Rhino-Orbito-Cerebral Mucormycosis: Two Cases with Amaurosis as Presentation, Medical Surgical Management and Follow-Up
Joint Authors
Bengoa-González, Álvaro
Navarro-Perea, Carmen
Cañas-Zamarra, Ignacio
Mencía-Gutiérrez, Enrique
Revilla-Sánchez, Enrique
Lago-Llinás, María-Dolores
Pérez-Trigo, Silvia
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-12-05
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose: Mucormycosis is an infection caused by fungi to the class Zygomycetes that usually appears in immunosuppressed patients.
Diagnostic confirmation is often delayed, with fatal prognosis in cases in which treatment is not rapidly established.
Case report: We present two clinical cases of rhino-orbito-cerebral mucormycosis with an atypical presentation form, consisting of a unilateral complete sudden vision loss.
Intravenous treatment with liposomal amphotericin B was started and total orbital exenteration surgery was performed.
The removed surgical area was filled with gauze impregnated with liposomal amphotericin B and was left open for cures every 12 hours.
Due to the good clinical evolution, a reconstruction of the orbital exenteration defect was performed in Case 1 with a temporal muscle flap and a skin island pedicled flap.
In Case 2, reconstruction was not performed due to the poor evolution of the patient.
Discussion: As it is a very aggressive surgery, the aesthetic and functional sequelae are very important.
When the survival of the patient is achieved, we should offer reconstructive solutions that improve their quality of life.
The reconstruction carried out using a flap of the temporal muscle can be made in a single act without requiring microvascular surgery.
American Psychological Association (APA)
Navarro-Perea, Carmen& Cañas-Zamarra, Ignacio& Mencía-Gutiérrez, Enrique& Revilla-Sánchez, Enrique& Lago-Llinás, María-Dolores& Pérez-Trigo, Silvia…[et al.]. 2019. Rhino-Orbito-Cerebral Mucormycosis: Two Cases with Amaurosis as Presentation, Medical Surgical Management and Follow-Up. Case Reports in Ophthalmological Medicine،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1142294
Modern Language Association (MLA)
Navarro-Perea, Carmen…[et al.]. Rhino-Orbito-Cerebral Mucormycosis: Two Cases with Amaurosis as Presentation, Medical Surgical Management and Follow-Up. Case Reports in Ophthalmological Medicine No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1142294
American Medical Association (AMA)
Navarro-Perea, Carmen& Cañas-Zamarra, Ignacio& Mencía-Gutiérrez, Enrique& Revilla-Sánchez, Enrique& Lago-Llinás, María-Dolores& Pérez-Trigo, Silvia…[et al.]. Rhino-Orbito-Cerebral Mucormycosis: Two Cases with Amaurosis as Presentation, Medical Surgical Management and Follow-Up. Case Reports in Ophthalmological Medicine. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1142294
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1142294