Mediastinitis and Bronchial Perforations Due to Mucormycosis.
Diabetes mellitus is the most common predisposing condition for mucormycosis, which is emerging as an important invasive fungal infection worldwide. Isolated mediastinitis is a very rare presentation of mucormycosis. A 57-year-old woman with uncontrolled type 2 diabetes mellitus and ketoacidosis presented with septic shock and was subsequently found to have mucor mediastinitis with multiple bronchial perforations. The organism was identified as Rhizopus oryzae with the help of DNA sequencing.
Departments of *Pulmonary Medicine †Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Sahajal
S
Dhooria
Ritesh
R
Agarwal
Arunaloke
A
Chakrabarti
D001982:Bronchial Diseases / Q000209:etiology*; D001999:Bronchoscopy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D016883:Diabetic Ketoacidosis / Q000150:complications; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008480:Mediastinitis / Q000209:etiology*; D008875:Middle Aged; D009091:Mucormycosis / Q000150:complications* / Q000175:diagnosis*; D012233:Rhizopus / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed