Successful treatment of rhino-cerebral mucormycosis with dual antifungal therapy and minimal surgical debridement

Abstract

The authors report the case of a 42-year-old female with history of type I diabetes mellitus and recent episode of diabetic ketoacidosis who presented with symptoms of epistaxis, gastrointestinal upset, hyperglycemia, confusion, and a cough. She was found to have rhino-cerebral mucormycosis with associated multi-focal strokes and a left internal carotid artery pseudoaneurysm. Her infection was successfully treated with dual-antifungal therapy consisting of liposomal amphotericin B and isavuconazole, and required only minimal surgical debridement.

Keywords

• Rhino-cerebral mucormycosis
• Mucormycosis
• Amphotericin B
• Isavuconazole
• Intracerebral
• Invasive fungal infection