AI Summary & Key Takeaways
AI InsightIn the current case report, the course of rinocerebral mucormycosis in a patient who has not undergone surgical procedure is presented and discussed in the light of the literature
📌 3 Key Takeaways
Abstract
A dark necrotic lesion destroying the nasal dorsum was discovered in the physical examination of a woman patient, who was admitted to the emergency department for impaired consciousness. Although medical in- formation on the patient did not reveal any history of diabetes mellitus, blood glucose level and blood Ph were 342 mg/dL and 7.1 respectively. The patient was hospitalised with diagnoses of diabetic ketoacidosis and rinocerebral mucormycosis, and anti-mycotic treatment was administered thereafter. Vital signs and biochemical levels were normalised for planned surgical debridment. Since the relatives have not consented to operation, the medical treatment was maintained. In the current case report, the course of rinocerebral mucormycosis in a patient who has not undergone surgical procedure is presented and discussed in the light of the literature
Özet
Acil servise bilinç kaybı şikayeti ile başvuran 44 yaşındaki kadın hastanın yapılan muayenesinde nazal dorsumda destrüksiyona neden olan siyah nekrotik lezyon mevcuttu. Anamnezinde diyabet hikayesi olmayan hastanın kan şekeri 342 mg/dL ve kan Ph'ı 7,1 olarak ölçüldü. Hasta diyabetik ketoasidoz ve rinoserebral mukormukozis tanısı ile hospitalize edilip antimikotik tedavi başlandı. Vital bulguları ve kan biyokimyası operasyona uygun hale geldiğinde hastaya cerrahi debridman planlandı. Ancak hasta yakınlarından operasyon için onay alınamaması üzerine hastanın medikal tedavisine devam edildi. Bu yazıda cerrahi tedavi uygulanamayan hastadaki rinoserebral mukormukozisin seyri literatür bilgisi eşliğinde sunulmuştur.