Successful Management of Rhinocerebral Mucormycosis in a Child with Uncontrolled Diabetes Mellitus and Recent Blindness: A Case Report

Authors

  • H Daneste Oral and Maxillofacial Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
  • M Mardani Oral and Maxillofacial Surgery, Shiraz University of Medical Sciences Shiraz, Iran.
  • MH Anbardar Department of pathology, Shiraz medical school, Namazee teaching hospital, Shiraz university of medical science, Shiraz, Iran.
  • N Ghadimi Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  • S Sharifzadeh Oral and Maxillofacial medicine Dept, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
  • SH Maleki Department of Pediatric Dentistry, Babol university of Medical Sciences, Babol, Iran
Abstract:

Background and Aim: Mucormycosis is an aggressive and life-threating fungal infection that affects patients with uncontrolled diabetes mellitus (DM) or compromised immune system. The most common symptom of rhinocerebral mucormycosis is sinusitis, and if the infection spreads beyond the sinus, more severe symptoms such as blindness, seizure, and death may occur. Case Presentation: We describe a case of rhinocerebral mucormycosis successfully treated in an 11-year-old boy with uncontrolled DM and neglected sinusitis with sudden blindness. Conclusion:  Patients with poorly controlled or insulin-dependent DM who experience periods of ketoacidosis are more likely to develop mucormycosis. Therefore, correct diagnosis and timely referral of patients greatly affect the prognosis of the disease and the treatment process.

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Journal title

volume 7  issue 2

pages  98- 103

publication date 2022-03

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