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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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2021/6618191 |
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| author | Mariam Aljehani Hatem Alahmadi Mansour Alshamani |
| author_facet | Mariam Aljehani Hatem Alahmadi Mansour Alshamani |
| author_sort | Mariam Aljehani |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-821c17d02f084369843d7b2ffeba8a87 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-821c17d02f084369843d7b2ffeba8a872025-02-03T06:43:43ZengWileyCase Reports in Otolaryngology2090-67652090-67732021-01-01202110.1155/2021/66181916618191A Case Report of Complete Resolution of Auricular Mucormycosis in an 18-Month-Old Diabetic ChildMariam Aljehani0Hatem Alahmadi1Mansour Alshamani2Department of Otolaryngology, Ohud hospital, Al Madinah Almunwarah, Madinah, Saudi ArabiaDepartment of Pediatric Infectious Disease, Maternity and Children Hospital, Al Madinah Almunwarah, Madinah, Saudi ArabiaDepartment of Otology, Neurotology and Cochlear Implant Surgery, Program Director of the Saudi Board of Otolaryngology, Ohud Hospital, Al Madinah Almunawarah, Madinah, Saudi ArabiaBackground. 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.http://dx.doi.org/10.1155/2021/6618191 |
| spellingShingle | Mariam Aljehani Hatem Alahmadi Mansour Alshamani A Case Report of Complete Resolution of Auricular Mucormycosis in an 18-Month-Old Diabetic Child Case Reports in Otolaryngology |
| 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 |
| url | http://dx.doi.org/10.1155/2021/6618191 |
| work_keys_str_mv | AT mariamaljehani acasereportofcompleteresolutionofauricularmucormycosisinan18montholddiabeticchild AT hatemalahmadi acasereportofcompleteresolutionofauricularmucormycosisinan18montholddiabeticchild AT mansouralshamani acasereportofcompleteresolutionofauricularmucormycosisinan18montholddiabeticchild AT mariamaljehani casereportofcompleteresolutionofauricularmucormycosisinan18montholddiabeticchild AT hatemalahmadi casereportofcompleteresolutionofauricularmucormycosisinan18montholddiabeticchild AT mansouralshamani casereportofcompleteresolutionofauricularmucormycosisinan18montholddiabeticchild |