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Rhinocerebral mucormycosis: report of two cases

T Aköz1, B Civelek, M Akan

  • 1Ankara Numune Hospital, Department of Plastic and Reconstructive Surgery, Turkey.

Annals of Plastic Surgery
|September 18, 1999
PubMed

Insights

Rhinocerebral mucormycosis, a rare fungal infection, is a fatal condition affecting the sinuses and orbit. Prompt recognition and combined surgical and medical treatment are crucial for potentially saving patients with this aggressive necrotising infection.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Plastic Surgery

Background:

  • Rhinocerebral mucormycosis is a rare, aggressive, and often fatal opportunistic fungal infection.
  • It typically affects the paranasal sinuses and orbit, leading to severe necrotising disease.

Observation:

  • Two cases of necrotising infection in the nasolabial region due to this condition are presented.
  • Both patients experienced rapid disease progression despite aggressive surgical debridement and medical management.

Findings:

  • Despite intensive treatment, both patients succumbed to the infection within a week of admission.
  • The aggressive nature of the infection highlights the challenges in managing advanced cases.

Implications:

  • Plastic surgeons must maintain a high index of suspicion for rapidly developing soft tissue infections in the paranasal and periorbital areas.
  • Combined surgical and medical treatment is mandatory, though outcomes remain poor, emphasizing the need for early diagnosis and intervention.

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