Survival of a rhinocerebral mucormycosis in a ketoacidosis patient

Mucormycosis can be a devastating and fatal disease if not treated promptly; unfortunately diagnosis can be a delayed process. Depending on the Hospitals ́ resources diagnosis can be more accurate or not. The mainstay of treatment is still surgical debridement with antifungal therapy. We present a case of a 75-year-old female, with immunosuppression and uncontrolled diabetes that presents to the emergency room with right hemifacial edema. CT scan revealed occupation of the right maxillary sinus, ethmoidal and sphenoid sinus and cranial base bone erosion with close proximity to the brain. Culture and biopsy specimens were taken with a delayed diagnosis of Mucor. The patient survived three months after surgical and antifungal therapy despite a very poor prognosis. Correspondence to: Dr. Roman Carlos Zamora, Otolaryngology Department, Reina Sofia Hospital, Cordoba, Spain, Tel: 34 625731369, +34 634219251, E-mail: [email protected]