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Rhino-Orbital Cerebral Mucormycosis in a Non-diabetic Patient Following COVID-19 Infection: A Case Report and Literature Review.
Cureus. 2022 Dec; 14(12):e32884.C

Abstract

Rhino-orbital cerebral mucormycosis has been commonly seen during the coronavirus disease 2019 (COVID-19) pandemic. Several factors responsible for etiology and pathophysiology have been identified, among which corticosteroids and diabetes have contributed to the lion's share of the outbreak of mucormycosis. In this report, we discuss a case of a 41-year-old non-diabetic male with a recent convalescence from COVID-19 infection presented with gradual vision loss and loss of sensations in his right eye. He was found to have periorbital swelling, restriction of extraocular movements in all gazes, chemosis, ptosis of the right eye, and right maxillary sinus tenderness. His serum investigations, radiologic findings, and blood culture were indicative of rhino-orbital cerebral mucormycosis. He was started on systemic liposomal amphotericin B immediately and underwent aggressive surgical debridement. A high index of clinical suspicion, aggressive multifaceted management, and follow-up are needed to have successful outcomes, thereby lowering the morbidity of coronavirus-associated mucormycosis.

Authors+Show Affiliations

Internal Medicine, Royal Alexandra Hospital, Edmonton, CAN.Internal Medicine, Universidad Libre Barranquilla, Barranquilla, COL.Internal Medicine, University of Medicine, Yangon, MMR.Internal Medicine, Karachi Medical and Dental College, Karachi, PAK.College of Medicine, The Ohio State University College of Medicine, Columbus, USA. College of Health Sciences and Professions, Ohio University, Athens, USA. Pathophysiology, American University of Antigua, Antigua, ATG.Anatomical Sciences, American University of Antigua, College of Medicine, Osbourn, ATG.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

36699798

Citation

Niazi, Maha, et al. "Rhino-Orbital Cerebral Mucormycosis in a Non-diabetic Patient Following COVID-19 Infection: a Case Report and Literature Review." Cureus, vol. 14, no. 12, 2022, pp. e32884.
Niazi M, Vittorino I, Thwe H, et al. Rhino-Orbital Cerebral Mucormycosis in a Non-diabetic Patient Following COVID-19 Infection: A Case Report and Literature Review. Cureus. 2022;14(12):e32884.
Niazi, M., Vittorino, I., Thwe, H., Alam, B., Awosika, A. O., & Omole, A. E. (2022). Rhino-Orbital Cerebral Mucormycosis in a Non-diabetic Patient Following COVID-19 Infection: A Case Report and Literature Review. Cureus, 14(12), e32884. https://doi.org/10.7759/cureus.32884
Niazi M, et al. Rhino-Orbital Cerebral Mucormycosis in a Non-diabetic Patient Following COVID-19 Infection: a Case Report and Literature Review. Cureus. 2022;14(12):e32884. PubMed PMID: 36699798.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rhino-Orbital Cerebral Mucormycosis in a Non-diabetic Patient Following COVID-19 Infection: A Case Report and Literature Review. AU - Niazi,Maha, AU - Vittorino,Isabella, AU - Thwe,Hla, AU - Alam,Benish, AU - Awosika,Ayoola O, AU - Omole,Adekunle E, Y1 - 2022/12/23/ PY - 2022/12/23/accepted PY - 2023/1/26/entrez PY - 2023/1/27/pubmed PY - 2023/1/27/medline KW - coronavirus disease 2019 (covid-19) KW - diabetes mellitus KW - mucormycosis KW - rhino-cerebral mucormycosis KW - rhino-orbito-cerebral mucormycosis SP - e32884 EP - e32884 JF - Cureus JO - Cureus VL - 14 IS - 12 N2 - Rhino-orbital cerebral mucormycosis has been commonly seen during the coronavirus disease 2019 (COVID-19) pandemic. Several factors responsible for etiology and pathophysiology have been identified, among which corticosteroids and diabetes have contributed to the lion's share of the outbreak of mucormycosis. In this report, we discuss a case of a 41-year-old non-diabetic male with a recent convalescence from COVID-19 infection presented with gradual vision loss and loss of sensations in his right eye. He was found to have periorbital swelling, restriction of extraocular movements in all gazes, chemosis, ptosis of the right eye, and right maxillary sinus tenderness. His serum investigations, radiologic findings, and blood culture were indicative of rhino-orbital cerebral mucormycosis. He was started on systemic liposomal amphotericin B immediately and underwent aggressive surgical debridement. A high index of clinical suspicion, aggressive multifaceted management, and follow-up are needed to have successful outcomes, thereby lowering the morbidity of coronavirus-associated mucormycosis. SN - 2168-8184 UR - https://www.unboundmedicine.com/medline/citation/36699798/Rhino-Orbital_Cerebral_Mucormycosis_in_a_Non-diabetic_Patient_Following_COVID-19_Infection:_A_Case_Report_and_Literature_Review. DB - PRIME DP - Unbound Medicine ER -
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