Rhino-Orbital-Cerebral Mucormycosis in a Post-COVID-19 Patient from Peru

Mucormycosis has been reported increasingly in patients affected by COVID-19, especially in India where the first cases were described. In Latin America, there is limited information about this association, mainly coming from Brazil, Mexico, and Peru. Herein, we report the case of a 66-year-old fema...

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Autores principales: Ponce-Rosas, Linda, Gonzales-Zamora, Jose, Diaz Reyes, Nelson Fidel, Alarco-Cadillo, Oliver, Alave Rosas, Jorge Luis
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Lenguaje:inglés
Publicado: 2022
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author Ponce-Rosas, Linda
Gonzales-Zamora, Jose
Diaz Reyes, Nelson Fidel
Alarco-Cadillo, Oliver
Alave Rosas, Jorge Luis
author_browse Alarco-Cadillo, Oliver
Alave Rosas, Jorge Luis
Diaz Reyes, Nelson Fidel
Gonzales-Zamora, Jose
Ponce-Rosas, Linda
author_facet Ponce-Rosas, Linda
Gonzales-Zamora, Jose
Diaz Reyes, Nelson Fidel
Alarco-Cadillo, Oliver
Alave Rosas, Jorge Luis
author_sort Ponce-Rosas, Linda
collection Producción científica
description Mucormycosis has been reported increasingly in patients affected by COVID-19, especially in India where the first cases were described. In Latin America, there is limited information about this association, mainly coming from Brazil, Mexico, and Peru. Herein, we report the case of a 66-year-old female that presented with rhino-orbital-cerebral mucormycosis, diabetic ketoacidosis, and COVID-19. The patient had the compromise of all the sinuses, orbital invasion, and intracranial extension. Isavuconazole was promptly initiated because amphotericin B was not available. She had a single open surgical debridement of necrotic tissues at the beginning of the diagnosis then multiple manual sessions to clear the residual or recurrent disease during approximately 5 months. Isavuconazole was effective and well-tolerated for 10 months without side effects. We highlight the importance of considering mucormycosis in post-COVID-19 patients with uncontrolled diabetes. The report emphasizes the favorable outcome of isavuconazole as an alternative therapy.
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spelling oai:cris.upeu.edu.pe:20.500.15037/1732026-11-02T22:00:04ZRhino-Orbital-Cerebral Mucormycosis in a Post-COVID-19 Patient from PeruPonce-Rosas, LindaGonzales-Zamora, JoseDiaz Reyes, Nelson FidelAlarco-Cadillo, OliverAlave Rosas, Jorge LuisMucormycosis has been reported increasingly in patients affected by COVID-19, especially in India where the first cases were described. In Latin America, there is limited information about this association, mainly coming from Brazil, Mexico, and Peru. Herein, we report the case of a 66-year-old female that presented with rhino-orbital-cerebral mucormycosis, diabetic ketoacidosis, and COVID-19. The patient had the compromise of all the sinuses, orbital invasion, and intracranial extension. Isavuconazole was promptly initiated because amphotericin B was not available. She had a single open surgical debridement of necrotic tissues at the beginning of the diagnosis then multiple manual sessions to clear the residual or recurrent disease during approximately 5 months. Isavuconazole was effective and well-tolerated for 10 months without side effects. We highlight the importance of considering mucormycosis in post-COVID-19 patients with uncontrolled diabetes. The report emphasizes the favorable outcome of isavuconazole as an alternative therapy.Articlehttps://pubmed.ncbi.nlm.nih.gov/35299936https://downloads.hindawi.com/journals/criid/2022/2537186.pdfhttps://doi.org/10.1155/2022/2537186PMC892214810.1155/2022/2537186https://hdl.handle.net/20.500.15037/17335299936W4220793268enCase Reports in Infectious Diseases2090-66252090-66332022-03-152026-06-13T07:48:54Z2026-06-13T07:48:54Z
spellingShingle Ponce-Rosas, Linda
Gonzales-Zamora, Jose
Diaz Reyes, Nelson Fidel
Alarco-Cadillo, Oliver
Alave Rosas, Jorge Luis
Rhino-Orbital-Cerebral Mucormycosis in a Post-COVID-19 Patient from Peru
title Rhino-Orbital-Cerebral Mucormycosis in a Post-COVID-19 Patient from Peru
title_full Rhino-Orbital-Cerebral Mucormycosis in a Post-COVID-19 Patient from Peru
title_fullStr Rhino-Orbital-Cerebral Mucormycosis in a Post-COVID-19 Patient from Peru
title_full_unstemmed Rhino-Orbital-Cerebral Mucormycosis in a Post-COVID-19 Patient from Peru
title_short Rhino-Orbital-Cerebral Mucormycosis in a Post-COVID-19 Patient from Peru
title_sort rhino orbital cerebral mucormycosis in a post covid 19 patient from peru
url https://pubmed.ncbi.nlm.nih.gov/35299936
https://downloads.hindawi.com/journals/criid/2022/2537186.pdf
https://doi.org/10.1155/2022/2537186
https://hdl.handle.net/20.500.15037/173
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