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Scholars Journal of Medical Case Reports | Volume-13 | Issue-01 Call for paper
Acute Invasive Fungal Facial Cellulitis Associated to Actimycosis in a Diabetic Patient: A Case Presentation
Nizigiyimana Jean Marie, Yacoub Mkheittirate, Niyomwungere Elias, Naouar Ouattassi, Mohamed Afellah, Mohammed Ridal, Benmnsour Najib, Zaki Zouheir, Oudidi Abdellatif, Hammas Nawa, Mohammed Nouredine E
Published: Jan. 2, 2025 |
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DOI: https://doi.org/10.36347/sjmcr.2025.v13i01.003
Pages: 23-27
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Abstract
Background: Acute invasive fungal cellulitis is a potentially leathal infection due to opportunistic fungi of the order Mucorales, mainly affecting immunocompromised individuals. Due to its non-specific symptomatology, dominated mostly by tissue necrosis, diagnosis is often delayed, adversely affecting prognosis. This infection predominantly arises in the nose and paranasal sinuses. Mucormycosis affecting sollely the cheek region are uncommon. We believe this ist he first case of a localized mucormycosis of the cheek. Moreover, Actinomycoses and mucormycoses occur most often in patients with immunodepression, and their association is less well described in the literature. Case Presentation: We present the clinical, biology and imaging findings of a rare case of jugal mucormycosis associated with actinomycosis in a 56-year-old female patient who presented with unbalanced diabetes and discuss diagnostic and therapeutic challenges. Discussion & Conclusion: Mucormycosis and actinomycosis are rare infections that occur most frequently in immunocompromised patients, Mucormycosis is caused by the Rhizopus arrhizus species. The cutaneous localization of mucormycosis is uncommon and is favored by a breach, be it a burn, a catheter or any other cutaneous trauma. Cervicofacial Actinomycosis occurs in over 60% of cases in the maxillofacial region. It is the anatomopathological examination which gives a diagnosis of certainty of these two pathologies and their late diagnosis is coupled with serious complications.