenberg, Ms" uniqKey="Greenberg M">MS Greenberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brown, Oe" uniqKey="Brown O">OE Brown</name></author><author><name sortKey="Finn, R" uniqKey="Finn R">R Finn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pandey, A" uniqKey="Pandey A">A Pandey</name></author><author><name sortKey="Bansal, V" uniqKey="Bansal V">V Bansal</name></author><author><name sortKey="Asthana, Ak" uniqKey="Asthana A">AK Asthana</name></author><author><name sortKey="Trivedi, V" uniqKey="Trivedi V">V Trivedi</name></author><author><name sortKey="Madan, M" uniqKey="Madan M">M Madan</name></author><author><name sortKey="Das, A" uniqKey="Das A">A Das</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Spellberg, B" uniqKey="Spellberg B">B Spellberg</name></author><author><name sortKey="Edwards, J" uniqKey="Edwards J">J Edwards</name></author><author><name sortKey="Ibrahim, A" uniqKey="Ibrahim A">A Ibrahim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fogarty, C" uniqKey="Fogarty C">C Fogarty</name></author><author><name sortKey="Regennitter, F" uniqKey="Regennitter F">F Regennitter</name></author><author><name sortKey="Viozzi, Cf" uniqKey="Viozzi C">CF Viozzi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rao, Vm" uniqKey="Rao V">VM Rao</name></author><author><name sortKey="El Noveam, Ki" uniqKey="El Noveam K">KI El-Noveam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gupta, Ak" uniqKey="Gupta A">AK Gupta</name></author><author><name sortKey="Mann, Sbs" uniqKey="Mann S">SBS Mann</name></author><author><name sortKey="Khosla, Vk" uniqKey="Khosla V">VK Khosla</name></author><author><name sortKey="Sastry, Kv" uniqKey="Sastry K">KV Sastry</name></author><author><name sortKey="Hundal, Js" uniqKey="Hundal J">JS Hundal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eversole, Lr" uniqKey="Eversole L">LR Eversole</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goel, S" uniqKey="Goel S">S Goel</name></author><author><name sortKey="Palaskar, S" uniqKey="Palaskar S">S Palaskar</name></author><author><name sortKey="Shetty, Vp" uniqKey="Shetty V">VP Shetty</name></author><author><name sortKey="Bhushan, A" uniqKey="Bhushan A">A Bhushan</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRIM.DENTISTRY</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24523970</article-id><article-id pub-id-type="pmc">3912639</article-id><article-id pub-id-type="doi">10.1155/2014/465919</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Fulminant Mucormycosis Involving Paranasal Sinuses: A Rare Case Report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Garlapati</surname><given-names>Komali</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Chavva</surname><given-names>Sunanda</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Vaddeswarupu</surname><given-names>Rahul Marshal</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Surampudi</surname><given-names>Jyotsna</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Oral Medicine and Radiology, Room No. 1, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Road No. 5, Kamalanagar, Dilsukhnagar, Hyderabad, Andhra Pradesh 500060, India</aff><aff id="I2"><sup>2</sup>Department of Oral Medicine and Radiology, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Andhra Pradesh 500060, India</aff><author-notes><corresp id="cor1">*Komali Garlapati: <email>komali_garlapati@yahoo.co.in</email></corresp><fn fn-type="other"><p>Academic Editors: P. G. Arduino, R. Crespi, K. Nakamori, and G. Spagnuolo</p></fn></author-notes><pub-date pub-type="ppub"><year>2014</year></pub-date><pub-date pub-type="epub"><day>9</day><month>1</month><year>2014</year></pub-date><volume>2014</volume><elocation-id>465919</elocation-id><history><date date-type="received"><day>19</day><month>10</month><year>2013</year></date><date date-type="accepted"><day>16</day><month>12</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2014 Komali Garlapati et al.</copyright-statement><copyright-year>2014</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>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.</license-p></license></permissions><abstract><p>Mucormycosis is an opportunistic fulminant fungal infection, which has the ability to cause significant morbidity and frequently mortality in the susceptible patient. Common predisposing factors include diabetes mellitus and immunosuppression. The infection begins in the nose and paranasal sinuses due to inhalation of fungal spores. The fungus invades the arteries leading to thrombosis that subsequently causes necrosis of the tissue. The infection can spread to orbital and intracranial structures either by direct invasion or through the blood vessels. Here we describe a case of mucormycosis of maxillary antrum extending to ethmoidal and frontal sinus and also causing necrosis of left maxilla in an uncontrolled diabetic individual to emphasize early diagnosis and treatment of this fatal fungal infection.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Extraoral examination reveals swelling in the left side of the face just below the eye.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-465919.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Intraoral examination reveals necrotic bone with pus discharge in relation to left maxilla (white arrow).</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-465919.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Orthopantomogram reveals missing teeth (24, 25, 26, 27, and 28) with unhealed sockets.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-465919.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Coronal view of CT showing involvement of left maxillary sinus, nasal conchae, and ethmoidal sinus extending up to frontal sinus.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-465919.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Axial view of CT showing destruction of posterior, medial, and anterior walls of left maxillary sinus.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-465919.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Histopathology of biopsied tissue showing nonseptate obtuse angled fungal hyphae and sporangiophores with spores.</p></caption><graphic xlink:href="CRIM.DENTISTRY2014-465919.006"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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