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CASE REPORT
Year : 2019  |  Volume : 3  |  Issue : 3  |  Page : 792-796

Rhinocerebral mucormycosis: a case report and literature review


1 Department of Pathology, Faculty of Medicine, Al-Azhar University, Cairo; Department of Pathology, Histopathology Consultant, Khamis MUshyte General Hospital, Egypt
2 Department of Pathology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3 Department of Ophthalmology, Oculoplastic Consultant, Khamis MUshyte General Hospital
4 Department of Otolaryngology, & Head and Neck Surgery Consultant, Khamis MUshyte General Hospital

Correspondence Address:
MD Reda A Elhawary
Department of Pathology, Faculty of Medicine, Al-Azhar University, Cairo, 62433
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sjamf.sjamf_90_19

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Mucormycosis is a rare rapidly progressing and lethal invasive fungal infection that involves the nose, paranasal sinuses, and orbit of the head and neck regions. Mucormycosis commonly affects patients with uncontrolled diabetes, especially those with ketoacidosis. The authors report a case of rhinocerebral mucormycosis in a 45-year-old diabetic patient who presented at Khamis Mushayt General Hospital, Aseer region, south of Saudi Arabia, with ketoacidosis, right nasal sinusitis, right orbital cellulitis, and loss of vision. Rhinocerebral mucormycosis is suspected clinically, so surgeon immediately did tissue biopsy. Mucormycosis fungal organisms were detected pathologically as well as in fungal culture. The patient responded well after aggressive surgical debridement with antifungal medication. The authors conclude that the diagnosis of rhinocerebral mucormycosis as early as possible is essential for a good therapy effect as well as better survival and limited morbidity of patients.


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