Mucormycosis Presented with Facial Pain in a Renal Transplant Patient: A Case Report

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dc.authoridtaskapan, hulya/0000-0001-8736-4779
dc.authoridKayabas, Uner/0000-0002-5323-0796
dc.authoridberktas, bayram/0000-0001-9469-4303
dc.authorwosidYıldırım, İsmail Okan/AFR-8243-2022
dc.authorwosidtaskapan, hulya/ABI-7737-2020
dc.authorwosidKayabas, Uner/JRX-1616-2023
dc.authorwosidberktas, bayram/ABI-5057-2020
dc.contributor.authorBerktas, Bayram
dc.contributor.authorTaskapan, Hulya
dc.contributor.authorBayindir, Tugba
dc.contributor.authorKayabas, Uner
dc.contributor.authorYildirim, Ismail Okan
dc.date.accessioned2024-08-04T20:46:43Z
dc.date.available2024-08-04T20:46:43Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description1st International Transplant Network Congress -- OCT 17-21, 2018 -- Antalya, TURKEYen_US
dc.description.abstractIntroduction. Mucormycosis is a severe infection in renal transplant recipients. Here, we report a case of maxillary sinus mucormycosis in a patient who presented with a facial pain complaint. Case. A 51-year-old female patient with renal transplantation due to autosomal dominant, polycystic kidney disease and diabetic nephropathy was admitted to our hospital with facial pain and minimal edema of the left half of her face on the 8th month of transplantation. On physical examination, there was only tenderness and slight edema on the left half of the face. On the paranasal computed tomography, extensive soft tissue densities involving septations, filling the left maxillary sinus, extending to the nasal cavity, and obliterating the left osteometeal unit were observed. Because facial pain was not relieved by antibiotics and several, potent analgesic drugs on the second day, mucormycosis infection with bone involvement was suspected. A left maxillary sinus excision was performed. Microscopic examination of the debridement specimen revealed necrotic bone interspersed with fungal hyphae, and culture isolated Rhizopus oiyzae. Liposomal amphotericin B was started. The patient was on tacrolimus, prednisolone, and mycophenolate mofetil. Tacrolimus was switched to cyclosporine to regulate serum glucose levels. The left maxillary sinus was washed with liposomal amphoterin B daily and curetted with intervals. The patient started dialysis because of severe renal function loss. The patient was discharged on the 96th day of liposomal amphotericin B. Conclusion. It should be kept in mind that mucormycosis may be present in the sinuses even if there is no evidence for nasal, oral, and dental examination in renal transplant patients with facial pain.en_US
dc.identifier.doi10.1016/j.transproceed.2019.02.048
dc.identifier.endpage2500en_US
dc.identifier.issn0041-1345
dc.identifier.issn1873-2623
dc.identifier.issue7en_US
dc.identifier.pmid31405737en_US
dc.identifier.scopus2-s2.0-85070218599en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage2498en_US
dc.identifier.urihttps://doi.org/10.1016/j.transproceed.2019.02.048
dc.identifier.urihttps://hdl.handle.net/11616/98902
dc.identifier.volume51en_US
dc.identifier.wosWOS:000487349900083en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofTransplantation Proceedingsen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keywords]en_US
dc.titleMucormycosis Presented with Facial Pain in a Renal Transplant Patient: A Case Reporten_US
dc.typeConference Objecten_US

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