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Rhinoorbital mucormycosis: surgical aspects
S C Bessler1, S Hailemariam, C Gammert
1Department of Otorhinolaryngology, University Hospital of Zurich, Switzerland.
Summary
Diabetic ketoacidosis with rhinoorbital mucormycosis can be successfully treated by removing necrotic tissue. Early diagnosis and prompt therapy, including antifungal agents, led to a favorable outcome without orbital exenteration.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Endocrinology
Background:
- Diabetic ketoacidosis (DKA) is a serious complication of diabetes mellitus.
- Rhinoorbital mucormycosis is a rare but aggressive fungal infection, often seen in immunocompromised individuals.
Observation:
- A young woman presented with diabetic ketoacidosis and rhinoorbital mucormycosis.
- The infection involved necrotic tissue in the rhino-orbital region.
Findings:
- Successful treatment was achieved through surgical resection of necrotic areas.
- The treatment regimen included correction of DKA, debridement, and administration of intravenous and topical amphotericin B.
- Orbital exenteration was avoided.
Implications:
- This case highlights the importance of early diagnosis and aggressive management of rhinoorbital mucormycosis in diabetic patients.
- Prompt and comprehensive therapy can lead to favorable outcomes and prevent extensive surgical procedures like orbital exenteration.