title: Successful treatment of invasive rhinopulmonary mucormycosis with an indolent presentation by combined medical and surgical therapy.
abstract: In many cases of mucormycosis, immediate surgical treatments are necessary because of its fulminant course and destructive characteristics in an immunocompromised patient. However, a chronic indolent type is also observed in a healthy group of people. We experienced rhinomucormycosis in a 56-year-old woman with diabetes who previously had pulmonary mucormycosis. She was treated successfully through endoscopic sinus surgery and nasal irrigation with antifungal agent. Herein, we report the clinical courses and symptoms of this patient with literature review.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Kosin University Gospel Hospital, Busan, Republic of Korea.
authors.forename: Seung Tae
authors.initials: ST
authors.lastname: Kim
authors.forename: Woo Sung
authors.initials: WS
authors.lastname: Kim
authors.forename: Hwan Ho
authors.initials: HH
authors.lastname: Lee
authors.forename: Joo Yeon
authors.initials: JY
authors.lastname: Kim
mesh_terms: D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004724:Endoscopy; D005260:Female; D006801:Humans; D008172:Lung Diseases, Fungal / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery*; D008875:Middle Aged; D009091:Mucormycosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D010254:Paranasal Sinus Diseases / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery*; D007507:Therapeutic Irrigation; D014057:Tomography, X-Ray Computed
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B