Fatal Rhino-Orbital-Cerebral Mucormycosis Complicated with Thrombosis and Rupture of Mycotic Aneurysm in Distal Internal Carotid Artery.

Author: Young Min PAEK ¹ ; Hai Jin PARK ; Mee JOO ; Kyu Yoon JUNG ; Ahro KIM ; Ji Eun KIM ; Hye Jung LEE ; Keun Sik HONG ; Joong Yang CHO ; Hee Kyung PARK ; Pamela SONG ; Yong Jin CHO
Author Information

1. Department of Neurology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. choyj@paik.ac.kr
Publication Type:Case Report
Keywords: Rhino-orbital-cerebral mucormycosis; Distal internal carotid artery; Mycotic aneurysm
MeSH: Aneurysm, Infected*; Carotid Artery, Internal*; Coma; Fungi; Humans; Mucorales; Mucormycosis*; Necrosis; Ophthalmoplegia; Opportunistic Infections; Orbit; Paresis; Rupture*; Subarachnoid Hemorrhage; Thrombosis*; Tropism
From:Journal of the Korean Neurological Association 2015;33(3):191-195
CountryRepublic of Korea
Language:Korean
Abstract: Mucormycosis is a rare opportunistic infection caused by fungi of the order Mucorales that typically occurs in patients with diabetes or immunocompromised state. Rhino-orbital-cerebral mucormycosis is the most common type, often has a life-threatening outcome. Mucormycosis has specific vascular tropism complicating mucorthrombosis or mycotic aneurysm. We report a diabetic patient presenting with ophthalmoplegia, orbital necrosis, and contralateral hemiparesis, who suddenly progressed to coma and died of subarachnoid hemorrhage due to the rupture of mycotic aneurysm in distal internal carotid artery.