Abstract

MONTIEL-JAROLIN, Dora et al. Rhinocerebral mucurmycosis in a patient with decompensated diabetes. Rev. cient. cienc. salud [online]. 2023, vol.5, e5201.  Epub Jan 26, 2023. ISSN 2664-2891.  https://doi.org/10.53732/rccsalud/2023.e5201.

Mucormycosis is an infection with high mortality, the prognosis is related to early diagnosis, surgical and antifungal treatment. We present a 65-year-old male, known hypertensive, under treatment with losartan, admitted with a 15-day history of asthenia, anorexia, weight loss and holocranial headache, and palpebral ptosis of one week's evolution. Physical examination revealed ocular protrusion and paralysis of the third pair of the right eye. The patient presented hyperglycemia that was reversed with insulin. Magnetic resonance imaging of the orbit and paranasal sinuses showed thickening of the right optic nerve, occupation of the paranasal sinuses. The patient underwent surgical treatment of the retrocular lesion, biopsy of the lesion showed hyaline hyphae compatible with mucorales on direct examination. Treatment with amphotericin B was started.

Keywords : mucormycosis; diabetes mellitus; invasive fungal infections.

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