Management and outcomes of three cases of rhinocerebral mucormycosis

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• 作者：Stefano  ; Viterbo MD ; DDS^a ; Massimo  ; Fasolis MD^b ; Paolo  ; Garzino-Demo MD^c ; Alessandro  ; Griffa MD^d ; Paolo  ; Boffano MD^e ;   ; ^{paolo.boffano@gmail.com} ; Caterina  ; Iaquinta MD^f ; Giulia  ; Tanteri MD^g ; Remo  ; Modica MD ; DDS^h
• 刊名：Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology
• 出版年：2011
• 出版时间：December 2011
• 年：2011
• 卷：112
• 期：6
• 页码：e69-e74
• 全文大小：1460 K

文摘

Mucormycosis is a rare opportunistic infection caused by fungi belonging to Mucorales order. The infection usually starts in the middle or inferior nasal meatus and then spreads to the paranasal sinuses and the orbit. Then it reaches the brain through the ethmoid and the orbit apex and can lead to lethargy, paralysis, and death. The majority of cases of rhinocerebral mucormycosis are diagnosed in patients with immunologic and metabolic disorders. Early diagnosis is fundamental, and so is medical therapy with amphotericin B along with surgical toilet of the compromised tissues. This article presents and discusses the management of 3 cases of rhinocerebral mucormycosis with different onsets, progressions, and outcomes.