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Rhino-orbital-cerebral infection by Syncephalastrum racemosusm
Alice J Mathuram1, Promila Mohanraj1, Mary S Mathews2
1Department of Medicine, Christian Medical College, Vellore.
Abstract:
Invasive rhino-sinusitis infection has been known to be caused by zygomycetes commonly belonging to the genera Rhizopus, Mucor and Rhizomucor. We report a middle aged diabetic gentleman who had invasive rhino-orbital-cerebral infection with Syncephalastrum racemosum. This genera belonging to zygomycetes group of fungi which usually causes skin and soft tissue infection but invasive infection with this fungus is rarely known.
Insights
Invasive fungal sinusitis is typically caused by Rhizopus, Mucor, and Rhizomucor. This case highlights a rare invasive rhino-orbital-cerebral infection caused by Syncephalastrum racemosum in a diabetic patient.
Area of Science:
- Mycology
- Infectious Diseases
- Ophthalmology
Background:
- Invasive rhino-sinusitis is commonly caused by zygomycetes.
- Genera like Rhizopus, Mucor, and Rhizomucor are frequent culprits.
- Zygomycosis poses a significant threat, particularly to immunocompromised individuals.
Observation:
- A middle-aged diabetic male presented with invasive rhino-orbital-cerebral infection.
- The causative agent identified was Syncephalastrum racemosum.
- This fungal genus is typically associated with cutaneous and soft tissue infections.
Findings:
- Syncephalastrum racemosum, a zygomycete, was responsible for a rare invasive rhino-orbital-cerebral infection.
- This represents an unusual presentation for this specific fungal genus.
- The infection extended beyond the sinuses to involve the orbit and brain.
Implications:
- Highlights the potential for less common zygomycetes to cause severe invasive disease.
- Emphasizes the need for broad fungal identification in invasive infections, especially in diabetics.
- Underscores the importance of early diagnosis and aggressive management of zygomycosis.
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