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- Case Report A Case of Rhino-orbital Mucormycoses with Orbital Apex Syndrome in Diabetic Patient.
- Jung Koo Kim, Sam Kwon, Jong Bo Yoon, Sung Min Yoon, Dong Oh Kang, Jae Hee Kim, Sang Gon Shin, Jung Won Park, In Bum Lee, Ho Jin Kim, Seung Wan Kang
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Endocrinology and Metabolism 1998;13(4):677-683
Published online: January 1, 2001
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Abstract
Rhino-orbital mucormycosis is a rare fungal infection that involves paranasal sinus and orbits and usually presented as acute invasive fungal sinusitis or orbital apex syndrome. It often occurs in patients with poorly controlled diabetes mellitus especially during or following episode of diabetic ketoacidosis. If the condition is not treated, the fungal infection may disseminated into the brain and death usually occurs in a day to week. Exenteration is often needed as a therapy. We have experienced a case of rhino-orbital mucormycosis that presented as a orbital apex syndrome and confirmed by maxillary and periorbital soft tissue biopsy. A 56-year-old female suffered from diabetes mellitus for 3 years was admitted with rapidly progressive visual acuity loss and left hemi-facial numbness. She was treated with daily intravenous amphotericin B and intraconal amphotericin B irrigation and packing. Exenteration was not neccisated.
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