Rhino-Orbito-Cerebral Mucormycosis: A Challenging Case.
| Autor: | El Hakkouni A; Parasitology-Mycology Laboratory, Mohammed VI University Hospital, Marrakech, MAR., Harrar S; Parasitology-Mycology Laboratory, Mohammed VI University Hospital, Marrakech, MAR., Hachimi A; Critical Care Medicine, Mohammed VI University Hospital, Marrakech, MAR., Mezouari M; Parasitology-Mycology Laboratory, Ibn Sina Military Hospital, Marrakech, MAR., Moutaj R; Parasitology-Mycology Laboratory, Ibn Sina Military Hospital, Marrakech, MAR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Sep 06; Vol. 15 (9), pp. e44768. Date of Electronic Publication: 2023 Sep 06 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.44768 |
| Abstrakt: | Mucormycosis is a rare opportunistic fungal infection caused by Mucorales and associated with high mortality rates. Rhino-orbito-cerebral localization usually occurs in individuals with uncontrolled diabetes mellitus. We report the case of a 41-year-old male, with previously undiagnosed diabetes, who presented with unilateral facial extensive black eschar and signs of diabetic ketoacidosis. Cerebral magnetic resonance imaging showed left pansinusitis, left craniofacial edematous infiltrate, and left proptosis. A left internal temporal abscess was identified at an early pre-suppurative stage. Magnetic resonance angiography revealed total occlusion of the left intracranial internal carotid artery. A histopathological study of nasal mucosa biopsy suggested mucormycosis. According to the clinical presentation and the radiological and histopathological findings, rhino-orbito-cerebral mucormycosis was presumed. Culture of nasal, ocular, and skin lesion specimens grew Rhizomucor sp . and confirmed the diagnosis. The patient was treated with systemic liposomal amphotericin B. He died of multiple organ failure before surgical debridement was possible as he was in critical condition requiring stabilization before surgical treatment. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, El Hakkouni et al.) |
| Databáze: | MEDLINE |
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