野中 学
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor and Division head
Article types Case report
Language English
Peer review Peer reviewed
Title Diagnostic Utility of Polymerase Chain Reaction for Paraffin-embedded Sinus Specimens for Rhinocerebral Mucormycosis Complicated by Internal Carotid Artery Thrombosis and Cerebral Infarction.
Journal Formal name:Internal medicine (Tokyo, Japan)
Abbreviation:Intern Med
ISSN code:13497235/09182918
Domestic / ForeginDomestic
Volume, Issue, Page pp.1-4
Total page number 4
Author and coauthor Maeda Yukiko, Toda Kunio, Toi Sono, Yano Tetsundo, Iijima Mutsumi, Shimizu Yuko, Nagashima Yoji, Itakura Yasutomo, Iguchi Shigekazu, Kikuchi Ken, Shibuya Kazutoshi, Nonaka Manabu, Kitagawa Kazuo
Publication date 2021/03
Summary We herein report a 73-year-old man who experienced cerebral infarction caused by infection with a Mucromycocetes species. A delay in anti-fungal treatment might result in a lethal clinical outcome. We were unable to establish an accurate diagnosis based on histological findings and cerebrospinal fluid culture. Therefore, we performed polymerase chain reaction (PCR) using paraffin-embedded specimens, and based on the findings, successfully started administering anti-fungal treatment. We suggest that PCR using sinus specimens be applied when mucormycosis is suspected as an etiology of cerebral infarction and a confirmative diagnosis cannot be established based on the results of pathological examinations or cerebrospinal fluid culture.
DOI 10.2169/internalmedicine.6809-20
PMID 33678746