Mucormycosis physical examination: Difference between revisions
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Patients with mucormycosis usually appear lethargic, weak and debilitated owing to its development in immune compromised patients. Physical examination of patients with mucorm ycosis is usually remarkable for [finding 1], [finding 2], and [finding 3]. | Patients with mucormycosis usually appear lethargic, weak and debilitated owing to its development in immune compromised patients. Physical examination of patients with mucorm ycosis is usually remarkable for [finding 1], [finding 2], and [finding 3]. | ||
==Physical Examination== | ==Physical Examination== | ||
Appearence of the patient | |||
=== Appearence of the patient === | |||
*Patients with mucormycosis usually appear weak and debilitated owing to its development in immune compromised individuals and patients with metabolic disorders. | *Patients with mucormycosis usually appear weak and debilitated owing to its development in immune compromised individuals and patients with metabolic disorders. | ||
Vital Signs | |||
=== Vital Signs === | |||
*High-grade fever | *High-grade fever | ||
*Hypothermia/hyperthermia may be present in disseminated infection | *Hypothermia/hyperthermia may be present in disseminated infection | ||
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*Weak pulse | *Weak pulse | ||
*Low blood pressure if condition leads to septic shock | *Low blood pressure if condition leads to septic shock | ||
Skin | |||
=== Skin === | |||
*Skin may show tissue necrosis | *Skin may show tissue necrosis | ||
Nasal and palatal findings | |||
=== Nasal and palatal findings === | |||
*Gray or erythematous appearance | *Gray or erythematous appearance | ||
*Can progress to black necrotic masses (ie, black eschar) | *Can progress to black necrotic masses (ie, black eschar) | ||
*Swelling | *Swelling | ||
Ocular findings | |||
=== Ocular findings === | |||
*Proptosis | *Proptosis | ||
*Muddy sclera | *Muddy sclera | ||
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*Blindness | *Blindness | ||
*Nystagmus | *Nystagmus | ||
Visual loss secondary to retinal artery thrombosis or direct fungal invasion | |||
Neurologic findings | * Visual loss secondary to retinal artery thrombosis or direct fungal invasion | ||
=== Neurologic findings === | |||
*Palsies of cranial nerves II, III, IV, V, VI, and VII | *Palsies of cranial nerves II, III, IV, V, VI, and VII | ||
*Cerebral edema and vascular compromise may lead to coma and stroke | *Cerebral edema and vascular compromise may lead to coma and stroke | ||
=== Pulmonary === | |||
* Sore throat | |||
* Dyspnea on exertion | |||
* Non-productive cough | |||
* Crackles and rales on chest auscultation in pulmonary mucormycosis | |||
=== GIT === | |||
* Abdominal pain | |||
* Decreased bowel sounds | |||
Revision as of 00:35, 6 June 2017
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Mucormycosis Microchapters |
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Diagnosis |
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Treatment |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Hassan A. Kazmi BSc, MD [2]
Overview
Patients with mucormycosis usually appear lethargic, weak and debilitated owing to its development in immune compromised patients. Physical examination of patients with mucorm ycosis is usually remarkable for [finding 1], [finding 2], and [finding 3].
Physical Examination
Appearence of the patient
- Patients with mucormycosis usually appear weak and debilitated owing to its development in immune compromised individuals and patients with metabolic disorders.
Vital Signs
- High-grade fever
- Hypothermia/hyperthermia may be present in disseminated infection
- Tachycardia
- Tachypnea
- Kussmal respirations may be present in diabetic patients who develop mucormycosis on a background of diabetic ketoacidosis
- Weak pulse
- Low blood pressure if condition leads to septic shock
Skin
- Skin may show tissue necrosis
Nasal and palatal findings
- Gray or erythematous appearance
- Can progress to black necrotic masses (ie, black eschar)
- Swelling
Ocular findings
- Proptosis
- Muddy sclera
- Conjunctival chemosis
- Ophthalmoplegia
- Fixed pupil
- Blindness
- Nystagmus
- Visual loss secondary to retinal artery thrombosis or direct fungal invasion
Neurologic findings
- Palsies of cranial nerves II, III, IV, V, VI, and VII
- Cerebral edema and vascular compromise may lead to coma and stroke
Pulmonary
- Sore throat
- Dyspnea on exertion
- Non-productive cough
- Crackles and rales on chest auscultation in pulmonary mucormycosis
GIT
- Abdominal pain
- Decreased bowel sounds