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Recovery from rhinocerebral mucormycosis in a ketoacidotic diabetic patient: a case report

Published online by Cambridge University Press:  29 June 2007

J. Kemper ,
E. J. Kuijper ,
P. G. B. Mirck  and
A. J. M. Balm
J. Kemper*
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Amsterdam, The Netherlands.
E. J. Kuijper
Affiliation:
Department of Medical Microbiology, Amsterdam, The Netherlands.
P. G. B. Mirck
Affiliation:
Department of Otolaryngology/Head and Neck Surgery, Amsterdam, The Netherlands.
A. J. M. Balm
Affiliation:
Academic Medical Centre, University of Amsterdam and the Netherlands Cancer Institute, Amsterdam, The Netherlands.
*
J. Kemper, Department of Otolaryngology/Head and Neck Surgery, Academic Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
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Abstract

An 18-year-old woman with insulin-dependent diabetes mellitus developed an infection of the paranasal sinuses with Rhizopus oryzae resulting in facial swelling, hemiplegia and blindness of the right eye. The therapy of this rhinocerebral mucormycosis consisted of extensive surgical debridement, administration of high-dose amphotericin B, hyperbaric oxygen and control of the underlying predisposing diabetes mellitus. The patient eventually recovered with however, the loss of one eye.

Keywords

MucormycosisrhinocerebralDiabetes mellitusHyperbaric oxygenationParanasal sinuses
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 3 , March 1993 , pp. 233 - 235
Copyright
Copyright © JLO (1984) Limited 1993

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