[Exoftalmos and palpebral ptosis in the immunocompromised patient].
The mucormycosis is an opportunistic mycosis which has a high rate of global mortality with a bad prognosis. The present clinical case shows a patient attended in the Intensive Care Unit because of a breathing insufficiency secondary to a pneumonia. Among his antecedents there is a larynx carcinoma totally remittent after chemo- and radiotherapy. He develops an infrapalpebral injury which spreads rapidly in a bilateral way acquiring a necrotic look that it did not have initially. Having that evolution, it is implemented a treatment with liposomal amphotericin B and granulocyte colony-stimulating factors after an injury biopsy, whose posterior cultive shows growing of Mucor. This kind of pathology must be initially suspected in all the patients with a neoplasia and its treatment must be early and agressive. At the moment the diagnosis is suspected there is a great tissue destruction and for that reason the patients usually die in spite of the instauration of aggressive therapies
Oboón
B
B
Servicio de Medicina Intensiva. Hospital Clínico Universitario. Zaragoza, Spain.
Zalba
B
B
López
C
C
Gutiérrez
I
I
Villanueva
B
B
González
J
J
D001763:Blepharoptosis / Q000209:etiology*; D002294:Carcinoma, Squamous Cell / Q000188:drug therapy / Q000532:radiotherapy; D003131:Combined Modality Therapy; D005094:Exophthalmos / Q000209:etiology*; D005143:Eyelids / Q000293:injuries*; D017809:Fatal Outcome; D006801:Humans; D016867:Immunocompromised Host; D007822:Laryngeal Neoplasms / Q000188:drug therapy / Q000532:radiotherapy; D008297:Male; D044342:Malnutrition / Q000150:complications / Q000276:immunology; D009091:Mucormycosis / Q000150:complications* / Q000175:diagnosis; D009894:Opportunistic Infections / Q000382:microbiology*; D014946:Wound Infection / Q000150:complications* / Q000382:microbiology