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Pulmonary and cutaneous mucormycosis in two children with diabetes mellitus type 1

  • Nosrat Ghaemi , Sepide Bagheri and Sara Shirdelzade ORCID logo

Abstract

Objectives

Mucormycosis is a life-threatening condition that can be present in diabetes mellitus. Although the rhino-orbito-cerebral form is the most common, other types may be developed as well.

Case presentation

The present study reports two children with diabetes who had the cutaneous and pulmonary forms of mucormycosis. The first case was a four-year-old boy without a history of diabetes admitted due to loss of consciousness and a necrotic lesion on his hand. The second was an 11-year-old boy with dyspnea, polyuria, and polydipsia who had developed diabetes two years before, and whose chest X-ray had shown a pulmonary lesion. Both cases were treated with surgical implementation and appropriate antifungal therapy.

Conclusions

Mucormycosis is a fatal condition that can even be present at the onset of diabetes mellitus. Therefore, any diabetic patient with any presentation of respiratory symptoms such as coughs, or any cutaneous lesion should be examined carefully for mucormycosis after which prompt treatment must begin.


Corresponding author: Sara Shirdelzade, Instructor, MS of Pediatric Nursing, PhD Student of Nursing, Nursing Department, Neyshabur University of Medical Sciences, Neyshabur, Iran; and Nursing and Midwifery School, Mashhad University of Medical Sciences, Mashhad, Iran, E-mail:

  1. Conflict of interest: The authors declare that they have no conflict of interest.

  2. Ethical statement: The research related to human use has been complied with all the relevant national regulations, institutional policies and in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.

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Received: 2020-10-23
Accepted: 2021-01-15
Published Online: 2021-04-06
Published in Print: 2021-07-27

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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