Mui M Y, Wang P Y, Chia L G, Ho W L
Department of Medicine, Veterans General Hospital Taichung, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1990 Jul;46(1):57-60.
Rhinocerebral mucormycosis developed in two poorly controlled diabetic patients with clinical manifestations of frontal headache, ophthalmoplegia, ptosis, proptosis, epistaxis and facial numbness. Early computed tomography (CT) of the head revealed fluid accumulation in paranasal sinuses. The diagnosis of this disease relied upon CT of the head, and biopsy or culture of the mucosa of sinuses. Remarkable improvement was noted following prompt surgical debridement and amphotericin-B therapy. We conclude that early diagnosis and aggressive treatment is the only way to save patient's life.
鼻脑型毛霉菌病发生在两名血糖控制不佳的糖尿病患者中,临床表现为前额头痛、眼肌麻痹、上睑下垂、眼球突出、鼻出血和面部麻木。早期头部计算机断层扫描(CT)显示鼻窦有积液。该疾病的诊断依赖于头部CT以及鼻窦黏膜活检或培养。在迅速进行手术清创和两性霉素B治疗后,病情有显著改善。我们得出结论,早期诊断和积极治疗是挽救患者生命的唯一途径。