Mucormycosis Presented with Facial Pain in a Renal Transplant Patient: A Case Report

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dc.authoridKayabas, Uner/0000-0002-5323-0796
dc.contributor.authorBerktas, Bayram
dc.contributor.authorTaskapan, Hulya
dc.contributor.authorBayindir, Tugba
dc.contributor.authorKayabas, Uner
dc.contributor.authorYildirim, Ismail Okan
dc.date.accessioned2024-11-07T13:23:54Z
dc.date.available2024-11-07T13:23:54Z
dc.date.issued2019
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description1st International Transplant Network Congress -- OCT 17-21, 2018 -- Antalya, TURKEY
dc.description.abstractIntroduction. Mucormycosis is a severe infection in renal transplant recipients. Here, we report a case of maxillary sinus mucormycosis in a patient who presented with a facial pain complaint. Case. A 51-year-old female patient with renal transplantation due to autosomal dominant, polycystic kidney disease and diabetic nephropathy was admitted to our hospital with facial pain and minimal edema of the left half of her face on the 8th month of transplantation. On physical examination, there was only tenderness and slight edema on the left half of the face. On the paranasal computed tomography, extensive soft tissue densities involving septations, filling the left maxillary sinus, extending to the nasal cavity, and obliterating the left osteometeal unit were observed. Because facial pain was not relieved by antibiotics and several, potent analgesic drugs on the second day, mucormycosis infection with bone involvement was suspected. A left maxillary sinus excision was performed. Microscopic examination of the debridement specimen revealed necrotic bone interspersed with fungal hyphae, and culture isolated Rhizopus oiyzae. Liposomal amphotericin B was started. The patient was on tacrolimus, prednisolone, and mycophenolate mofetil. Tacrolimus was switched to cyclosporine to regulate serum glucose levels. The left maxillary sinus was washed with liposomal amphoterin B daily and curetted with intervals. The patient started dialysis because of severe renal function loss. The patient was discharged on the 96th day of liposomal amphotericin B. Conclusion. It should be kept in mind that mucormycosis may be present in the sinuses even if there is no evidence for nasal, oral, and dental examination in renal transplant patients with facial pain.
dc.identifier.doi10.1016/j.transproceed.2019.02.048
dc.identifier.endpage2500
dc.identifier.issn0041-1345
dc.identifier.issn1873-2623
dc.identifier.issue7
dc.identifier.pmid31405737
dc.identifier.scopus2-s2.0-85070218599
dc.identifier.scopusqualityQ3
dc.identifier.startpage2498
dc.identifier.urihttps://doi.org/10.1016/j.transproceed.2019.02.048
dc.identifier.urihttps://hdl.handle.net/11480/13784
dc.identifier.volume51
dc.identifier.wosWOS:000487349900083
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofTransplantation Proceedings
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241106
dc.titleMucormycosis Presented with Facial Pain in a Renal Transplant Patient: A Case Report
dc.typeConference Object

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