Rhino-orbital-cerebral mucormycosis in a pediatric cancer patient
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.16/2755 |
Resumo: | Aim: Mucormycosis infections are highly lethal in immunosuppressed patients. The authors present a rare case of successful treatment of the condition. Case description: A 14-year-old male with acute lymphoblastic lymphoma in remission was diagnosed with pansinusitis, cerebral osteomyelitis, and encephalitis with an abscess caused by Rhizopus sp. Neurosurgical drainage, endoscopic sinus surgery, and left eye enucleation were performed, and the patient was simultaneously treated with lipossomal-amphotericin B and posaconazol (later replaced by isavuconazol). However, complications (left frontal lobe herniation and cerebrospinal fluid fistula) ensued, requiring surgical reoperation. Chemotherapy was restarted four months later. Comments: This is a rare case report, in which early and aggressive surgery, antifungal treatment, and multidisciplinary team work were crucial for the successful outcome. |
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Rhino-orbital-cerebral mucormycosis in a pediatric cancer patientMucormicose rino-orbito-cerebral num doente oncológico pediátricoantifungalencephalitismucormycosisosteomyelitisRhizopus spAim: Mucormycosis infections are highly lethal in immunosuppressed patients. The authors present a rare case of successful treatment of the condition. Case description: A 14-year-old male with acute lymphoblastic lymphoma in remission was diagnosed with pansinusitis, cerebral osteomyelitis, and encephalitis with an abscess caused by Rhizopus sp. Neurosurgical drainage, endoscopic sinus surgery, and left eye enucleation were performed, and the patient was simultaneously treated with lipossomal-amphotericin B and posaconazol (later replaced by isavuconazol). However, complications (left frontal lobe herniation and cerebrospinal fluid fistula) ensued, requiring surgical reoperation. Chemotherapy was restarted four months later. Comments: This is a rare case report, in which early and aggressive surgery, antifungal treatment, and multidisciplinary team work were crucial for the successful outcome.Centro Hospitalar Universitário do PortoRepositório Científico do Centro Hospitalar Universitário de Santo AntónioCouto, Maria EduardaOliva, TerezaAlberto, PedroLebre, AnaPinto, ArmandoFerreira, Ana Maia2022-11-30T10:41:49Z2021-122021-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2755engNascer e Crescer - Birth and Growth Medical Journal 2021;30(4):241-245. doi:10.25753/BirthGrowthMJ.v30.i4.197582183-9417https://doi.org/10.25753/BirthGrowthMJ.v30.i4.19758info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T11:02:16Zoai:repositorio.chporto.pt:10400.16/2755Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:38:56.418334Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Rhino-orbital-cerebral mucormycosis in a pediatric cancer patient Mucormicose rino-orbito-cerebral num doente oncológico pediátrico |
title |
Rhino-orbital-cerebral mucormycosis in a pediatric cancer patient |
spellingShingle |
Rhino-orbital-cerebral mucormycosis in a pediatric cancer patient Couto, Maria Eduarda antifungal encephalitis mucormycosis osteomyelitis Rhizopus sp |
title_short |
Rhino-orbital-cerebral mucormycosis in a pediatric cancer patient |
title_full |
Rhino-orbital-cerebral mucormycosis in a pediatric cancer patient |
title_fullStr |
Rhino-orbital-cerebral mucormycosis in a pediatric cancer patient |
title_full_unstemmed |
Rhino-orbital-cerebral mucormycosis in a pediatric cancer patient |
title_sort |
Rhino-orbital-cerebral mucormycosis in a pediatric cancer patient |
author |
Couto, Maria Eduarda |
author_facet |
Couto, Maria Eduarda Oliva, Tereza Alberto, Pedro Lebre, Ana Pinto, Armando Ferreira, Ana Maia |
author_role |
author |
author2 |
Oliva, Tereza Alberto, Pedro Lebre, Ana Pinto, Armando Ferreira, Ana Maia |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Centro Hospitalar Universitário de Santo António |
dc.contributor.author.fl_str_mv |
Couto, Maria Eduarda Oliva, Tereza Alberto, Pedro Lebre, Ana Pinto, Armando Ferreira, Ana Maia |
dc.subject.por.fl_str_mv |
antifungal encephalitis mucormycosis osteomyelitis Rhizopus sp |
topic |
antifungal encephalitis mucormycosis osteomyelitis Rhizopus sp |
description |
Aim: Mucormycosis infections are highly lethal in immunosuppressed patients. The authors present a rare case of successful treatment of the condition. Case description: A 14-year-old male with acute lymphoblastic lymphoma in remission was diagnosed with pansinusitis, cerebral osteomyelitis, and encephalitis with an abscess caused by Rhizopus sp. Neurosurgical drainage, endoscopic sinus surgery, and left eye enucleation were performed, and the patient was simultaneously treated with lipossomal-amphotericin B and posaconazol (later replaced by isavuconazol). However, complications (left frontal lobe herniation and cerebrospinal fluid fistula) ensued, requiring surgical reoperation. Chemotherapy was restarted four months later. Comments: This is a rare case report, in which early and aggressive surgery, antifungal treatment, and multidisciplinary team work were crucial for the successful outcome. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12 2021-12-01T00:00:00Z 2022-11-30T10:41:49Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.16/2755 |
url |
http://hdl.handle.net/10400.16/2755 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Nascer e Crescer - Birth and Growth Medical Journal 2021;30(4):241-245. doi:10.25753/BirthGrowthMJ.v30.i4.19758 2183-9417 https://doi.org/10.25753/BirthGrowthMJ.v30.i4.19758 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Centro Hospitalar Universitário do Porto |
publisher.none.fl_str_mv |
Centro Hospitalar Universitário do Porto |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799133649251074048 |