Mucormycosis of the head and neck

Research output: Contribution to journalReview articlepeer-review

Abstract

Mucormycosis of the head and neck is the most common form of infection by the order Mucorales, accounting for up to half of all cases. About 70% of rhinocerebral cases develop in diabetic patients. Less often, rhinocerebral mucormycosis occurs in solid organ transplant recipients, those with prolonged neutropenia, and those on deferoxamine therapy. Recently, rhinocerebral disease has been increasingly recognized in patients undergoing hematopoietic stem cell transplantation. A growing number of cases have presented as breakthrough infection in patients receiving voriconazole. The mortality rate of rhinocerebral mucormycosis has remained at 30% to 70% despite aggressive therapy. Early initiation of treatment substantially improves outcome, underscoring the need to maintain a high index of suspicion and promptly biopsy potential lesions. Surgical excision of necrotic tissue is essential. Lipid formulations of amphotericin B have become the standard treatment for mucormycosis. Posaconazole is useful as salvage therapy, but cannot be recommended yet as primary therapy.

Original languageEnglish
Pages (from-to)123-131
Number of pages9
JournalCurrent Infectious Disease Reports
Volume13
Issue number2
DOIs
StatePublished - Apr 2011
Externally publishedYes

Keywords

  • Amphotericin B deoxycholate
  • Amphotericin B lipid formulations
  • Azoles
  • Deferoxamine
  • Diabetes mellitus
  • Echinocandins
  • Hematopoietic stem cell transplant recipients
  • Immunocompromising conditions
  • Iron overload
  • Mucorales
  • Mucormycosis
  • Posaconazole
  • Rhino-orbitocerebral mucormycosis
  • Solid organ transplant recipients

Fingerprint

Dive into the research topics of 'Mucormycosis of the head and neck'. Together they form a unique fingerprint.

Cite this