Hafif klinik seyirli mediyastinal lenf nodu mukormikozisi

Mukormikozis; özellikle diyabetes mellitus ve hematolojik malignitesi olan hastalarda ortaya çıkan, nadir fakat sıklıkla ölümcül seyreden, fırsatçı bir mantar enfeksiyonudur. Enfeksiyona genellikle sporların inhalasyonu neden olduğundan en sık paranazal sinüsler ve akciğerler etkilenir. Risk faktörleri arasında kontrolsüz diyabetes mellitus, hematolojik maligniteler ve uzun süreli kortikosteroid kullanımı yer alır. Sıklıkla bakteriyel pnömoni gibi başlamaktadır, klinik ve radyolojik bulguları nonspesifiktir. Altta yatan nedenler tedavi edilmeli, cerrahi debridman yapılmalı ve uygun antifungal ilaçlar verilmelidir. Bu makalede pulmoner veya endobronşial tutulum olmaksızın, hafif klinik seyirli, çok nadir saptanan mediastinal lenf nodu mukormikozis olgusu literatür eşliğinde sunuldu.

Anahtar Kelimeler:

Mukormikozis, mediyastinal lenf nodu, diyabetes mellitus

Mediastinal lymph node mucormycosis with mild clinical course

Mucormycosis is a rare but usually fatal opportunistic infection and expecially seen in patients with diabetes mellitus and hematologic malignancies. Since the infection is usually caused by inhalation of spores, the paranasal sinuses and lungs are most commonly affected. Risk factors include uncontrolled diabetes mellitus, hematological malignancies, and long-term corticosteroid use. Early diagnosis and treatment is important. Infection usually initiates like bacterial pnuemonia and clinic, radiologic findings are nonspesific. The underlying causes should be treated, surgical debridement should be performed, and appropriate antifungal drugs should be given. In this article, a very rare case of mediastinal lymph node mucormycosis with mild clinical course without pulmonary or endobronchial involvement is presented in the light of the literature.

Keywords:

Mucormycosis, mediastinal lymp node, diabetes mellitus,

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