Rhino-orbital-cerebral mucormycosis in type 1 diabetes mellitus.
Indian J Pediatr
;
2005 Aug; 72(8): 671-4
Artigo
em Inglês
| IMSEAR
| ID: sea-78361
ABSTRACT
AIM:
To describe the presentation and outcome of rhino-orbital-cerebral mucormycosis (ROCM) in adolescents with type 1 diabetes mellitus (T1DM).METHODS:
The medical records of six patients of T1DM with ROCM admitted between October 2001 to January 2004 were analysed.RESULTS:
The mean (+/- SD) age and duration of DM of these patients were 16.1+/-3.0 years and 26.3 +/- 24.9 months respectively. Four patients had ROCM at presentation, while two developed it during their hospital stay when recovering from diabetic ketoacidosis. Proptosis (100%) and ptosis (100%) were the most common symptoms, and ophthalmoplegia (85%) and vision loss (85%) were the most common signs. Maxillary sinus (85%) was the commonest paranasal sinus to be involved. All patients received amphotericin B and had appropriate surgery except one. Four patients survived. Patients who had altered sensorium, facial necrosis, palatal perforation and cerebral involvement at presentation had poor outcome.CONCLUSION:
High index of suspicion of ROCM in T1DM and combined approach with amphotericin B and appropriate surgery is rewarding.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Prognóstico
/
Humanos
/
Infarto Cerebral
/
Criança
/
Anfotericina B
/
Doenças Nasais
/
Estudos Retrospectivos
/
Adolescente
/
Cooperação do Paciente
/
Evolução Fatal
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Idioma:
Inglês
Revista:
Indian J Pediatr
Ano de publicação:
2005
Tipo de documento:
Artigo
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