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Early suspicion can save lives; mucormycosis in two children with diabetic ketoacidosis in Pakistan.


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Title: Early suspicion can save lives; mucormycosis in two children with diabetic ketoacidosis in Pakistan.

Authors: Ayesha Shahid , Batool Fatima, Yasir Naqi Khan, Mohsina Noor Ibrahim, Jamal Raza

Journal: Journal of Pakistan Medical Association

HEC Recognition History
Category From To
Y 2024-10-01 2025-12-31
X 2023-07-01 2024-09-30
X 2022-07-01 2023-06-30
X 2021-07-01 2022-06-30
X 2020-07-01 2021-06-30
W 2012-07-01 2020-06-30
X 2011-05-13 2012-06-30
Y 1900-01-01 2005-06-30

Publisher: Pakistan Medical Association.

Country: Pakistan

Year: 2022

Volume: 72

Issue: 4

Language: en

DOI: 10.47391/JPMA.1659

Categories

Abstract

Background: Mucormycosis is a cause of fulminant necrotizing fungal infection in children with underlying immunocompromising condition. Rhino-orbito-cerebral infection is the most common form of mucormycosis in children with uncontrolled diabetes mellitus or diabetic ketoacidosis. Once considered a rare entity is now increasingly being reported especially in the diabetic population. The initial presentation can mimic a bacterial infection, thus a high index of suspicion is needed for timely intervention to reduce morbidity and mortality.Case report: We present a case of rhino-orbito-cerebral mucormycosis in two patients with diabetic ketoacidosis for the first time from Pakistan. Both the patients couldn’t survive due to late and extensive disease on presentation.
Keywords: mucormycosis; rhino-orbito-cerebral mucormycosis; diabetic ketoacidosis; diabetes mellitus, pediatric; children


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