A Case Report: Rhino-Orbito-Cerebral Mucormycosis with visual impairment and cranial nerve palsies in a tertiary care hospital Sri Lanka
Mucormycosis is an angioinvasive infection, especially among immunocompromised patients. There are several forms of the disease and rhino-orbito-cerebral mucormycosis is the commonest presentation globally, especially among patients with diabetes mellitus with or without ketoacidosis. We report a pa...
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| Format: | Article |
| Language: | English |
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Sri Lankan Society for Microbiology
2023-10-01
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| Series: | Sri Lankan Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | https://account.sljid.sljol.info/index.php/sljo-j-sljid/article/view/8588 |
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| author | M. N. Pitagampola F. S. Makeen S. Chandrasiri P. I. Jayasekara C. S. P. Sosai D. Jayasekara M. Jayasinghe |
| author_facet | M. N. Pitagampola F. S. Makeen S. Chandrasiri P. I. Jayasekara C. S. P. Sosai D. Jayasekara M. Jayasinghe |
| author_sort | M. N. Pitagampola |
| collection | DOAJ |
| description | Mucormycosis is an angioinvasive infection, especially among immunocompromised patients. There are several forms of the disease and rhino-orbito-cerebral mucormycosis is the commonest presentation globally, especially among patients with diabetes mellitus with or without ketoacidosis. We report a patient with rhino-orbito-cerebral mucormycosis involving multiple cranial nerve palsies.
A 70-year-old female patient with uncontrolled diabetes mellitus presented with left periorbital swelling and reduced vision on the same side along with epistaxis. On examination, she was found to have multiple cranial nerve palsies. She was managed as rhino-orbito-cerebral mucormycosis after performing several microbiological, histological, and radiological tests. The patient was discharged after 4 months of hospital stay.
Despite successful medical and surgical interventions, the patient died a week after being discharged from the hospital. Though we have no strong evidence, the disease itself, her co-morbidities, sepsis, and surgical trauma could have contributed to her death. |
| first_indexed | 2024-03-09T00:15:39Z |
| format | Article |
| id | doaj.art-e27986d39cc042cd88184296805c9adf |
| institution | Directory Open Access Journal |
| issn | 2012-8169 2448-9654 |
| language | English |
| last_indexed | 2024-03-09T00:15:39Z |
| publishDate | 2023-10-01 |
| publisher | Sri Lankan Society for Microbiology |
| record_format | Article |
| series | Sri Lankan Journal of Infectious Diseases |
| spelling | doaj.art-e27986d39cc042cd88184296805c9adf2023-12-12T08:10:58ZengSri Lankan Society for MicrobiologySri Lankan Journal of Infectious Diseases2012-81692448-96542023-10-01132E48:1510.4038/sljid.v13i2.8588243A Case Report: Rhino-Orbito-Cerebral Mucormycosis with visual impairment and cranial nerve palsies in a tertiary care hospital Sri LankaM. N. Pitagampola0https://orcid.org/0000-0002-3210-1135F. S. Makeen1S. Chandrasiri2P. I. Jayasekara3C. S. P. Sosai4D. Jayasekara5M. Jayasinghe6Colombo South Teaching Hospital, KalubowilaColombo South Teaching Hospital, KalubowilaColombo South Teaching Hospital, KalubowilaMedical Research Institute, ColomboColombo South Teaching Hospital, KalubowilaColombo South Teaching Hospital, KalubowilaColombo South Teaching Hospital, KalubowilaMucormycosis is an angioinvasive infection, especially among immunocompromised patients. There are several forms of the disease and rhino-orbito-cerebral mucormycosis is the commonest presentation globally, especially among patients with diabetes mellitus with or without ketoacidosis. We report a patient with rhino-orbito-cerebral mucormycosis involving multiple cranial nerve palsies. A 70-year-old female patient with uncontrolled diabetes mellitus presented with left periorbital swelling and reduced vision on the same side along with epistaxis. On examination, she was found to have multiple cranial nerve palsies. She was managed as rhino-orbito-cerebral mucormycosis after performing several microbiological, histological, and radiological tests. The patient was discharged after 4 months of hospital stay. Despite successful medical and surgical interventions, the patient died a week after being discharged from the hospital. Though we have no strong evidence, the disease itself, her co-morbidities, sepsis, and surgical trauma could have contributed to her death.https://account.sljid.sljol.info/index.php/sljo-j-sljid/article/view/8588mucormycosisdiabetescranial nerve palsiesrhizopus spamphotericin b |
| spellingShingle | M. N. Pitagampola F. S. Makeen S. Chandrasiri P. I. Jayasekara C. S. P. Sosai D. Jayasekara M. Jayasinghe A Case Report: Rhino-Orbito-Cerebral Mucormycosis with visual impairment and cranial nerve palsies in a tertiary care hospital Sri Lanka Sri Lankan Journal of Infectious Diseases mucormycosis diabetes cranial nerve palsies rhizopus sp amphotericin b |
| title | A Case Report: Rhino-Orbito-Cerebral Mucormycosis with visual impairment and cranial nerve palsies in a tertiary care hospital Sri Lanka |
| title_full | A Case Report: Rhino-Orbito-Cerebral Mucormycosis with visual impairment and cranial nerve palsies in a tertiary care hospital Sri Lanka |
| title_fullStr | A Case Report: Rhino-Orbito-Cerebral Mucormycosis with visual impairment and cranial nerve palsies in a tertiary care hospital Sri Lanka |
| title_full_unstemmed | A Case Report: Rhino-Orbito-Cerebral Mucormycosis with visual impairment and cranial nerve palsies in a tertiary care hospital Sri Lanka |
| title_short | A Case Report: Rhino-Orbito-Cerebral Mucormycosis with visual impairment and cranial nerve palsies in a tertiary care hospital Sri Lanka |
| title_sort | case report rhino orbito cerebral mucormycosis with visual impairment and cranial nerve palsies in a tertiary care hospital sri lanka |
| topic | mucormycosis diabetes cranial nerve palsies rhizopus sp amphotericin b |
| url | https://account.sljid.sljol.info/index.php/sljo-j-sljid/article/view/8588 |
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