Nosocomial Rhinocerebral Mucormycosis: Two Cases with a Temporal Relationship
Mucormycosis is an unusual fungal infection that usually affects immunosuppressed patients. Small outbreaks of mucormycosis have been previously reported. We present two clinical cases of fatal rhinocerebral mucormycosis with a close temporal relationship between them and a possible nosocomial trans...
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Veröffentlicht in: | Mycopathologia (1975) 2017-10, Vol.182 (9-10), p.933-935 |
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container_title | Mycopathologia (1975) |
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creator | Sánchez-Gil, Justo Guirao-Arrabal, Emilio Parra-García, Ginés David Luzón-García, María del Pilar Fe Bautista-Marín, Maria Barayobre-Barayobre, Matías Fontalba-Navas, Andrés |
description | Mucormycosis is an unusual fungal infection that usually affects immunosuppressed patients. Small outbreaks of mucormycosis have been previously reported. We present two clinical cases of fatal rhinocerebral mucormycosis with a close temporal relationship between them and a possible nosocomial transmission: case 1 was a 75-year-old male with diabetes and COPD, treated with antibiotics and systemic corticosteroids, who developed rhinocerebral mucormycosis. Case 2 was an 88-year-old woman who was treated with systemic antibiotics and corticosteroids and developed the same infection after insertion of a nasogastric tube. Both patients concurred at the same time in our hospital, and healthcare staff was common to both of them. These cases, along with previously reported cases, highlight that, although infrequent, transmission of the fungus in the hospital environment is a real possibility that should be taken into account in order to initiate contact and air isolation precautions that could avoid nosocomial transmission of this infection. |
doi_str_mv | 10.1007/s11046-017-0164-2 |
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Small outbreaks of mucormycosis have been previously reported. We present two clinical cases of fatal rhinocerebral mucormycosis with a close temporal relationship between them and a possible nosocomial transmission: case 1 was a 75-year-old male with diabetes and COPD, treated with antibiotics and systemic corticosteroids, who developed rhinocerebral mucormycosis. Case 2 was an 88-year-old woman who was treated with systemic antibiotics and corticosteroids and developed the same infection after insertion of a nasogastric tube. Both patients concurred at the same time in our hospital, and healthcare staff was common to both of them. These cases, along with previously reported cases, highlight that, although infrequent, transmission of the fungus in the hospital environment is a real possibility that should be taken into account in order to initiate contact and air isolation precautions that could avoid nosocomial transmission of this infection.</description><identifier>ISSN: 0301-486X</identifier><identifier>EISSN: 1573-0832</identifier><identifier>DOI: 10.1007/s11046-017-0164-2</identifier><identifier>PMID: 28639065</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Antibiotics ; Antifungal agents ; Biomedical and Life Sciences ; Chronic obstructive pulmonary disease ; Corticoids ; Corticosteroids ; Development and progression ; Diabetes mellitus ; Disease transmission ; Diseases ; Eukaryotic Microbiology ; Fungal infections ; Health aspects ; Hospitals ; Infections ; Life Sciences ; Medical Microbiology ; Microbial Ecology ; Microbiology ; Mucormycosis ; Nosocomial infection ; Outbreaks ; Plant Sciences ; Type 2 diabetes</subject><ispartof>Mycopathologia (1975), 2017-10, Vol.182 (9-10), p.933-935</ispartof><rights>Springer Science+Business Media B.V. 2017</rights><rights>COPYRIGHT 2017 Springer</rights><rights>Mycopathologia is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-6b8f6835028a4bd177a9f5d054fb0503d18541c16674b91945e3abdccf1dbe5a3</citedby><cites>FETCH-LOGICAL-c473t-6b8f6835028a4bd177a9f5d054fb0503d18541c16674b91945e3abdccf1dbe5a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11046-017-0164-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11046-017-0164-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28639065$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sánchez-Gil, Justo</creatorcontrib><creatorcontrib>Guirao-Arrabal, Emilio</creatorcontrib><creatorcontrib>Parra-García, Ginés David</creatorcontrib><creatorcontrib>Luzón-García, María del Pilar</creatorcontrib><creatorcontrib>Fe Bautista-Marín, Maria</creatorcontrib><creatorcontrib>Barayobre-Barayobre, Matías</creatorcontrib><creatorcontrib>Fontalba-Navas, Andrés</creatorcontrib><title>Nosocomial Rhinocerebral Mucormycosis: Two Cases with a Temporal Relationship</title><title>Mycopathologia (1975)</title><addtitle>Mycopathologia</addtitle><addtitle>Mycopathologia</addtitle><description>Mucormycosis