Abstract
The chronic or indolent presentation of rhino-orbital mucormycosis, as defined by the presence of symptoms for more than 1 month before diagnosis, is extremely unusual. A 45-year-old man with stable diabetes presented with a right orbital apex syndrome and minimal ethmoid and sphenoid sinusitis. Progression was indolent, and the diagnosis was not made until 7 weeks after admission, when a third biopsy was prompted by new cavernous sinus and carotid artery thromboses. Mucormycosis was found. The patient improved on amphotericin B (2 g) and strict blood glucose control. A remarkable aberrant regeneration of the right oculomotor nerve was seen following treatment. He remains free of active disease 4 years later. Orbital symptoms in well-controlled diabetics, which may even remain stable for weeks and lack direct signs of tissue invasion, should raise the suspicion of mucormycosis.
Original language | English (US) |
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Pages (from-to) | 245-249 |
Number of pages | 5 |
Journal | Journal of Clinical Neuro-Ophthalmology |
Volume | 12 |
Issue number | 4 |
State | Published - Dec 1992 |
Externally published | Yes |
ASJC Scopus subject areas
- Ophthalmology
- Clinical Neurology