<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1699-714X</journal-id>
<journal-title><![CDATA[Revista de la OFIL ]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. OFIL·ILAPHAR]]></abbrev-journal-title>
<issn>1699-714X</issn>
<publisher>
<publisher-name><![CDATA[Organización de Farmacéuticos Ibero-Latinoamericanos]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1699-714X2024000100020</article-id>
<article-id pub-id-type="doi">10.4321/s1699-714x2024000100020</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mucormicosis maxilofacial: a propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Maxillofacial mucormycosis: about a case]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mora-Herrera]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palomeque-Alonso]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Jerez de la Frontera FEA de Farmacia Hospitalaria ]]></institution>
<addr-line><![CDATA[Cádiz ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<volume>34</volume>
<numero>1</numero>
<fpage>92</fpage>
<lpage>94</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1699-714X2024000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1699-714X2024000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1699-714X2024000100020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El tratamiento de las infecciones fúngicas invasivas, tanto la aspergilosis invasora como la mucormicosis supone un importante desafío clínico por el reducido número de agentes antifúngicos azólicos disponibles y por la gravedad clínica. Debido a esta elevada mortalidad, es necesario un diagnóstico temprano y un tratamiento agresivo, no sólo debe ser médico sino también quirúrgico. Presentamos un caso de mucormicosis maxilofacial en un paciente sin antecedentes clínicos de interés. Se trata de un paciente de 40 años con bultoma en región submandibular derecha de aparición más o menos súbita. Refiere parestesias en labio inferior hemilabio derecho con desviación del mismo a la derecha, de un año. Extracción del molar sin complicaciones aparentes. Los resultados de la primera biopsia muestran tejidos blandos con microorganismos micóticos compatibles con mucormicosis. En la exploración clínica se palpa inflamación a nivel de la zona submandibular derecha, no dolorosa. Resto: buen estado general. Comienza tratamiento con fluconazol, y posteriormente con isavuconazol durante 43 días. Los resultados de la segunda biopsia (junio-21): proceso linfoproliferativo B de alto grado compatible con linfoma difuso de células grandes B de centro germinal. Se realiza PET/TC compatible con infiltración ganglionar laterocervical derecha alta y submentoniana con probable afectación de partes blandas y más dudosa amigdalar palatina bilateral de su proceso linfoproliferativo de base. En enero-22: estudio PET/CT que muestra respuesta metabólica completa (Deauville 1) de su proceso linfoproliferativo de base.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY The treatment of invasive fungal infections, both invasive aspergillosis and mucormycosis, represents an important clinical challenge due to the small number of available azole antifungal agents and the clinical severity. Due to this high mortality, early diagnosis and aggressive treatment are necessary, not only medical but also surgical. We present a case of maxillofacial mucormycosis in a patient with no clinical history of interest. This is a 40-year-old patient with a lump in the right sub-mandibular region of more or less sudden onset. Refers paresthesias in the lower lip right hemilip with deviation of the same to the right of a year. Molar extraction without apparent complications. The results of the first biopsy show soft tissues with fungal organisms consistent with mucormycosis. In the clinical examination, inflammation was palpated at the level of the right submandibular area, which was not painful. Rest: good general condition. He begins treatment with fluconazole, and later with isavuconazole for 43 days. The results of the second biopsy (June 21): high-grade B-lymphoproliferative process compatible with diffuse large B-cell lymphoma of the germinal center. PET/CT compatible with high right laterocervical and submental lymph node infiltration with probable softtissue involvement and more doubt fulbilateral palatine tonsillar involvement of its underlying lymphoproliferative process was performed. On January-22: PET/CT study showing complete metabolic response (Deauville 1) of his underlying lymphoproliferative process.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mucormicosis]]></kwd>
<kwd lng="es"><![CDATA[rhizopus]]></kwd>
<kwd lng="es"><![CDATA[mucor]]></kwd>
<kwd lng="es"><![CDATA[anfotericina B]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="en"><![CDATA[Mucormycosis]]></kwd>
<kwd lng="en"><![CDATA[rhizopus]]></kwd>
<kwd lng="en"><![CDATA[mucor]]></kwd>
<kwd lng="en"><![CDATA[amphotericin B]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
</kwd-group>
</article-meta>
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