is an unusual fungal infection that usually affects immunosuppressed patients. Small outbreaks of mucormycosis have been previously reported. We present two clinical cases of fatal rhinocerebral mucormycosis with a close temporal relationship between them and a possible nosocomial transmission: case 1 was a 75-year-old male with diabetes and COPD, treated with antibiotics and systemic corticosteroids, who developed rhinocerebral mucormycosis. Case 2 was an 88-year-old woman who was treated with systemic antibiotics and corticosteroids and developed the same infection after insertion of a nasogastric tube. Both patients concurred at the same time in our hospital, and healthcare staff was common to both of them. These cases, along with previously reported cases, highlight that, although infrequent, transmission of the fungus in the hospital environment is a real possibility that should be taken into account in order to initiate contact and air isolation precautions that could avoid nosocomial transmission of this infection.</description><subject>Antibiotics</subject><subject>Antifungal agents</subject><subject>Biomedical and Life Sciences</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Corticoids</subject><subject>Corticosteroids</subject><subject>Development and progression</subject><subject>Diabetes mellitus</subject><subject>Disease transmission</subject><subject>Diseases</subject><subject>Eukaryotic Microbiology</subject><subject>Fungal infections</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Infections</subject><subject>Life Sciences</subject><subject>Medical Microbiology</subject><subject>Microbial Ecology</subject><subject>Microbiology</subject><subject>Mucormycosis</subject><subject>Nosocomial infection</subject><subject>Outbreaks</subject><subject>Plant Sciences</subject><subject>Type 2 diabetes</subject><issn>0301-486X</issn><issn>1573-0832</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp1kV1rFDEUhoModq3-AG9kwBu9mJqTr8l4VxY_Cq3CuoJ3IZM5s5syM9kmM9T-e7Ns_VhRQggned6Xc_IS8hzoGVBavUkAVKiSQpW3EiV7QBYgK15SzdlDsqCcQim0-nZCnqR0TWlWQfWYnDCteE2VXJCrTyEFFwZv-2K19WNwGLGJubqaXYjDnQvJp7fF-jYUS5swFbd-2ha2WOOwC3tuhb2dfBjT1u-ekked7RM-uz9Pydf379bLj-Xl5w8Xy_PL0omKT6VqdKc0l5RpK5oWqsrWnWypFF1DJeUtaCnAgVKVaGqohURum9a5DtoGpeWn5NXBdxfDzYxpMoNPDvvejhjmZKAGpkAyrTP68i_0OsxxzN1liitgVf6I39TG9mj82IUpWrc3Nee5IVWDYjxTZ_-g8mpx8C6M2Pl8fyR4fSTIzITfp42dUzIXX1bHLBxYF0NKETuzi36w8c4ANfu4zSFukyM0-7gNy5oX98PNzYDtL8XPfDPADkDKT-MG4x_T_9f1B6BasY4</recordid><startdate>20171001</startdate><enddate>20171001</enddate><creator>Sánchez-Gil, Justo</creator><creator>Guirao-Arrabal, Emilio</creator><creator>Parra-García, Ginés David</creator><creator>Luzón-García, María del Pilar</creator><creator>Fe Bautista-Marín, Maria</creator><creator>Barayobre-Barayobre, Matías</creator><creator>Fontalba-Navas, Andrés</creator><general>Springer Netherlands</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20171001</creationdate><title>Nosocomial Rhinocerebral Mucormycosis: Two Cases with a Temporal Relationship</title><author>Sánchez-Gil, Justo ; 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Small outbreaks of mucormycosis have been previously reported. We present two clinical cases of fatal rhinocerebral mucormycosis with a close temporal relationship between them and a possible nosocomial transmission: case 1 was a 75-year-old male with diabetes and COPD, treated with antibiotics and systemic corticosteroids, who developed rhinocerebral mucormycosis. Case 2 was an 88-year-old woman who was treated with systemic antibiotics and corticosteroids and developed the same infection after insertion of a nasogastric tube. Both patients concurred at the same time in our hospital, and healthcare staff was common to both of them. These cases, along with previously reported cases, highlight that, although infrequent, transmission of the fungus in the hospital environment is a real possibility that should be taken into account in order to initiate contact and air isolation precautions that could avoid nosocomial transmission of this infection.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>28639065</pmid><doi>10.1007/s11046-017-0164-2</doi><tpages>3</tpages></addata></record> |
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subjects | Antibiotics Antifungal agents Biomedical and Life Sciences Chronic obstructive pulmonary disease Corticoids Corticosteroids Development and progression Diabetes mellitus Disease transmission Diseases Eukaryotic Microbiology Fungal infections Health aspects Hospitals Infections Life Sciences Medical Microbiology Microbial Ecology Microbiology Mucormycosis Nosocomial infection Outbreaks Plant Sciences Type 2 diabetes |
title | Nosocomial Rhinocerebral Mucormycosis: Two Cases with a Temporal Relationship |
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