Successful outcome of rhino-orbital mucormycosis in a case of type i diabetes mellitus

CASE REPORTS

Year : October-December 2006 | Volume : 3 | Issue : 4

SUCCESSFUL OUTCOME OF RHINO-ORBITAL MUCORMYCOSIS IN A CASE OF TYPE I DIABETES MELLITUS

MR Wade¹, AR Jadhav¹, RA Bradoo², MV Manglani¹.
¹Department of Pediatrics, Lokmanya Tilak Municipal Medical College & General Hospital, Sion, Mumbai 400 022, India, ²Department of ENT, Lokmanya Tilak Municipal Medical College & General Hospital, Sion, Mumbai 400 022, India.

Abstract

Mucormycosis is a rare and life threatening fungal infection in children that occurs in association with immunocompromised states. Very few case reports of rhino-orbital mucormycosis have been documented in pediatric age group and most of these have been fatal. We report a case of mucormycosis in a child with type I Diabetes Mellitus who presented with sero-sanginous nasal discharge along with orbital cellulitis. Nasal mucosal biopsy revealed aseptate hyphae diagnostic of mucormycosis. The CT showed involvement of ethmoid and maxillary sinuses along with retro-orbital extension, sparing cerebral involvement. We managed the child with lipid complex amphotericin B coupled with repeated surgical debridement. On follow up at six months, the child was disease free.

Key Messages:

Mucormycosis is a rare but an acute and frequently fatal infection in young patients with type 1 diabetes mellitus.

High index of suspicion and combined approach with amphotericin B and appropriate surgery is rewarding in management of mucormycosis.

Journal Subscription

Pediatric Oncall Journal

Subscribe Now

This Article

Full Text

Authors

Other

Cite this article as

Wade M, Jadhav A, Bradoo R, Manglani M. SUCCESSFUL OUTCOME OF RHINO-ORBITAL MUCORMYCOSIS IN A CASE OF TYPE I DIABETES MELLITUS. Pediatr Oncall J. 2006;3: 66-67.