A Case of Rhino-Orbito-Cerebral Mucormycosis.
- Author:
Kyung Chul LEE
1
;
Seok Jin HONG
;
Tae Hyung KIM
;
Il Gyu KANG
Author Information
1. Department of Otolaryngology Head and Neck Surgery, College of Medicine, Sungkyunkwan University, Kangbuk Samsung Medical Center, Seoul, Koreafess@samsung.co.kr
- Publication Type:Case Report
- Keywords:
Mucormycosis;
Nose;
Orbit;
Cranial nerves
- MeSH:
Aged;
Brain;
Cranial Nerves;
Diabetes Mellitus;
Diabetic Ketoacidosis;
Exophthalmos;
Facial Nerve;
Facial Pain;
Female;
Fever;
Headache;
Humans;
Leukemia;
Malnutrition;
Mortality;
Mucormycosis*;
Nose;
Orbit;
Orbital Cellulitis;
Paralysis;
Paranasal Sinuses
- From:Journal of Rhinology
2003;10(1, 2):49-52
- CountryRepublic of Korea
- Language:English
-
Abstract:
Rhino-orbito-cerebral mucormycosis is a rare opportunistic invasive fungal infection, with rapid progression and high mortality. It is characterized by an aggressive necrotizing infection spreading from the nose to the paranasal sinuses, orbit, and the brain. This disease is often associated with diabetic ketoacidosis, leukemia, malnutrition, AIDS and immunocompromis ed patients. Typical initial symptoms of a patient with rhino-orbito-cerebral mucormycosis are facial pain and swelling, headache, fever, and blood-tinged rhinorrhea. Symptoms rapidly progressed to facial or orbital cellulitis, proptosis, and visual loss, facial nerve palsy. We report a case report of a 66-year-old woman with poorly controlled diabetes mellitus who developed mucormycosis which involved unilateral paranasal sinus, orbit, and selective cranial nerves.
