Rhino–orbital Aspergillous sinusitis in Diabetes  Mellitus�an aggressive opponent

Dr Supriya Barsode; Dr Arundhati Diwan; Dr Rohan Patil; Dr Gagan Jain

Volume : IV, Issue : I, January - 2014

Rhino–orbital Aspergillous sinusitis in Diabetes Mellitus�an aggressive opponent

Dr Supriya Barsode, Dr Arundhati Diwan, Dr Rohan Patil, Dr Gagan Jain

Abstract :

The leading cause of invasive fungal infections are the Aspergillus and Candida organisms followed by the mucorales which are predominantly opportunistic infections. Rhizopusoryzae is the most frequently isolated species1. Though fungal infection of the nasal cavity is not very uncommon there is an increased frequency of fungi to invade and infect immunocompromised hosts . Fungal pansinusitis further complicated with cavernous sinus thrombosis is a dangerous complication. Early diagnosis and urgent extensive deidement and systemic antifungal treatment is important to avoid a protracted or fatal outcome . Ocular motor palsies may recover within two months but visual loss may be permanent. Pansinusitis is an important differential diagnosis for acute visual loss , periorbital odema ,especially in uncontrolled diabetics2.