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Isolated sphenoid mucormycosis presenting as visual impairment: changing trends?
Sandeep Bansal1, Gogia Grover, Mohnish Grover
1Department of Otorhinolaryngology and head and neck surgery, PGIMER, Chandigarh, Punjab, India.
Abstract:
Mucormycosis of the paranasal sinuses represents an important cause of morbidity and mortality in patients whose host defenses have been altered by primary disease or immunosuppressive therapy. The pattern of involvement by this fungus is changing with reports of mucormycosis occurring also in immunocompetent host. The involvement of isolated sphenoid sinus is rare. In the present case, the only presenting symptom was visual impairment. These changing trends in presentation, the extent, and the area of involvement are challenging for the otorhinolaryngologist, ophthalmologist, and neurosurgeon. High index of suspicion, prompt intervention, and aggressive therapy are required to reduce the morbidity and mortality associated with this disease.
Insights
Mucormycosis of the paranasal sinuses is a serious fungal infection, increasingly seen even in immunocompetent individuals. Early detection and aggressive treatment are crucial for managing this challenging condition.
Area of Science:
- Otorhinolaryngology
- Infectious Diseases
- Ophthalmology
Background:
- Mucormycosis, a severe fungal infection, primarily affects patients with compromised immune systems.
- Changing patterns indicate its occurrence in immunocompetent hosts, posing new diagnostic challenges.
Observation:
- Isolated sphenoid sinus mucormycosis is rare.
- A unique case presented solely with visual impairment.
Findings:
- The study highlights evolving trends in mucormycosis presentation, extent, and location.
- Visual impairment as the sole symptom is an unusual presentation.
Implications:
- This necessitates a high index of suspicion for early diagnosis.
- Multidisciplinary collaboration among otorhinolaryngologists, ophthalmologists, and neurosurgeons is vital.
- Prompt and aggressive therapeutic strategies are essential to reduce patient morbidity and mortality.
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