Case Report of Rhino-Orbital Mucormycosis in a Diabetic, with Excellent Outcome
Rania Abdulla Ahmad *
Medicine Institute, Department of Internal Medicine, Sheikh Khalifa Medical City (SKMC), UAE.
Mohamed Noshi
Medicine Institute, Department of Internal Medicine, Sheikh Khalifa Medical City (SKMC), UAE.
Tehmina Khan
Medicine Institute, Department of Infectious Disease, Sheikh Khalifa Medical City (SKMC), UAE.
Donald Roberts Jr
Medicine Institute, Department of Ear, Nose, and Throat (ENT), Sheikh Khalifa Medical City (SKMC), UAE.
Lois Richard
Laboratory and Pathology Department, Sheikh Khalifa Medical City (SKMC), UAE.
*Author to whom correspondence should be addressed.
Abstract
Acute sinusitis secondary to virulent organisms can initially be subtle, or might be misdiagnosed as viral sinusitis. It is one of the most common diagnoses we face in clinical practice. Among all the variable etiologies, fungal sinusitis is the most obscure with devastating consequences. The purpose of this case report is to increase the awareness of health care professionals about invasive fungal sinusitis as an under-diagnosed disease, and emphasize that excellent outcome can be achieved by early employment of different therapeutic modalities. In this case report, we review an older adult male, with significant cardiac and diabetes history, who presented with acute rhino-orbital mucormycosis, and was successfully treated with prompt endoscopic surgical debridement, dual IV antifungals, local amphotericin B nasal washing, and hyperbaric oxygen therapy. All of the above led to extremely favorable outcome for such an aggressive infection.
Keywords: Rhino-orbital-cerebral mucormycosis, nasolaryngoscopy, hyperbaric oxygen therapy