ECE2018 ePoster Presentations Diabetes, Obesity and Metabolism (56 abstracts)
Mucormycosis in a patient with diabetes and orbital trauma
Şeyma Üneşi 1 , Aşkin Güngüneş 2 , Şenay Durmaz Arikan 2 , Ela Cömert 3 & Melike Tekşut 1
1Department of Internal Medicine of School of Medcine, Kirikkale, Turkey; 2Department of Endocrinology of School of Medcine, Kirikkale, Turkey; 3Department of Otorhinolaryngology of School of Medcine, Kirikkale, Turkey.
Introduction: Mucormycosis is a serious fungal infection, It is frequently observed in immunocompromised patients such as diabetes mellitus. The most common clinical presentation of mucormycosis is rhino-orbita- cerebral infection.
Case presentation: A seventy three-years- old man with diabetes mellitus who was operated due to orbital trauma a mounth ago. Periorbital cellulitis and diabetic ketosis developed during post-operative period and the patient was transferred to the endocrine clinic. Orbital and paranasal computed tomography were performed, and then necrosis areas were observed in the nasal cavity, middle and lower concha. Mucormycosis was considered with present findings. Surgical debridement and AmphotericinB treatment were started. Pathologic examination confirmed mucormycosis. Despite surgical debridement and amphotericin B treatment infection could not be controlled and he was referred to the upper center for hyperbaric oxygen therapy.
Conclusion: The evaluation in terms of mucormycosis may be important in a patient with diabetes mellitus and orbital trauma for early treatment approaches. However, treatment response may not always be good despite early diagnosis.
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Endocrine Abstracts
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