Airway Management in a Patient with Palato-Maxillo-Orbital Tract as a Sequel of Rhino-Cerbral Mucormycosis Undergoing Kidney Transplantation

  • Mahtab Poor Zamany Nejat Kermany Department of Anesthesiology and Critical Care,Labbafinejad Medical Center, Shahid Beheshti Medical Center, Tehran,Iran.
  • Sepideh Vahabi Department of Anesthesiology and Critical Care, Kamalvand Medical Center, Lorestan University of Medical Sciences, Khoramabad, Iran
  • Badiozaman Radpay Lung Transplantation Research Center, NRITLD, Shahid Beheshti Medical Center, Tehran, Iran
Keywords: mucormycosis, kidney transplantation, airway management

Abstract

Mucormycosis is a serious fungal infection caused by the filamentous fungi of the mucorales order of the class of zygomycetes. Mucormycosis is classically defined as an opportunistic fatal infection. In this report we explain a 49 years old woman with palato-orbital tract as a sequel of rhino cerebral mucormycosis and end stage renal disease candidate for kidney transplantation. Difficulties in airway management as well as inducing and maintaining anesthesia was our main concern.

References

Abedi E, Sismanis A, Choi K, Pastore P. Twenty-five years’ experience treating cerebrorhino orbital mucormycosis. Laryngoscope. 1984; 94(8):1060-2.

Morduchowicz G, Shmueli D, Shapira Z, Cohen SL, Yussim A, Block CS, et al. Rhinocerebral mucormycosis in renal transplantpatients: report of 3 cases and review of literature. Rev Infect Dis. 1986; 8(3):441–6.

Jung SH, Kim SW, Park CS, Song CE, Cho JH, Lee JH, et al. Rhinocerebral Mucormycosis: consideration of prognostic factors and treatment modality. Auris Nasus Larynx. 2009; 36(3):274-9.

Kim JG, Park HJ, Park JH, Baek J, Kim HJ, Cha IH, et al. Importance of immediate surgical intervention and antifungal treatment for rhinocerebral mucormycosis. J Korean Assoc Oral Maxillofac Surg. 2013; 39(5):246-50.

Mallis A, Mastronikolis SN, Naxakis SS, Papadas AT. Rhinocerebral mucormycosis: an update. Eur Rev Med Pharmacol Sci. 2010; 14(11):987-92.

Spellberg B, Edwards J, Ibrahim A. Novel perspectives on mucormycosis: pathophysiology, presentation, and management. Clin Microbiol Rev. 2005; 18(3):556–569.

Rees J, Pinner R, Hajjeh R, Brandt M, Reingold A. The epidemiological features of invasive mycotic infections in the San Francisco Bay area, 1992- 1993: results of population-based laboratory active surveillance. Clin Infect Dis. 1998; 27(5):1138-47.

Chamilos G, Lewis R, Kontoyiannis D. Delaying amphotericin B-based frontline therapy significantly increases mortality among patients with hematologic malignancy who have zygomycosis. Clin Infect Dis. 2008; 47(4):503-9.

Lass-Florl C. Zygomycosis: conventional laboratory diagnosis. Clin Microbiol Infect. 2009; 15 Suppl 5:60-5.

Greenberg RN, Scott LJ, Vaughn HH, Ribes JA. Zygomycosis (mucormycosis): emerging clinical importance and new treatments. Curr Opin Infect Dis. 2004; 17(6):517-25.

Khan ZH, Airway management, Springer International Publishing Switzerland 2014, pp.177-188.

Walls, Ron M, Michael F Murphy. Manual of Emergency Airway Management. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008, pp. 1-7.

Tremblay MH, Williams S, Robitaille A, Drolet P. Poor visualization during direct laryngoscopy and high upper lip bite test score are pre dictors of difficult intubation with glidscope video laryngoscope. Anesth Analg. 2008; 106(5):1495-500.

Roodneshin F, Agah M. Novel Technique for Placement of Laryngeal Mask Airway in Difficult Pediatric Airways. Tanaffos. 2011; 10(2): 56–68.

Radpay B, Mirhosseini SM, Najafizadeh K, Abbasi Dezfouli A, Parsa T, Fadaizadeh L, et al. Heart - lung Transplantation in Iran: A Case Report. Arch Iran Med. 2013; 16(7):431-5.

Roodneshin F. Sevoflurane as the Single Anesthetic Agent for Management of Anticipated Pediatric Difficult Airway. Tanaffos. 2012; 11(4): 69–72.

Poor zamany Nejat Kermany M, Dahi M, Yamini Sharif R, Radpay B. Comparison of the Effects of Dexmedetomidine and Remifentanil on Cognition State After Cataract Surgery. Anesth Pain Med. In Press (In Press): e33448.

Published
2016-06-13
How to Cite
1.
Poor Zamany Nejat Kermany M, Vahabi S, Radpay B. Airway Management in a Patient with Palato-Maxillo-Orbital Tract as a Sequel of Rhino-Cerbral Mucormycosis Undergoing Kidney Transplantation. AACC. 2(2):200-2.
Section
Case Report(s)