Annals of Tropical Medicine and Public Health
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CASE REPORT
Year : 2010  |  Volume : 3  |  Issue : 1  |  Page : 23-25

Rhino-orbito-cerebral infection due to Rhizopus in a diabetic patient


Department of Microbiology, Lokmanya Tilak Municipal Medical College (L.T.M.M.C) & General Hospital (L.T.M.G.H), Sion, Mumbai - 400 002, India

Correspondence Address:
V P Baradkar
Department of Microbiology, L.T.M.M.C and L.T.M.G.H, Sion, Mumbai - 400 022
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.76180

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A 55-year-old diabetic female presented with persistent headache, bilateral nasal blockage, common cold and nasal discharge since 10 days. The patient also complained of bilateral nasal bleeding, anosmia and ptosis of the eye since the last five days. Clinical diagnosis of rhino-orbito-cerebral was confirmed by computed tomography (CT) scan of paranasal sinuses and brain. The diagnosis of fungal infection due to Rhizopus species was confirmed by Potassium hydroxide (KOH) examination, Hematoxylin and Eosin staining and Gomori's Methenamine Silver Nitrate staining on mucosal biopsy, followed by culture on Sabouraud's Dextrose agar. Surgical debridement was done and intravenous Amphotericin B was administered to the patient, who responded well to the treatment.


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