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
Hauptverfasser: 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
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container_end_page 935
container_issue 9-10
container_start_page 933
container_title Mycopathologia (1975)
container_volume 182
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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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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