Dr.AARUSHI SAINI

Dr. JOLLY ROHATGI, Dr.AGAM BHANDARI, Dr.ANCHAL ARORA

Abstract

A 38yr F presented with fever, headache & swelling on L side of face & eyelid for 7days. She had uncontrolled diabetes on insulin. LE ocular movements were restricted in all gazes along with proptosis. Pupillary reaction was normal, BCVA was 6/6. MRI Head &orbit showed Invasive fungal sinusitis of L paranasal sinuses & nasal cavity with extension into L orbit. Biopsy of L nasal mucosa was s/o RHIZOPUS species. Diagnosis of invasive fungal sinusitis(mucormycosis)with orbital cellulitis was made. Patient was started on IV Amphotericin B & underwent L partial middle turbinectomy & maxillary ostium widening ↓ LA, followed by Functional Endoscopic Sinus Surgery ↓GA 1mth later. Patient improved dramatically after surgery & subsequently responded well to medical therapy. Restriction of ocular movements and proptosis resolved completely.

Conclusion- Aggressive surgical debridement should be undertaken as soon as diagnosis of mucormycosis is made to aid in its medical management.