Pulmonary mucormycosis: A rare entity. Cases with bronchial necrosis and bronchomediastinal fistula

Abstract

Mucormycosis is a rare fulminant fungal infection associated with high morbidity and mortality rates. It is usually associated with diabetes mellitus, hematologic malignancy, renal failure, or immunosuppression. Of the various clinical manifestations pulmonary involvement is the second most common presentation after rhino orbital cerebral disease. There is a dearth of data regarding the reports of pulmonary mucormycosis from India. We present 2 cases of pulmonary mucormycosis diagnosed as per EORTC guidelines as proven and possible mucormycosis. One case presented with DKA. The other patient was diagnosed with AAV. Both patients were treated with liposomal amphotericin B and surgical resection. Both expired, presumably as a result of disseminated mucormycosis. Keywords: ketoacidosis; mucormycosis; bronchopleural fistula.