Abstract
No abstract available
Highlights
Sinoscopy under anesthesia may be required for definitive diagnosis of Rhino-cerebral Mucormycosis (RCM) as nasal examination can be completely normal in early stages
Rhino-cerebral Mucormycosis (RCM) is an invasive fungal infection caused by filamentous fungi of the Mucoraceae family [1,2]
We have taken some important steps to try and decrease mortality and come up with a departmental protocol. With this we have experienced a remarkably low mortality rates and we are yet to see any deaths managed using this protocol during this year (7 cases)
Summary
1. Rhino-orbital symptoms and sings in an immunocompromised patient along with fat stranding in CT scan are strongly suggestive of RCM. 2. Sinoscopy under anesthesia may be required for definitive diagnosis of RCM as nasal examination can be completely normal in early stages. 3. Liposomal Amphotericin along with other supportive measures and strict fluid/ electrolyte balance can reduce mortality significantly. 4. Topical conventional Amphotericin packaging is an important adjunct to systemic therapy. Topical conventional Amphotericin packaging is an important adjunct to systemic therapy This license lets others distribute, remix, tweak, and build upon the work, even commercially, as long as they credit the original author for the creation
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