2Department of Chest Diseases, —Konya Selçuk University, Faculty of Medicine, Ankara, Türkiye
3Department of Allergy Immunology, Ankara Kecioren Sanatorium Atatürk Training and Research Hospital, Ankara, Türkiye
Abstract
Mucormycosis is a severe fungal infection, primarily caused by organisms from the order Mucorales. This life-threatening condition predominantly affects immunocompromised individuals, particularly those with uncontrolled diabetes mellitus. Here, we present a case of a 32-year-old patient diagnosed with diabetes mellitus who developed pulmonary mucormycosis. The patient exhibited classic symptoms, including fever, respiratory distress, and expectoration of dark sputum. Both chest Computed Tomography (CT) and flexible bronchoscopy demonstrated an adherent, friable endobronchial lesion accompanied by bronchial wall necrosis and an adjacent thick-walled cavitary lesion.. . Initial antifungal therapy with liposomal amphotericin B and oral posaconazole was initiated; during therapy the patient developed massive hemoptysis, and surgical resection was performed for hemorrhage control.. This case highlights the importance of a multidisciplinary approach in the management of mucormycosis, integrating antifungal therapy with surgical intervention to optimize treatment outcomes. Furthermore, it underscores the critical role of early diagnosis and proactive management in patients with predisposing conditions, such as uncontrolled diabetes mellitus, to mitigate severe complications associated with mucormycosis.