EXOPHIALA SPECIE: A Case of Rhino Cerebral Mucormycosis in Diabetic Woman

Abstract

42 year old woman, newly diagnosed diabetes mellitus, presented
with complaint of le side facial pain and numbness over the lips.
These symptoms were sudden in onset associated with fever,
diplopia at le eye on seeing toward lateral side and le side
hyposmia. Had some relief in pain with oral medica on and
aggrevated with jaw movements, CT PNS (computed tomography
Para nasal sinus) showed sinusi s with le orbital celluli s and le
level II(upper jugular group) lymphadenopathy , underwent FESS
(func onal endoscopic sinus surgery) procedure and ssue biopsy
specimen were taken which showed ssue invasive fungal infec on
morphologically sugges ve of Mucormycosis , ssue culture had
heavy growth of exophiala species. She had 2 nasal washes during
this whole course of illness was treated ini ally with injec on
amphotericin 50mg ll the arrival of culture report and then
switched to capsule Itraconazole for 6 months with regular
surveillance. Her symptoms grossly improved.