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[Rhino-orbito-cerebral mucormycosis: clinical presentation]
J S Borruat1, F X Borruat, N Ducrey
1Hôpital Ophtalmique Jules Gonin, Lausanne. fborruat@hola.hospvd.ch
Background:
Rhino-orbito-cerebral mucormycosis is an opportunistic rapidly progressive infection affecting almost exclusively diabetic or immunocompromised patients.
Case Reports:
Three cases are reported. For one patient mucormycosis was the first manifestation of juvenile diabetes and the evolution was favorable. In the second case the infection affected a known diabetic patient and the clinical course was fatal. The third patient was immunocompromised, showed mild clinical features and a rapidly fatal evolution, the diagnosis being made only postmortem.
Conclusion:
These three cases illustrate the wide clinical spectrum of rhino-orbito-cerebral mucormycosis, its serious nature and difficult diagnosis.