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KMID : 0390220190300020253
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2019 Volume.30 No. 2 p.253 ~ p.260
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A Case of Recurrent Nasal Mucormycosis Treated by Repetitive Surgical Debridement
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Kim Ki-Nam
Choi Suk-Jin
Kim Young-Hyo
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Abstract
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Rhinocerebral mucormycosis is one of the most rapidly progressing and lethal forms of fungal infection in hu- mans. It could be so fatal and cause death in diabetic or immuno-compromised patients. The rhinocerebral mu- cormycosis first occurs in the nose, and might rapidly spread to the orbit and intracranium. Our case was a 60-years-old female who had headache, facial pain. Despite surgical treatment, the patient had recurred several times and had suspected necrotic tissue in the nose. Therefore, we were able to treat this patient appropriately with repeated extensive surgical debridement and antifungal agents. Since rhinocerebral mucormycosis is a fre- quent recurrence, as in this case, more aggressive surgical treatments and antifungal agents should be used in the early stages.
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KEYWORD
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Mucormycosis, Diabetes, Steroid, Sinusitis
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