Abstract
Rhino-orbito-cerebral mucormycosis (ROCM) is caused by invasion of orbital and intracranial structures directly or through the blood vessels of fungi of the Order Mucorales. It is the most fulminant form of mucormycosis and can manifest brain abscess, cranial nerve palsies, thrombosis or aneurysm, as well as sinusitis, facial or nasal deformity. We report one ROCM case complicated by recurrent cerebral infarctions after involvement of cavernous sinus and meningeal inflammation, despite treatment with surgical debridement and high dose intravenous amphotericin B.
Keywords
Cerebral infarction Meningitis Mucormycosis Vasculitis
KJMM
2013 March;18(1):16-19(4). Epub 2016 February 17
Copyright © 2013 by Korean Journal of Medical Mycology
Language
Korean/English
Author
Ji Sun Kwon; Department of Neurology, Kwandong University College of Medicine Myongji Hospital
Go Un Kim; Department of Neurology, Kwandong University College of Medicine Myongji Hospital
Ji-Sun Song; Department of Pathology, Kwandong University College of Medicine Myongji Hospital
Jee Young Kim; Department of Neurology, Kwandong University College of Medicine Myongji Hospital
Corresponding
Jee Young Kim, Department of Neurology Kwandong University College of Medicine Myongji Hospital 697-24 Hwajung-dong, Deokyang-gu, Goyang-si, Gyeonggi-do, 412-270, Republic of Korea. Tel: +82-82-31-810-5404, Fax: +82-31-810-5190, e-mail: nrkjy55@gmail.com
Publication history
Received 24 October 2012;
Revised 27 December 2012;
Accepted 27 December 2012.
Acknowledgements
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Ji Sun Kwon
Department of Neurology, Kwandong University College of Medicine Myongji Hospital
Go Un Kim
Department of Neurology, Kwandong University College of Medicine Myongji Hospital
Ji-Sun Song
Department of Pathology, Kwandong University College of Medicine Myongji Hospital
Jee Young Kim
Department of Neurology, Kwandong University College of Medicine Myongji Hospital