Ramya. Gundapaneni, Dr. Madhurima K Nayak, Dr. Gurudutt Mulky Kamath, Dr. Rajesh Nayak
Introduction: Mucormycosis is a significantly lethal infection affecting immunocompromised individuals. We report a case of unilateral Sino-orbital-cerebral mucormycosis.
Materials and methods: A 47 year old diabetic lady, who underwent renal transplantation 6 months back for chronic renal failure, presented with history of loss of vision in the right eye of two hours duration. On examination, her vision was perception of light negative. She had total ophthalmoplegia, chemosis, proptosis and severe ptosis. A clinical diagnosis of orbital apex syndrome was made.
Results: An MRI showed invasive sinusitis with cerebritis, orbital cellulitis with proptosis and thickening of extraocularmuscles. She underwent Maxillary antrostomy and lavage, and was started on Amphotericin. However, the patient went into sepsis within a day and could not be revived.
onclusion: Sino orbital cerebral mucormycosis is a potentially sight and life threatening complication in immunocompromised individuals.