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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2004, Number 4

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Rev Mex Oftalmol 2004; 78 (4)

Mucormicosis rinoorbital en un paciente con síndrome de inmunodeficiencia adquirida (SIDA) y neutropenia

Carrada-Bravo T

Language: Spanish
References: 13
Page: 194-195
PDF size: 231.19 Kb.


ABSTRACT

Purpose: To present a case of rhino-orbital mucormycosis in a patient with AIDS and neutropenia managed without exenteration.
Method: Clinical case report.
Results: A 50-year-old Mexican man with AIDS developed neutropenia that was probably secondary to antiretroviral therapy. He developed right rhino-orbital mucormycosis and was treated with right partial ethmoidectomy with debridement and liposomal amphotericin B. The infection was cured without need for orbital exenteration, although visual acuity in his right eye ultimately was no light perception.
Discussion: Rhino-orbital mucormycosis is uncommon in patients with AIDS. When rhino-orbital mucormycosis occurs, patients require a careful search for an underlying derangement such as neutropenia. Treatment should be aggressive, but these patients may not require orbital exenteration.


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