Rhino-Orbital-Cerebral Mucormycosis: Successful Medical Management in a Resource Poor Setting

Abstract

Mucormycosis is commonly associated in diabetes. Rhino orbital cerebral mucormycosis (RCOM) is the most common type of presentation. Here we present a case of rhino orbital cerebral type of mucormycosis in a naïve Type 1 diabetic whose symptoms became apparent immediately after the correction of hyperglycaemia and ketoacidosis. Though, extensive surgery is the accepted modality of treatment, this case was managed by 14 day intravenous Amphotericin B with some residual diminution of vision in the right eye. This case is reported to emphasize the importance of early diagnosis and timely management is critical for the survival. The present concept of extensive surgical procedures may be challenged by timely medical management with similar efficacy.

Keywords

• diabetes
• proptosis
• ketoacidosis
• sepsis