A Rare Case Requiring Emergency Tracheotomy, Isolated Tracheal Mucormycosis: It is Important to Suspect First

Authors : Bilge Tuna, Gökhan Tüzemen, Emine Kıyım Altıntaş

Pages : 14-18

Doi:10.33706/jemcr.1442492

View : 13 | Download : 7

Publication Date : 2025-03-28

Article Type : Other Papers

Abstract :Introduction: Mucormycosis is asignificant opportunistic infection, ranking as the third most common invasive fungal infection after candidiasis and aspergillosis. Case report: A 67-year-old male patient was evaluated for progressive shortness of breath. Intubation tube could not be passed through the subglottic region. An emergency tracheotomy was performed. After the tracheal incision, a gray mass and necrotic material were encountered in the tracheal lumen. The tracheal biopsy result was mucormycosis. Conclusion: In cases of emergency tracheotomy for respiratory tract obstruction, it should be kept in mind that when an obstructive mass or necrotic material is encountered in the trachea, this may be a focus of infection requiring rapid treatment. Perioperative frozen examinations are recommended for swift differential diagnosis of potential invasive fungal infection for in immunocompromised diabetic patients.
Keywords : emergency tracheotomy, tracheal mucormycosis, upper airway obstruction, invasive fungal infection