title: Successful treatment of mucormycosis infection after liver transplantation: report of a case and review of the literature.
abstract: Mucormycosis (zygomycosis) is a rare opportunistic fungal infection mainly affecting patients with diabetes mellitus, immunodeficiency, malignancies and solid organ transplant. We present a 55-year-old female with a mucormycosis infection primarily affecting the paranasal sinuses after liver transplantation. The patient presented with a one-week history of right-sided occipital headache and gradual loss of vision in the right eye just 6 months after liver transplantation. Imaging studies revealed a right-sided sphenoiditis with orbital apex involvement. The patient underwent endoscopic sinus surgery and the histology confirmed the diagnosis of mucormycosis. Aggressive surgical ablation of the infected parts, along with antifungal treatment and adjustment of her immunosuppressive maintenance resulted in a good outcome and long-term survival.
authors.affiliation: Division of General Surgery, Department of Surgery, Tri-Service General Hospital, Taipei, Taiwan.
authors.forename: C-T
authors.initials: CT
authors.lastname: Lin
authors.forename: J-C
authors.initials: JC
authors.lastname: Lee
authors.forename: D-C
authors.initials: DC
authors.lastname: Chan
authors.forename: J-C
authors.initials: JC
authors.lastname: Yu
authors.forename: C-B
authors.initials: CB
authors.lastname: Hsieh
mesh_terms: D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D009091:Mucormycosis / Q000209:etiology* / Q000628:therapy*; D010254:Paranasal Sinus Diseases / Q000209:etiology* / Q000628:therapy*; D012852:Sinusitis / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome