The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.
Smirnov A.V.
Volgograd State Medical University;
Volgograd Medical Research Center
Ermilov V.V.
Volgograd State Medical University
Chernetsky O.A.
Volgograd Regional Autopsy Bureau
Blokhina S.V.
Volgograd Regional Pathological Bureau
Grableva V.S.
Volgograd Regional Pathological Bureau
Gurov D.Yu.
Volgograd State Medical University of the Ministry of Health of Russia
Ermilova I.V.
Clinical Hospital No.5
Fatal case of rhinocerebral mucormycosis on the background of type II diabetes mellitus
Journal: Russian Journal of Archive of Pathology. 2024;86(3): 52‑58
Views: 500
Downloaded: 2
To cite this article:
Smirnov AV, Ermilov VV, Sasin AN, et al. . Fatal case of rhinocerebral mucormycosis on the background of type II diabetes mellitus. Russian Journal of Archive of Pathology.
2024;86(3):52‑58. (In Russ.)
https://doi.org/10.17116/patol20248603152
Mucormycosis is a disease caused by fungi of the Mucorales family, widespread in the environment, with pronounced angiotropism and the ability to angioinvasion, leading to thrombosis with surrounding necrosis. The main triggers for the development of mucormycosis are: immunodeficiency states, use of glucocorticosteroid drugs, decompensation of diabetes mellitus, concomitant diseases, age > 65 years. We present a clinical case of rhinocerebral mucormycosis in a 79-year-old patient against the background of uncontrolled type 2 diabetes mellitus with ketoacidosis, a condition after previous glucocorticosteroid therapy for COVID-19 (according to the severity of the disease). After suffering a new coronavirus infection caused by the SARS-CoV-2 virus, she was admitted to the hospital with complaints characteristic of mucormycosis. On the 5th day of hospital stay, the patient’s condition worsened significantly, despite the correction of the therapy, and on the 12th day the patient died. According to the results of the autopsy, it was established that the rhinocerebral mucormycosis was complicated by thrombosis of the anterior and posterior left cerebral arteries with subsequent infarctions in the frontal lobe and parieto-occipital region of the brain left hemisphere, cerebral edema, which was the immediate cause of death.
Authors:
Smirnov A.V.
Volgograd State Medical University;
Volgograd Medical Research Center
Ermilov V.V.
Volgograd State Medical University
Chernetsky O.A.
Volgograd Regional Autopsy Bureau
Blokhina S.V.
Volgograd Regional Pathological Bureau
Grableva V.S.
Volgograd Regional Pathological Bureau
Gurov D.Yu.
Volgograd State Medical University of the Ministry of Health of Russia
Ermilova I.V.
Clinical Hospital No.5
Received:
27.12.2023
Accepted:
28.02.2024
List of references:
Close metadata
Email Confirmation
An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.
Email Confirmation
Log in to the site using your account in one of the services
We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.