Abstract

BOTERO, Juan Camilo; MORENO, Luis Fernando  and  CAPARROSO, Luis Carlos. Rhinocerebral mucormycosis in diabetic patient with headache. Infect. [online]. 2008, vol.12, n.1, pp.72-76. ISSN 0123-9392.

We report the case of a 52 years old male patient with type 2 diabetes mellitus under metformin therapy that presented with acute headache and nasal congestion. Pansinusitis was diagnosed which did not respond to medical treatment. He was evaluated by the internal medicine and otorrinolaringology departments. In the fibronasolaringoscopy exam black necrotic scars were found in turbinates and meatus. A magnetic resonance was ordered which evidenced a lesion in the left temporal region associated to vasogenic edema. The patient was programmed for abscess drainage without any complications; the histopathological report informed the presence of non septated hyphae compatible with Rhizopus sp. The patient began to receive amphotericyn B for a rhinocerebral mucormycosis with optimal response and was discharged with improvement of his clinical picture.

Keywords : diabetes; pansinusitis; rhinocerebral mucormycosis; Rhizopus.

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