Bavikar Purva, Mehta Varshil
Department of Internal Medicine, MGM Medical College, Navi Mumbai, India.
Cureus. 2017 Nov 13;9(11):e1841. doi: 10.7759/cureus.1841.
Mucormycosis is a progressively invasive disease, with a fatal outcome, on late presentation. A 38-year-old female presented with diabetic ketoacidosis with right eye ptosis and a frozen globe without any signs of inflammation, externally. She underwent transnasal endoscopic debridement of paranasal sinuses and exenteration of the right eye. The histopathology specimen revealed the growth of mucormycosis. She was treated with intravenous (IV) amphotericin B, IV insulin, and extensive debridement surgery, but had an unfavorable outcome due to rapid mucor invasion to the brain.
毛霉菌病是一种进行性侵袭性疾病，若就诊延迟则预后不良。一名38岁女性因糖尿病酮症酸中毒就诊，伴有右眼上睑下垂和眼球固定，外观无任何炎症迹象。她接受了经鼻内镜鼻窦清创术和右眼眼球摘除术。组织病理学标本显示有毛霉菌生长。她接受了静脉注射两性霉素B、静脉注射胰岛素以及广泛的清创手术，但由于毛霉菌迅速侵袭脑部，预后不佳。
