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Rhino‐Orbital and Rhino‐Orbito‐Cerebral Mucormycosis
Abstract
BACKGROUND: Rhino‐orbito‐cerebral mucormycosis (ROCM) is a devastating infection of immunocompromised hosts. We present our experience with 19 ROCM cases and attempt to define preferred diagnostic and treatment protocols. METHODS: All had tissue biopsies obtained studied by direct smear, histologic studies, and cultures. Imaging was obtained in 14 cases. RESULTS: Sixteen patients presented between August and November. Six had mixed fungal infections. Seven patients had end‐stage underlying disease or infection and did not undergo surgery and 4 had an indolent form of disease. Patients were treated by surgery and by amphotericin B. The overall survival was 47%. CONCLUSIONS: ROCM may have seasonal incidence peaking in the fall and early winter. The therapeutic approach should be unchanged in cases of mixed fungal infections. Amphotericin B with aggressive debridement remains the mainstay of treatment. Early recognition and treatment are essential. A presentation and survival‐dependent classification of ROCM are offered.
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Cited by
Novel perspectives on mucormycosis: pathophysiology, presentation, and management
Spellberg, B., Edwards, J., & Ibrahim, A. (2005) · Clinical Microbiology Reviews · doi:10.1128/cmr.18.3.556-569.2005 · Cited by 1,537
Epidemiology and Clinical Manifestations of Mucormycosis
Petrikkos, G., Skiada, A., Lortholary, O., Roilides, E., Walsh, T. J., & Kontoyiannis, D. P. (2012) · Clinical Infectious Diseases · doi:10.1093/cid/cir866 · Cited by 1,452
Prabhu, R. M., & Patel, R. (2004) · Clinical Microbiology and Infection · doi:10.1111/j.1470-9465.2004.00843.x · Cited by 593
The ecology of the Zygomycetes and its impact on environmental exposure
Richardson, M. (2009) · Clinical Microbiology and Infection · doi:10.1111/j.1469-0691.2009.02972.x · Cited by 299
Metadata
- Authors
- Talmi, Y. P., Goldschmied‐Reouven, A., Bakon, M., Barshack, I., Wolf, M., Horowitz, Z., Berkowicz, M., Keller, N., & Kronenberg, J.
- Venue
- Otolaryngology–Head and Neck Surgery
- Publisher
- Wiley
- Published
- 2002-07
- Volume
- 127
- Issue
- 1
- Pages
- 22-31
- ISSN
- 0161-6439 (ISSN-L)
- 0194-5998
- 1097-6817
- OpenAlex
- W2161021902
- Cited by
- 247
- References
- 0
- FWCI
- 3.27
- Type
- journal article
- Language
- en
- Open access
- closed
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- Talmi, Y. P., Goldschmied‐Reouven, A., Bakon, M., Barshack, I., Wolf, M., Horowitz, Z., Berkowicz, M., Keller, N., & Kronenberg, J. (2002). Rhino‐Orbital and Rhino‐Orbito‐Cerebral Mucormycosis. Otolaryngology–Head and Neck Surgery. https://doi.org/10.1067/mhn.2002.126587
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