Rhinocerebral Mucormycosis in a Patient with Type 1 Diabetes Mellitus: Case Report
Jos Journal of Medicine
; 3(1): 46-48, 2008.
Artigo
em Inglês
| AIM (África)
| ID: biblio-1263780
Biblioteca responsável:
CG1.1
ABSTRACT
Background:
Rhinocerebral mucormycosis is one of the severe forms of infections in persons with diabetes mellitus. Its occurrence is rare and is reported little in our environ- ment. We report a case of rhinocerebral mucormycosis in a patient with type 1 diabetes mellitus (DM) with the aim of drawing the attention of physicians to its existence in our nvironment and the need for aggressive management.Method:
The case notes of a patient with type 1 DM presenting with features of rhinocerebral mucormycosis and the rele- vant literature of the subject was reviewed.Result:
An eighteen-year old senior secondary school man with a one-year history of type 1 DM was admitted to the male medical ard of Aminu Kano Teaching Hospital (AKTH) with features of diabetic ketoacidosis (DKA); facial rashes involving the medial canthus of the right eye extending to the right para- nasal area and right nostril. The facial rashes which started initially as blisters later progressed to form ulcers with necroses. There was progressive deterioration in level of consciousness with a right hemiparesis. Magnetic resonance imaging (MRI) revealed multiple brain abscesses with dilatation and engorgement of the sphenoidal and maxillary sinuses. He was managed with broad-spectrum antibiotics; antifungals and wound debridement. He continued to deteriorate and died seven weeks later. Conlusion Rhinocere- bral mucormycosis though rare; does occur especially in the setting of DM and requires an aggressive and a multidisciplinary approach to management
Texto completo:
Disponível
Base de dados:
AIM (África)
Assunto principal:
Diabetes Mellitus
/
Mucormicose
Idioma:
Inglês
Revista:
Jos Journal of Medicine
Ano de publicação:
2008
Tipo de documento:
Artigo