Orbital Apex Syndrome: Fulminant presentation of Mucormycosis

Dr. Renuka Ajit Kukreja; Dr. Jigeesha Preethi Meda

Volume : VIII, Issue : V, May - 2019

Orbital Apex Syndrome: Fulminant presentation of Mucormycosis

Dr. Renuka Ajit Kukreja, Dr. Jigeesha Preethi Meda

Abstract :

Increased incidence of fungal infection has been reported globally in the recent years. Fungal infection of the central nervous system remains one of the most difficult diseases to treat and requires multi-modality intensive therapeutic strategies. With associated co-morbidities like diabetes, aggravation of fungal infections is very common. Radiological studies are gold standard to assess disease extent and further management. Biopsy of the lesion and fungal staining help in identifying the etiological agent and final diagnosis.Rhino-orbito-cereal mucormycosis is a major diagnostic dilemma with quick progression and a high mortality. Prompt medical management with a multi-modality approach can save the patient from orbital exenteration. Methodology We report two cases of patients who presented to us with sinusitis and total external ophthalmoplegia diagnosed with rhino-orbito-cereal mucormycosis.