A 55-year-old diabetic female patient presented with facial pain and numbness along with conjunctival suffusion and blurring of vision for 6 days. Patient was conservatively managed and sent home. After a week, she presented to the ER again with B/L proptosis, chemosis, vision loss and ophthalmoplegia along with a characteristic lesion on the nose. Smear was prepared from the nasal lesion.
THIS IS A CLASSICAL CASE OF RHINO-ORBITAL-CEREBRAL MUCORMYCOSIS. 1ST image shows classical black eschar of mucormycosis. 2nd image shows the fungal forms of mucormycosis which are broad, non-septate hyphae They are wider than Aspergillus species and branch irregularly. The angle of branching is greater than other organisms, and usually approaches 90deg The first line drug approved: - 1. Amphotericin B 2. Posaconazole 3. Echinocandins
Amphotericin B
Posaconazole
Itraconazole
Caspofungin
Integrated QBank