A Rare Presentation of a Case of Cerebral Mucormycosis as a Solitary Intraparenchymal Lesion

Rhinocerebral mucormycosis is an opportunistic infection of the sinuses, nasal passages, oral cavity, and brain caused by saprophytic fungi known to be rare in occurence. This can result a rapid death. commonly affect individuals who are immunocompromised state. Isolated cerebral mucormycosis, absence rhino-orbital focus, extremely but life-threatening central nervous system that most found intravenous drug abuser. We present case isolated presented as malignant glioma was later diagnosed open biopsy treated with antifungals. A 45-year-old male patient casualty complaints altered behaviour speech right hemiparesis for 1 week. He also lost continence micturition defecation. Though conscious, his presenting GCS E4V1M6. had suffered from COVID-19 2 months back recovered without any steroid medications. An MRI (tumour protocol) CECT revealed high grade multicentric glial neoplasm involving left thalamocapsular region extending into adjacent cortical/subcortical parietal posterior temporal lobe midline shift 6-8mm right. craniotomy done which pus-filled cavity drained, marsupialization wall done. Biopsy final diagnosis Mucormycosis. Cerebral occurence confusing presentation thus, intracranial SOL should approached caution minimize morbidity.