A case of rhino-orbito-cerebral mucormycosis in a non-diabetic HIV patient with metabollic acidosis

Rhino-orbito-cerebral mucormycosis.

A 12-year-old female patient started with sudden abdominal pain, polyuria, polydipsia, anorexia and a drop in conscience level. She was diagnosed with untreated type I diabetes mellitus (diabetic acidosis), with blood sugar of 508 mg/dl upon hospital admission. After one week in the hospital, she started having eyelid ptosis, facial pain, converging strabismus, left side epistaxis and a progres...

Combination antifungal therapy without craniotomy in an immunocompromised patient with rhino-orbito-cerebral mucormycosis: A case report

Rhino-orbito-cerebral mucormycosis: a treatment dilemma.

A case of rhino-orbito-cerebral mucormycosis is presented showing its aggressive nature and progression of disease. The typical clinical features, neuroimaging and histological findings are highlighted in this report. Amphotericin B and surgical debridement remain the mainstay of treatment. However, associated co-morbidities need to be addressed.

Rhino-Orbito-Cerebral Mucormycosis in a Diabetic Patient with Idiopathic CD4 + Lymphocytopenia

A 54-year-old diabetic male, with idiopathic CD4 + lymphocytopenia, was presented with a two-month history of headache and periocular pain followed by vertigo, left hypoacusia and left peripheral facial palsy and hypoesthesia. More than a month after admission, a palate ulcer appeared and Infectious Diseases consultation was required. Mucormycosis was suspected and the diagnosis was confirmed b...

Invasive fatal rhino-orbito-cerebral mucormycosis in diabetic ketoacidosis

A 52-year-old Indian woman presented to hospital with a one-week history of right-sided retroorbital pain and facial swelling. She had no other significant past medical history. On examination, she was found to be apyrexial with a pulse rate of 100 min and confused. She also had evidence of right-sided periorbital cellulitis. Cranial nerve examination confirmed decreased visual acuity in the ri...