Exenteración ocular en la mucormicosis rino-órbito-cerebral
[EN]Introduction:Mucormycosis is a very aggressive infection generated by aerobic fungi that can involve the upper airway and spread to adjacent structures.Objective:To analyze the association between death and ocular exenteration in patients with rhino-orbito-cerebral mucormycosis.Method:The clinic...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2024 |
| País: | España |
| Institución: | Universidad de Salamanca (USAL) |
| Repositorio: | GREDOS. Repositorio Institucional de la Universidad de Salamanca |
| OAI Identifier: | oai:gredos.usal.es:10366/166140 |
| Acceso en línea: | http://hdl.handle.net/10366/166140 |
| Access Level: | acceso abierto |
| Palabra clave: | Mucormicosis infecciones por coronavirus virus del SRAS diabetes mellitus infecciones oculares hongos Mucormycosis coronavirus infections SARS virus mellitus diabetes eye infections fungal |
| Sumario: | [EN]Introduction:Mucormycosis is a very aggressive infection generated by aerobic fungi that can involve the upper airway and spread to adjacent structures.Objective:To analyze the association between death and ocular exenteration in patients with rhino-orbito-cerebral mucormycosis.Method:The clinical aspects and outcome of patients with rhino-orbito-cerebral mucormycosis were analyzed. Descriptive statistics were used, Chi square was used for association, odd ratio was used for risk, considering a value of p≤0.05 as significant.Results:Of 45, 11 did not meet the inclusion criteria, no associations were found between sex, diabetes with other comorbidities, MROC stages and death, COVID-19 infection, or glycated hemoglobin (HbA1c). However, bone lysis on tomography (p=0.001), type of surgical procedure (p=0.002), and ocular exenteration (p=0.001) were significantly associated with death. Differences were found between C-reactive protein (CRP) levels (p=0.035), erythrocyte sedimentation rate (ESR) (p=0.056), and absolute neutrophil count (p=0.000) with death.Discussion:The decision to undergo ocular exenteration is a complex aspect in patients with MROC. There are authors who point out that the psychological impact is significant in a substantial proportion of patients.Conclusions:The only characteristics associated with death in patients with MROC in the study were the presence of bone lysis on the tomography and ocular exenteration. |
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