Volume 26, Issue 125, July 2022

Non-invasive sinonasal mucormycosis in a diabetic - Case report

Muralidharan KR, Rajasekar MK^♦

Department of ENT Sree Balaji Medical College and Hospital, Chrompet, Chennai, India

^♦Corresponding author
Department of ENT Sree Balaji Medical College and Hospital, Chrompet, Chennai, India

ABSTRACT

The case of a diabetic patient hospitalized with a discharging ulcer sinus in the maxillary area and poor oral hygiene related to mucormycosis were shown and discussed in this study. A 52-year-old man with uncontrolled diabetes was referred to a tertiary care hospital with a two-year history of headaches, toothaches, nasal obstruction, and head heaviness. Recurrent URI and side face discomfort are also common. The patient was observed with ulcer sinus drainage and left maxillary pain. In the upper second and third molar regions, there is a blackish discoloration. A histological examination showed fungal hyphae after he had surgical debridement. Amphotericin B was used as a systemic antifungal. Sinonasal mucormycosis is a disease that is currently poorly understood and has a significant fatality rate. Currently, the trifecta of physician awareness, rapid initiation of therapy, and timely surgical intervention represents the most successful method of illness management.

Keywords: Mucormycosis, sinonasal, antifungal, diabetes, head ache, maxillary region and Amphotericin B

Medical Science, 2022, 26, ms312e2296

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DOI: https://doi.org/10.54905/disssi/v26i125/ms312e2296

Published: 27 July 2022