A 57 year old man with poorly controlled diabetes mellitus is admitted with diabetic ketoacidosis. Two days later he develops facial pain, headache, fever, and a black necrotic lesion on the nasal turbinate. Biopsy shows broad ribbon like hyphae without septations and right angle branching. Which of the following is the most likely causal organism?
- A)Cryptococcus neoformans
- B)Aspergillus fumigatus
- C)Candida albicans
- D)Mucor speciesGABARITO
- E)Sporothrix schenckii
Explicação
Mucor species is correct. Rhinocerebral mucormycosis is an angioinvasive fungal infection seen in diabetic ketoacidosis and severe immunosuppression. Broad nonseptate hyphae with right angle branching are the key pathologic finding. Ver explicação completa e trilha adaptativa →