26 July 2021: Articles
A Rare Case of Invasive Mucormycosis in a Diabetic Patient Treated with a Short Course of Dexamethasone
Unusual clinical course, Rare disease
Gurchetan Randhawa E* , Sean Hagaman E , Mahsa Pourabdollah Tootkaboni E , Sanchit V. Kundal E , Sharad Oli E , James Alrassi E , Sam D. Schild E , Sara Abu-Ghanem E , Shelly Brejt EDOI: 10.12659/AJCR.932129
Am J Case Rep 2021; 22:e932129
Table 1. Clinical course.
| Day | Event | Vital signs | BG | K | Mg | Ca | WBC | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| T | HR | BP | RR | SpO2 | |||||||
| 1 | Admission | 36.7 | 88 | 126/56 | 14 | 96 | 799 | 4.2 | 2.2 | 8.8 | 18.4 |
| 4 | Vasopressors started (ICU consulted) | 37 | 89 | 79/53 | 26 | 97 | 219 | 3.3 | 2.3 | 6.6 | 14.8 |
| 5 | Debridement and amphotericin b started | 37 | 90 | 99/63 | 25 | 94 | 116 | 3.3 | 2.2 | 7.0 | 15.5 |
| 19 | Vasopressors stopped | 37 | 77 | 121/69 | 19 | 93 | 93 | 3.2 | 2.0 | 6.5 | 10.2 |
| 25 | Amphotericin B completed | 36.8 | 102 | 134/70 | 17 | 94 | 91 | 3.1 | 1.6 | 7.1 | 13.1 |
| 26 | Discharge | 36.7 | 102 | 125/71 | 18 | 96 | 127 | 3.9 | 1.9 | 7.2 | 12.4 |
| T – temperature in degrees Celsius; HR – heart rate per minute; BP – blood pressure in mm Hg; RR – respiratory rate per minute; SpO – oxygen saturation in ambient air; BG – blood glucose in mg/dL (reference: 74–200 mg/dL); K – serum potassium in mmol/L (reference: 3.4–4.8 mmol/L); Mg – serum magnesium in mg/dL (reference: 1.6–2.2 mg/dL); Ca – serum calcium in mg/dL (reference: 8.2–10.1 mg/dL); WBC – white blood cells in K/µL (reference: 4.8–10.8 K/µL); ICU – Intensive Care Unit. | |||||||||||