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Invasive rhino‐orbital fungal sinusitis following dental manipulation
Author(s) -
Chopra Hemant,
Dua Kapil,
Bhatia Suneet,
Dua Nisha,
Mittal Vikrant
Publication year - 2009
Publication title -
mycoses
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.13
H-Index - 69
eISSN - 1439-0507
pISSN - 0933-7407
DOI - 10.1111/j.1439-0507.2008.01600.x
Subject(s) - mucormycosis , fulminant , medicine , paranasal sinuses , amphotericin b , sinusitis , surgery , nose , sinus (botany) , debulking , fungal sinusitis , dermatology , antifungal , botany , ovarian cancer , cancer , biology , genus
Summary Rhinocerebral mucormycosis is a fulminant fungal infection of the nose and paranasal sinuses in immunocompromised patients. But mucormycosis following dental manipulation in immunocompetent patients leading to orbital involvement is rare. The objective of this study was to highlight the variable presentations of mucormycosis. We had two immunocompetent patients, who had undergone some dental treatment by quacks, later developed fulminant mucormycosis of the paranasal sinuses and blindness. The endoscopic sinus surgery and Amphotericin B chemotherapy resulted in a good outcome. This disease requires an aggressive approach of combined endoscopic sinus surgery and Amphotericin B to increase the chances of survival in these patients.