1.A Fatal Case of Rhinocerebral Mucormycosis
Nurul Suhaili Kamarudin ; Rosni Ibrahim ; Nur Hanani Ahmad ; Siti Norbaya Masri
Malaysian Journal of Medicine and Health Sciences 2020;16(No.2):329-331
Rhinocerebral mucormycosis is a potentially fatal and progressive angioinvasive fungal infection. It is classically described in patients with uncontrolled diabetes mellitus and hematological malignancies. This report describes a case of progressive rhinocerebral mucormycosis in a patient with poorly controlled diabetes who was on prolonged prednisolone therapy for autoimmune kidney disease. The patient, who was a female, presented to hospital with headache, orbital pain and nasal bridge swelling. Black eschar on nasal mucosae was present on admission. Later, she was started on intravenous fluconazole for the diagnosis of fungal sinusitis. Subsequently, she developed intracerebral haemorrhage complicated with transtentorial herniation. Diagnosis of rhinocerebral mucormycosis was later observed by a laboratory finding and the treatment was changed to intravenous amphotericin B. However, the patient succumbed to her illness on the 6th day of hospitalisation. This report discusses the risk factors associated with rhinocerebral mucormycosis as well as the underlying pathogenesis. This report will also highlight the importance of early diagnosis and appropriate treatment for mucormycosis to improve prognosis in patients.
2.Motor performance and functional mobility in children with specific learning disabilities
Suhaili Ibrahim ; Dzalani Harun ; Masne Kadar ; Hanif Farhan Mohd Rasdi ; Nur Sakinah Baharudin ; Evelyn Jong Tze Hui
The Medical Journal of Malaysia 2019;74(1):34-39
Limitations in motor performances among
children with specific learning disabilities (SLD) can lead to
impaired functional skills. Thus, this study aimed to
determine the level of motor performances and functional
mobility, and the influence of motor performances on the
functional mobility in children with SLD.