Source:http://linkedlifedata.com/resource/pubmed/id/20689269
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2010-10-7
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pubmed:abstractText |
A rare case of oromandibular Rhizopus oryzae infection is described in a 55-year-old woman with acute myeloid leukaemia and decompensated diabetes mellitus. The infection developed during induction chemotherapy when the patient was neutropenic. She was treated with a combination of amphotericin B lipid formulation and caspofungin plus surgery. Debridement surgery included excision of the lower lip, chin, floor of the mouth, a portion of the tongue, as well as mandibular resection at the level of the horizontal branches. Eight weeks of combined antifungal therapy were followed by secondary prophylaxis with amphotericin B lipid formulation during consolidation chemotherapy after achieving complete response of both leukaemia and mucormycosis. Reconstructive surgery was carried out including insertion of a new biomaterial porous mandibular prosthesis, which showed excellent functionality after long-term follow-up, followed by several plastic surgery procedures once good tolerability and no adverse effects of the prosthesis were observed. This case shows that a well-coordinated multidisciplinary approach is critical to increase the chances of clinical success in this life-threatening infection.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1421-9662
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pubmed:author | |
pubmed:copyrightInfo |
Copyright © 2010 S. Karger AG, Basel.
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pubmed:issnType |
Electronic
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pubmed:volume |
124
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
98-102
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pubmed:meshHeading |
pubmed-meshheading:20689269-Amphotericin B,
pubmed-meshheading:20689269-Antifungal Agents,
pubmed-meshheading:20689269-Chin,
pubmed-meshheading:20689269-Drug Therapy, Combination,
pubmed-meshheading:20689269-Echinocandins,
pubmed-meshheading:20689269-Female,
pubmed-meshheading:20689269-Humans,
pubmed-meshheading:20689269-Leukemia, Myeloid, Acute,
pubmed-meshheading:20689269-Mandible,
pubmed-meshheading:20689269-Middle Aged,
pubmed-meshheading:20689269-Mouth,
pubmed-meshheading:20689269-Mucormycosis,
pubmed-meshheading:20689269-Necrosis,
pubmed-meshheading:20689269-Reconstructive Surgical Procedures
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pubmed:year |
2010
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pubmed:articleTitle |
Lessons from a case of oromandibular mucormycosis treated with surgery and a combination of amphotericin B lipid formulation plus caspofungin.
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pubmed:affiliation |
Département d'Hématologie, Hôpital E. Muller, Mulhouse Cedex, France. ojedam@evhr.net
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pubmed:publicationType |
Journal Article,
Case Reports
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