Rhino-orbito-cerebral with cutaneous mucormycosis

Authors

  • Mustafa K. Ezzy Department of ENT, Lokmanya Tilak Municipal Medical College and Sion Hospital, Sion West, Mumbai, Maharashtra, India
  • Pushkaraj A. Kulkarni Department of ENT, Lokmanya Tilak Municipal Medical College and Sion Hospital, Sion West, Mumbai, Maharashtra, India
  • Shivali K. Patekar Department of ENT, Lokmanya Tilak Municipal Medical College and Sion Hospital, Sion West, Mumbai, Maharashtra, India
  • Kshitij D. Shah Department of ENT, Lokmanya Tilak Municipal Medical College and Sion Hospital, Sion West, Mumbai, Maharashtra, India
  • Renuka A. Bradoo Department of ENT, Lokmanya Tilak Municipal Medical College and Sion Hospital, Sion West, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20221888

Keywords:

Cutaneous mucormycosis, Rhino-cerebral mucormycosis, Amphotericin, Diabetes

Abstract

"Mucormycosis" term is used for a group of fungal diseases caused by the order mucorales. It typically presents as sino-nasal-orbital involvement and rarely involves skin. Management of such cases is quite challenging. Reported here is a case of a young girl, who presented with right eye swelling and reduced vision and got detected with type 1 diabetes mellitus on admission with rare occurrence of cutaneous lesions while on treatment. Direct nasal endoscopy with biopsy was undertaken. KOH and histopathology report was suggestive of mucormycosis, for which the patient was administered intravenous amphotericin B and surgical debridement was carried out. With the accurate application of a multidisciplinary approach with timely investigations, imaging studies, antifungals and debridement, successful outcome in mucormycosis is well within our reach.

Author Biographies

Mustafa K. Ezzy, Department of ENT, Lokmanya Tilak Municipal Medical College and Sion Hospital, Sion West, Mumbai, Maharashtra, India

Postgraduate Resident at E.N.T Department

Pushkaraj A. Kulkarni, Department of ENT, Lokmanya Tilak Municipal Medical College and Sion Hospital, Sion West, Mumbai, Maharashtra, India

Assistant Professor at E.N.T Department

Shivali K. Patekar, Department of ENT, Lokmanya Tilak Municipal Medical College and Sion Hospital, Sion West, Mumbai, Maharashtra, India

Assistant Professor at E.N.T Department

Kshitij D. Shah, Department of ENT, Lokmanya Tilak Municipal Medical College and Sion Hospital, Sion West, Mumbai, Maharashtra, India

Associate Professor at E.N.T Department

Renuka A. Bradoo, Department of ENT, Lokmanya Tilak Municipal Medical College and Sion Hospital, Sion West, Mumbai, Maharashtra, India

Professor and Head at E.N.T Department

References

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Sharma A. Presentation and outcome of rhino-orbital-cerebral mucormycosis in patients with diabetes. Postgraduate Med J. 2004;80:670-4.

Maleitzke T, Stahnke K, Trampuz A. A case report of cutaneous mucormycosis of the hand after minor trauma in a patient with acute myeloid leukaemia. Trauma Case Rep. 2019;23:100221.

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Published

2022-07-26

Issue

Section

Case Reports