Successful treatment of sinusitis caused by Cunninghamella bertholletiae

Clin Infect Dis. 1994 Aug;19(2):313-6. doi: 10.1093/clinids/19.2.313.

Abstract

Seventeen cases of infections due to Cunninghamella species have been reported worldwide in humans, and there have been only three survivors. We report a case of paranasal sinusitis due to Cunninghamella bertholletiae in an elderly patient who had diabetes mellitus and myelodysplasia. After receiving 7 weeks of therapy with deoxycholate amphotericin B (44 mg/kg or a total of 3 g) and rifampin, the patient was cured and did not have to undergo radical surgery.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Amphotericin B / therapeutic use*
  • Diabetes Mellitus, Type 2 / complications
  • Drug Therapy, Combination
  • Ethmoid Sinusitis / diagnostic imaging
  • Ethmoid Sinusitis / drug therapy*
  • Ethmoid Sinusitis / microbiology
  • Humans
  • Male
  • Maxillary Sinusitis / diagnostic imaging
  • Maxillary Sinusitis / drug therapy*
  • Maxillary Sinusitis / microbiology
  • Mucorales / isolation & purification
  • Mucormycosis / complications
  • Mucormycosis / drug therapy*
  • Myelodysplastic Syndromes / complications
  • Paranasal Sinuses / microbiology
  • Rifampin / therapeutic use*
  • Tomography, X-Ray Computed

Substances

  • Amphotericin B
  • Rifampin