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KMID : 0359720150330030191
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Journal of the Korean Neurological Association
2015 Volume.33 No. 3 p.191 ~ p.195
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Fatal Rhino-Orbital-Cerebral Mucormycosis Complicated with Thrombosis and Rupture of Mycotic Aneurysm in Distal Internal Carotid Artery
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Paek Young-Min
Park Hai-Jin
Joo Mee
Jung Kyu-Yoon
Kim Ah-Ro
Kim Ji-Eun
Lee Hye-Jung
Hong Keun-Sik
Cho Joong-Yang
Park Hee-Kyung
Song Pamela
Cho Yong-Jin
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Abstract
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Mucormycosis is a rare opportunistic infection caused by fungi of the order Mucorales that typically occurs in patients with diabetes or immunocompromised state. Rhino-orbital-cerebral mucormycosis is the most common type, often has a life-threatening outcome. Mucormycosis has specific vascular tropism complicating mucorthrombosis or mycotic aneurysm. We report a diabetic patient presenting with ophthalmoplegia, orbital necrosis, and contralateral hemiparesis, who suddenly progressed to coma and died of subarachnoid hemorrhage due to the rupture of mycotic aneurysm in distal internal carotid artery.
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KEYWORD
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Rhino-orbital-cerebral mucormycosis, Distal internal carotid artery, Mycotic aneurysm
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