Orbital Apex Syndrome due to Orbital Mucormycosis after Teeth Infection: A Successful Case Report

Case Reports in Ophthalmology

卷:12

Ana Cláudia Carvalho¹  António Sarmento¹  Isabel Abreu¹  Gonçalo Alves²  Ricardo Vaz³  Gonçalo Godinho⁴  Vitor Leal⁴  Fernando Falcão-Reis⁴ 

[1] Infectious Diseases Department, Centro Hospitalar e Universitário São João, Porto, Portugal;

[2] Neuroradiology Department, Centro Hospitalar e Universitário São João, Porto, Portugal;

[3] ORL Department, Centro Hospitalar e Universitário São João, Porto, Portugal;

[4] Ophthalmology Department, Centro Hospitalar e Universitário São João, Porto, Portugal;

关键词: diabetes;    exenteration;    mucorales;    mucormycosis;    teeth;   

DOI  :  10.1159/000510389

来源: DOAJ

【 摘 要 】

Rhino-orbital-cerebral mucormycosis is a severe and rapidly progressive fungal infection associated with low survival rates. Early diagnosis and proper management are mandatory. We report the case of a 20-year-old female with diabetic ketoacidosis and teeth infection, who presented with sudden orbital apex syndrome. Several surgical procedures were necessary to provide a definite histopathological diagnosis of the fungal infection. Ultimately, given the progressive aggravation of the infection and the ineffectiveness of antifungal and antibiotic agents, an orbital exenteration was performed. A mycobacteriological examination revealed a polymicrobial culture with Mucorales. One year after the initial presentation, the patient is alive and with a good general health condition.

【 授权许可】

Unknown