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A Fatal Outcome of Rhino-orbito-cerebral Mucormycosis Following Tooth Extraction: A Case Report
Hesham Y Abdel Motaleb1, Mostafa S Mohamed1, Fahmy A Mobarak2
1Resident, Department of Oral & Maxillofacial Surgery, Nasser Institute Hospital for Research and Treatment, Cairo, Egypt.
Abstract:
Rhino-orbito-cerebral mucormycosis is an uncommon aggressive life-threatening opportunistic fungal infection that affects mainly the immunocompromised population with mortality rate up to 50%. Due to its aggressive nature, early detection and prompt management are of great importance for a good prognosis. Our report describes a fatal outcome of a case of rhino-orbito-cerebral mucormycosis following tooth extraction in an uncontrolled non-insulin-dependent diabetes mellitus patient after 14 days of admission.
Insights
Rhino-orbito-cerebral mucormycosis is a dangerous fungal infection, often fatal in immunocompromised individuals. This case highlights a fatal outcome after tooth extraction in a diabetic patient, emphasizing the need for prompt diagnosis and management.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Endocrinology
Background:
- Rhino-orbito-cerebral mucormycosis (ROCM) is a rare, aggressive fungal infection with high mortality, primarily affecting immunocompromised individuals.
- Early detection and prompt management are crucial for improving patient prognosis in ROCM cases.
- Uncontrolled diabetes mellitus is a significant risk factor for opportunistic infections like mucormycosis.
Observation:
- This report details a fatal case of ROCM in a patient with uncontrolled non-insulin-dependent diabetes mellitus.
- The infection developed following a tooth extraction procedure.
- The patient succumbed to the infection 14 days after admission.
Findings:
- The case illustrates a severe presentation of ROCM in a diabetic patient.
- Tooth extraction served as a potential trigger or entry point for the fungal infection.
- The aggressive nature of ROCM led to a fatal outcome despite medical intervention.
Implications:
- This case underscores the critical importance of vigilant monitoring and management of diabetes mellitus to prevent severe opportunistic infections.
- It highlights the potential risk of ROCM following invasive dental procedures in susceptible individuals.
- Emphasizes the need for heightened clinical suspicion and rapid diagnostic protocols for ROCM, especially in patients with risk factors.
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