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Vocal Cord Mucormycosis: An Unusual Cause of Stridor-Case Report

以喘鳴爲最初表現的聲帶白黴菌病-病例報告

摘要


白黴菌病是一種伺機性黴菌感染。它通常發生在有糖尿病、免疫不全、癌症和長期使用類固醇的病人身上。通常侵犯鼻腦部、肺部、皮膚和腸胃道。肺部白黴菌通常發生在糖尿病和癌症病人。聲帶侵犯的病例則很少被報告也尚未有標準治療方式的結論。我們提出一個急性骨髓性白血病合併有糖尿病的病人,以喘鳴為最初表現的聲帶白黴菌病歷報告。因為病人拒絕開刀介入,我們以靜脈注射amphotericin B超過一個月。最後病人仍然因為瀰漫性白黴菌病感染而死亡。

並列摘要


Mucormycosis is an opportunistic fungal infection. It occurs in patients with diabetes mellitus, malignancy or long-term steroid use, and in those who are immunocompromised. Usually, it infects the rhinocerebral, pulmonary, cutaneous or gastrointestinal systems [1]. Pulmonary mucormycosis commonly occurs in immunocompromised patients or those with malignancies, but vocal cord mucormycosis is rare and the standard treatment is still inconclusive. We reported a patient with acute myeloid leukemia and type 2 diabetes mellitus suffering from vocal cord mucormycosis infection with the initial presentation of stridor. We treated the patient by intravenous amphotericin B for more than 1 month because he refused surgical intervention. But the patient still expired due to disseminated mucormycosis infection.

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