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題名 | Rhino-orbital-cerebral Mucormycosis with Isolated Sixth Nerve Palsy in an Elderly Diabetic Patient: The Need for a Multidisciplinary Approach=老年糖尿病患感染腦鼻型白黴菌侵犯第六對腦神經:整合治療 |
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作者 | 陳昶華; 陳穆寬; 陳珊霓; 葉坤土; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷期 | 11:4 2016.11[民105.11] |
頁次 | 頁278-286 |
分類號 | 415.192 |
關鍵詞 | 腦鼻型白黴菌; 糖尿病; 醫療團隊; Rhino-orbital-cerebral mucormycosis; Diabetic mellitus; Multidisciplinary team; |
語文 | 英文(English) |
中文摘要 | 白黴菌感染,容易發生在糖尿病患與白血病病患。腦鼻型白黴菌疾病進展快速需要積極治療。我們報導一例糖尿病老人患感染腦鼻型白黴菌的病例,在急診醫師的臨床診斷,與影像醫學科的影像診斷下,經由耳鼻喉科,與眼科的共同開刀,進行清創手術,與感染科經驗性治療,在受術完後,進到加護病房接受密集照顧,在病理部與檢驗醫學部的確定診斷後,轉到一般病房後,由感染科繼續給予針確定治療,在住院八週以後出院,並且,在門診持續追中三個月,這樣的病患,需要整合不同科別共同治療,才能成功地拯救這一位病患。腦鼻型白黴菌疾病需要整合跨領域的醫療團隊共同治療。 |
英文摘要 | Mucoraceae may cause severe diseases in susceptible individuals, especially in patients with diabetes. The incidence of mucormycosis has become a major concern in the aging diabetic population. In response to the rapid progression of the dieseas, prompt and aggressive therapies with multidisciplinary support are essential. We report a case of rhino-orbital-cerebral mucormycosis in an elderly diabetic patient treated with antifungal agents in combination with adequate debridement, emphaizing the need for multidisciplinary collaboration and care to cure rhino-orbital-cerebral mucormycosis in elderly diabetic patients. |
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