A 32-year-old woman with poorly controlled diabetes (HbA1c 11.2%) presents with facial edema, proptosis, and black necrotic tissue on her hard palate. Vital signs show BP 138/82, HR 104, RR 18, Temp 38.2°C, SpO2 98% on room air. She reports recent rhinosinusitis but denies trauma or fever. Examination reveals no cranial nerve palsies. Palatal biopsy demonstrates broad, nonseptate hyphae with angioinvasion. Which organism is most likely responsible?
- A)Candida albicans
- B)Aspergillus fumigatus
- C)Coccidioides immitis
- D)Rhizopus speciesGABARITO
- E)Cryptococcus neoformans
Explicação
Rhizopus causes mucormycosis, characterized by rapid angioinvasion leading to tissue necrosis. Broad, nonseptate hyphae, diabetes, and rhinocerebral involvement are classic findings. Requires urgent surgical debridement and IV amphotericin B. Ver explicação completa e trilha adaptativa →