Reddy Prashanthi, Parihar Ajay, Singh Renu, Ac Varsha, Sutare Ajay
Department of Oral Medicine and Radiology, Government College of Dentistry, Indore, IND.
Cureus. 2022 Dec 29;14(12):e33077. doi: 10.7759/cureus.33077. eCollection 2022 Dec.
Mucormycosis is an opportunistic fungal infection indicating a high mortality rate. Among six varieties of involved sites, rhino cerebral mucormycosis (RCM) is not the most uncommon. During the COVID-19 pandemic, with the increase, in predisposing conditions incidence rate of mucormycosis progressed. For aggressive treatment, an early diagnosis can be armored to reduce morbidity and mortality. Clinically RCM poses non-specific symptoms and signs delaying diagnosis. This is associated with orbital cellulitis and sinusitis, one-sided headache behind the eye, diplopia, blurring of visions, nasal congestion, rhinorrhea, epistaxis, nasal hypoesthesia, facial pain and numbness, and a history of black nasal discharge. Not commonly the complications of cranial nerve involvement have been reported. In the present case series, three presentations of facial nerve palsy in COVID-19 associated with mucormycosis are added to the literature database.
毛霉菌病是一种机会性真菌感染，死亡率很高。在六个受累部位的类型中，鼻脑型毛霉菌病（RCM）并非最不常见。在新冠疫情期间，随着易感条件的增加，毛霉菌病的发病率有所上升。为了进行积极治疗，可以通过早期诊断来降低发病率和死亡率。临床上，RCM表现出非特异性症状和体征，从而延迟诊断。这与眼眶蜂窝织炎和鼻窦炎、眼后单侧头痛、复视、视力模糊、鼻塞、流涕、鼻出血、鼻感觉减退、面部疼痛和麻木以及黑色鼻分泌物病史有关。关于颅神经受累并发症的报道并不常见。在本病例系列中，新冠疫情相关毛霉菌病伴发面神经麻痹的三种表现被纳入文献数据库。
