Optimal care for rhino-orbital mucormycosis in child with myeloblastic leukemia. Case report and literature review
Maria Rizzo 1, Martina Esposito 1, Serena Crucianelli 1, Guido Ciprandi 1, Mario Zama 1
Affiliation
Article Info
1 U.O.C. Chirurgia Plastica e Maxillofacciale, Ospedale Pediatrico Bambino Gesù, Roma (Italy)
Abstract
Mucormycosis is an opportunistic and aggressive fungal infection that mainly affects immunocompromised patients who generally suffer from diabetes mellitus, immune impairment, hematological disease. It is a life-threatening infection and the management is not standardized. The literature proposes aggressive and early surgical approach, even at the expense of mutilation. We report a case of rhino-orbital mucormycosis in a child with myeloblastic leukemia and the successful treatment using the instill negative pressure wound therapy combined with reconstructive surgery in order to reduce mortality and to avoid disfigurement.
Keywords
- Amphotericin B
- Apex syndrome
- Forehead flap
- Instill NPWT
- Myeloaplasia Mucormycosis
