Rhinocerebral mucoromycosis. Clinical case

Abstract

In recent years, there has been an increase in the number in Ukraine and the world clinical cases of various forms of mucoromycosis. It can be associated with severe immunosuppression caused by transmitted SARS-CoV-2, an increase in the number of patients with diabetes, which creates favourable conditions for development of fungal microflora. Rhinocerebral mucormycosis is usually severe and often fatal if not diagnosed early and actively treated. Necrotic lesions appear on the nasal mucosa or sometimes on the palate. Vascular invasion of hyphae leads to thrombosis and progressive tissue necrosis, which may involve the nasal septum, palate and bones, surrounding the orbit or sinuses. Verification of the diagnosis is difficult due to the inexperience of doctors in working with this disease, the disease has a tendency to progress rapidly. The article describes the case of treatment of a patient with rhinocerebral mucoromycosis, which had a severe clinical course.