Unusual orbital mucormycosis due to pecking injury: clinical characteristics and outcomes of four immunocompetent pediatric patients.

Publisher: Informa Healthcare Country of Publication: England NLM ID: 8301221 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-5108 (Electronic) Linking ISSN: 01676830 NLM ISO Abbreviation: Orbit Subsets: MEDLINE

Publication: London : Informa Healthcare
Original Publication: Amsterdam : Aeolus Press, [1982-

Mucormycosis*/diagnosis ; Mucormycosis*/microbiology ; Mucormycosis*/drug therapy ; Orbital Diseases*/microbiology ; Orbital Diseases*/diagnostic imaging ; Orbital Diseases*/diagnosis ; Orbital Diseases*/etiology ; Orbital Diseases*/drug therapy ; Orbital Diseases*/therapy ; Eye Infections, Fungal*/microbiology ; Eye Infections, Fungal*/diagnosis ; Eye Infections, Fungal*/drug therapy ; Antifungal Agents*/therapeutic use ; Immunocompetence*; Humans ; Male ; Child ; Female ; Tomography, X-Ray Computed ; Child, Preschool ; Adolescent

Mucormycosis is a serious fungal infection caused by fungi in the order of Mucorales. Orbital mucormycosis occurs more frequently in rhino-orbital, sino-orbital, and rhino-orbito-cerebral forms of the disease, while isolated orbital mucormycosis is much less common. Herein, we present four cases of immunocompetent children who developed primary cutaneous mucormycosis, which subsequently invaded and progressed to orbital mucormycosis following direct traumatic injury caused by pecking from Acridotheres tristis (Common Myna). Given the low prevalence of orbital mucormycosis in healthy children, an unknown source of infection and delayed diagnosis followed by late therapeutic interventions could result in life-threatening conditions and serious sequelae.

Keywords: Mucomycosis; children; immunocompetent; orbital; zygomycosis

0 (Antifungal Agents)

Date Created: 20230912 Date Completed: 20240916 Latest Revision: 20241004

20241005

10.1080/01676830.2023.2252054

37698843