Mucormycotic pseudoaneurysm of the common carotid artery with tracheal involvement

S. Hashemzadeh, R. S. Tubbs, M. B A Fakhree, Mohammadali Mohajel Shoja

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Mucormycosis is an emerging and fatal fungal infection. A high index of suspicion and the knowledge of its potential manifestations are essential for early diagnosis. We describe a patient with acute lymphoblastic leukaemia (L2 subtype) who developed a neck mass following a course of induction chemotherapy. Doppler ultrasonography and angiography of the neck revealed a pseudoaneurysm of the right common carotid artery. The patient then developed haemoptysis. Surgical exploration revealed a necrotic right common carotid artery with anteromedial pseudoaneurysm and adjacent tracheal wall perforation. Local debridement and tracheal repair were performed. Nonseptate hypheal invasion (mucormycosis) was found on the microscopic examination of the excised arterial wall. A subsequent recurrence of pseudoaneurysm was treated with local surgical debridement and intravenous amphotericin B (Fungizone) administration. Although rare, clinicians should be aware of these possible presenting features of mucormycosis as early diagnosis and treatment may potentially improve the survival.

Original languageEnglish (US)
Pages (from-to)347-351
Number of pages5
JournalMycoses
Volume51
Issue number4
DOIs
StatePublished - Jul 1 2008
Externally publishedYes

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ASJC Scopus subject areas

  • Agricultural and Biological Sciences (miscellaneous)
  • Dermatology
  • Microbiology

Cite this

Hashemzadeh, S., Tubbs, R. S., Fakhree, M. B. A., & Mohajel Shoja, M. (2008). Mucormycotic pseudoaneurysm of the common carotid artery with tracheal involvement. Mycoses, 51(4), 347-351. https://doi.org/10.1111/j.1439-0507.2007.01487.x