A case series of sinonasal mucormycosis and actinomycosis infection: a clinicopathological approach

Background: Mucormycosis is a fast-progressing and life-threatening fungal infection caused by fungi belonging to the order Mucorales. It primarily affects individuals with weakened immune systems or diabetes mellitus (DM). Case Reports: This study includes eight patients aged from 24 to 68 years (s...

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Main Authors: Arushi Gupta, Shaan Khetrapal, Safia Rana, Zeeba Shamim Jairajpuri, Sabina Khan, Sujata Jetley, Seema Monga
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:MGM Journal of Medical Sciences
Subjects:
Online Access:https://doi.org/10.4103/mgmj.mgmj_79_24
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author Arushi Gupta
Shaan Khetrapal
Safia Rana
Zeeba Shamim Jairajpuri
Sabina Khan
Sujata Jetley
Seema Monga
author_facet Arushi Gupta
Shaan Khetrapal
Safia Rana
Zeeba Shamim Jairajpuri
Sabina Khan
Sujata Jetley
Seema Monga
author_sort Arushi Gupta
collection DOAJ
description Background: Mucormycosis is a fast-progressing and life-threatening fungal infection caused by fungi belonging to the order Mucorales. It primarily affects individuals with weakened immune systems or diabetes mellitus (DM). Case Reports: This study includes eight patients aged from 24 to 68 years (six males and two females), all of whom presented to the ear, nose, and throat department with primary complaints of nasal obstruction. Histopathological evaluation of biopsies confirmed mucormycosis, revealing areas of necrosis. After appropriate treatment, all patients showed improvement. Discussion: Histopathological examination is the gold standard for diagnosing fungal infections like mucormycosis and actinomycosis. Hematoxylin and eosin staining typically shows necrotic tissue, a mix of acute and chronic inflammatory cells, and broad, nonseptate fungal hyphae. Conclusion: Mucormycosis is the third most common angioinvasive fungal infection and carries a high mortality rate. Successful management requires early diagnosis, aggressive surgical intervention, and timely antifungal therapy. Additionally, controlling underlying conditions, such as DM, is critical in both preventing and treating this serious infection. This case series underscores the importance of thorough histopathological evaluation and heightened clinical awareness when diagnosing and managing sinonasal infections in immunocompromised patients.
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institution Kabale University
issn 2347-7946
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language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
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series MGM Journal of Medical Sciences
spelling doaj-art-701fa108782d44048bc9a39deeda05242025-01-17T10:55:33ZengWolters Kluwer Medknow PublicationsMGM Journal of Medical Sciences2347-79462347-79622024-12-0111464565010.4103/mgmj.mgmj_79_24A case series of sinonasal mucormycosis and actinomycosis infection: a clinicopathological approachArushi GuptaShaan KhetrapalSafia RanaZeeba Shamim JairajpuriSabina KhanSujata JetleySeema MongaBackground: Mucormycosis is a fast-progressing and life-threatening fungal infection caused by fungi belonging to the order Mucorales. It primarily affects individuals with weakened immune systems or diabetes mellitus (DM). Case Reports: This study includes eight patients aged from 24 to 68 years (six males and two females), all of whom presented to the ear, nose, and throat department with primary complaints of nasal obstruction. Histopathological evaluation of biopsies confirmed mucormycosis, revealing areas of necrosis. After appropriate treatment, all patients showed improvement. Discussion: Histopathological examination is the gold standard for diagnosing fungal infections like mucormycosis and actinomycosis. Hematoxylin and eosin staining typically shows necrotic tissue, a mix of acute and chronic inflammatory cells, and broad, nonseptate fungal hyphae. Conclusion: Mucormycosis is the third most common angioinvasive fungal infection and carries a high mortality rate. Successful management requires early diagnosis, aggressive surgical intervention, and timely antifungal therapy. Additionally, controlling underlying conditions, such as DM, is critical in both preventing and treating this serious infection. This case series underscores the importance of thorough histopathological evaluation and heightened clinical awareness when diagnosing and managing sinonasal infections in immunocompromised patients.https://doi.org/10.4103/mgmj.mgmj_79_24actinomycosisimmunocompromisedmanagementmucormycosissinonasal obstruction
spellingShingle Arushi Gupta
Shaan Khetrapal
Safia Rana
Zeeba Shamim Jairajpuri
Sabina Khan
Sujata Jetley
Seema Monga
A case series of sinonasal mucormycosis and actinomycosis infection: a clinicopathological approach
MGM Journal of Medical Sciences
actinomycosis
immunocompromised
management
mucormycosis
sinonasal obstruction
title A case series of sinonasal mucormycosis and actinomycosis infection: a clinicopathological approach
title_full A case series of sinonasal mucormycosis and actinomycosis infection: a clinicopathological approach
title_fullStr A case series of sinonasal mucormycosis and actinomycosis infection: a clinicopathological approach
title_full_unstemmed A case series of sinonasal mucormycosis and actinomycosis infection: a clinicopathological approach
title_short A case series of sinonasal mucormycosis and actinomycosis infection: a clinicopathological approach
title_sort case series of sinonasal mucormycosis and actinomycosis infection a clinicopathological approach
topic actinomycosis
immunocompromised
management
mucormycosis
sinonasal obstruction
url https://doi.org/10.4103/mgmj.mgmj_79_24
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