Ewha Med J.  1997 Sep;20(3):331-335. 10.12771/emj.1997.20.3.331.

Tree Cases of Rhino-Orbito-Cerebral Mucormycosis

• Moon YI
• Kim CN
• Hong SK
• Lee JA
• Chung OK
• Kim MJ

• KMID: 2052761
• DOI: http://doi.org/10.12771/emj.1997.20.3.331

Abstract

Rhinocerebral mucormycosis is a well-described fulminant fungal infection that typically presents in a rapidly fulminant manner. This condition is more likely to occur among patient with diabetes mellitus, malignant tumors, who have long-term steroid treatment, or who suffer from some debilitating diseases. We report 3 cases of rhinoorbitocerebral mucormycosis, all suffered from diabetes mellitus. In all 3 cases, endoscopic sinus surgery was done and the antifungal agent(amphotericin B) was administered intravenously, and two patients died. One survivor who had focal extension of paranasal sinus and orbit, required one surgical intervention without orbital exenteration and he is alive without recurrence disease. The severity of the disease is probably dependent upon the gost resistance to the invasion of phycomycetes. Early diagnosis and immediate, effective treatment are the key for cure of the disease.

Keyword

Mucormycosis; Endoscopic sinus surgery; Amphotericin B

MeSH Terms

Amphotericin B
Diabetes Mellitus
Early Diagnosis
Humans
Mucormycosis*
Orbit
Recurrence
Survivors
Amphotericin B