* Refractory rhino-orbito-cerebral mucormycosis treated with intraconal amphotericin B.
- We report the case of a 46-year-old diabetic man receiving treatment for rhino-orbital-cerebral mucormycosis with liposomal amphotericin B and surgical debridement. The patient's condition worsened clinically, accompanied by the loss of ocular motility and a visual acuity of absence of light perception. Radiological extension of the infection was evidenced, with invasion of the cavernous sinus. Based on ophthalmological findings, exenteration (a potentially disfiguring procedure) was indicated, but we opted for wide surgical debridement and administration of amphotericin B via intraconal catheter. Clinical improvement and resolution of inflammation occurred after 2 weeks of treatment. Thus, rhino-orbital-cerebral mucormycosis was effectively controlled through intraconal administration of amphotericin B, while avoiding exenteration. The intervention should be considered as an adjuvant treatment in selected rhino-orbital-cerebral mucormycosis cases before attempting exenteration.
=>がまん強い, 忍耐強い, 辛抱強い, 根気よく働く, 患者, 病人, 忠者
Overview of noun patient
The noun patient has 2 senses (first 1 from tagged texts)
1. (73) patient -- (a person who requires medical care; "the number of emergency patients has grown
rapidly")
2. affected role, patient role, patient -- (the semantic role of an entity that is not the agent but
is directly involved in or affected by the happening denoted by the verb in the clause)
Overview of adj patient
The adj patient has 1 sense (first 1 from tagged texts)
1. (3) patient -- (enduring trying circumstances with even temper or characterized by such
endurance; "a patient smile"; "was patient with the children"; "an exact and patient scientist";
"please be patient")
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