68-year-old Chandu is a diabetic and presented with black, foul smelling discharge from the nose. Examination revealed blackish discoloration of the inferior turbinates. The diagnosis is:
(a) Mucormycosis(Ref. Cummings, 6th ed., 732)Diabetic patient (immunocompromised) with foul smelling black nasal discharge and black necrotic turbinates on examination is suggestive of mucormycosis. This is due to arterial and venous thrombosis due to direct fungal invasion causing local vascular insufficiency leading to gangrene.Invasive aspergillosis lead to local destruction but black discharge does not occur.Foreign body nose presents with foul smelling U/L nasal discharge.Infarct of inferior turbinate is no condition.
Mucormycosis
Aspergillosis
Infarct of inferior turbinate
Foreign body
Granulomatous Disorders of Nose Nasal Polyp And Foreign Body