Revista chilena de infectología
versão impressa ISSN 0716-1018
AGUAD R., Lucía et al. Rhinosinusal mucormicosis in an HIV positive patient. Rev. chil. infectol. [online]. 2004, vol.21, n.4, pp. 345-350. ISSN 0716-1018. doi: 10.4067/S0716-10182004000400009.
Mucormicosis is a fungal opportunistic infection produced by various species of Mucorales, such as Rhizopus, Mucor, Cunninghamella and Absidia. It is associated with diabetes, renal failure, blood diseases, tumors and solid organ or hematological precursors transplants. It presents with diverse clinical manifestations: rhinocerebral, renal, pulmonary, cutaneous, gastrointestinal and disseminated disease. The infection is uncommon in HIV positive patients. In 2002 at the Dr. Lucio Cordova Infectious Diseases Hospital we attended our first confirmed case, a female, HIV (+) patient, C3 CDC stage, with less than 100 CD4/mm3 and receiving antiretroviral treatment. She presented a rhinosinusal form and diagnosis was made by CT scan and confirmed with biopsy and culture. This case was treated with amphotericin B deoxycolate and debridement of all necrotic tissue. The patient completed treatment and died one half year after treatment without reactivation of infection.
Palavras-chave : Mucormicosis; Rhinosinusal; AIDS.