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International Journal of Geriatric Nursing

Rhino-orbital Mucormycosis in a Diabetic Non-COVID-19 Patient: A Case Report

  1. Rathi nw5QVB Ramasamy kanniappan

Abstract

Mucormycosis is an opportunistic infection that primarily affects persons with weakened immunesystems. It is a rare fungal infection produced by mucormycetes, a type of mould. For the past 5 days,a 61-year-old diabetic male has suffered from severe diffuse sudden onset headaches, left-sided facepain, left eye edema and difficulty opening the left eye, impaired vision in the left eye, low-gradetemperature, and decreased taste sensitivity. SARS-CoV-2 (COVID-19) was undetectable. An MRIbrain scan revealed bilateral orbital infiltration, patchymeningeal enhancement, pansinusitischanges, and inflammatory fat stranding in the left orbital cavity. Histopathology was done on tissuefrom the left posterior aetiology. Histopathological analysis of tissue from the left posterior ethmoidalsinus revealed invasive fungal sinusitis. Under the microscope, several enlarged fungal hyphae,granulation tissue, and bone fragments were found. The patient was successfully treated with promptendoscopic surgical debridement, dual IV antifungals, and amphotericin B nasal lavage. This casewas reported in order to alert people that mucormycosis is an opportunistic infection with a highmorbidity and fatality rate, and that no one should ignore it.

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