Emergent ENT consult for OR debridement (definitive treatment)
Start Amphotericin B 1mg/kg IV OR
Liposomal Amphotericin B 5-10mg/kg
Aggressive resuscitation, airway management, and supportive care while in ED.
Hyperbaric oxygen therapy and iron chelation (iron is required for fungal growth) may also help.
Do not use deferoxamine (can worsen disease caused by certain fungal genera) - deferiprone is preferred
Liposomal Amphotericin B 5-10mg/kg
Do not use deferoxamine (can worsen disease caused by certain fungal genera) - deferiprone is preferred
Mucormycosis
Upper respiratory infection, influenza
Blastomycosis
Sinusitis
Coccidioidomycosis
Juvenile nasopharyngeal angiofibroma
Paracoccidioidomycosis
Nasal polyp