A 52-year-old woman with poorly controlled diabetes (HbA1c 11.2%) presents with severe facial pain, fever (39.2°C), and black necrotic tissue involving the maxillary sinus and hard palate. Vital signs show BP 142/88, HR 112, RR 22, SpO2 98% on room air. CT imaging reveals sinusitis with bone erosion. Tissue culture demonstrates broad, aseptate hyphae with right-angle branching. Blood cultures remain negative. She denies recent antibiotic use. Which organism is most likely responsible?
- A)Aspergillosis
- B)Cryptococcosis
- C)Candidosis
- D)MucormycosisGABARITO
- E)Histoplasmosis
Explicação
Mucormycosis presents with rhinocerebral involvement, palatal necrosis, and vascular invasion in diabetics (especially ketoacidosis). Broad, aseptate hyphae with right-angle branching are pathognomonic for Mucor species. Angioinvasion causes thrombosis and tis... Ver explicação completa e trilha adaptativa →