Facial nerve paralysis: A case report of rare complication in uncontrolled diabetic patient with mucormycosis

Journal of Natural Science, Biology, and Medicine
Vandana ShekarMadhulika Naidu

Abstract

Mucormycosis is a rare opportunistic aggressive and fatal infection caused by mucor fungus. Seven types of mucormycosis are identified based on the extension and involvement of the lesion, of which the rhino orbital mucormycosis is most common in the head and neck region. Although it is widely spread in nature, clinical cases are rare and observed only in immunocompromised patients and patients with uncontrolled diabetes mellitus. Early symptoms include fever, nasal ulceration or necrosis, periorbital edema or facial swelling, paresthesia and reduced vision. Involvement of cranial nerves although not common, facial nerve palsy is a rare finding. The infection may spread through cribriform plate to the brain resulting in extensive cerebellar infarctions. Timely diagnosis and early recognition of the signs and symptoms, correction of underlying medical disorders, and aggressive medical and surgical intervention are necessary for successful therapeutic outcome.

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Citations

Nov 26, 2019·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Rajashri ManeRoshni Mohanty
Aug 2, 2020·International Journal of Surgery Case Reports·Fatimah Al HassanAli Almomen

Methods Mentioned

BETA
biopsy

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