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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 04
Diabetes Mellitus Causing Rare Disease – Mucormycosis of Neck
Dr. Kanika Deora, Dr. Ajay Bhandarkar
Published: April 30, 2019 | 59 48
DOI: 10.36347/sjams.2019.v07i04.043
Pages: 1577-1579
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Abstract
Mucormycosis is a serious and a rare clinical entity often seen in immunocompromised patients. It is caused by ubiquitous filamentous fungi of the mucorales, order of the class of zygomycetes. Being an angioinvasive fungal infection, mortality rates are high. The infection is spread by inhalation of spores or by direct inhalation of fungus into the damaged skin or mucosa. It can be classified as one of the 6 forms- 1) Rhinocerebral 2) Pulmonary 3) Gastrointestinal 4) Cutaneous 5) Disseminated 6) Unusual presentation. Culture and histopathological examination are imperative in providing the correct diagnosis thus reducing its mortality and morbidity. We report a case of mucormycosis of neck in a diabetic patient. A 51 year old man, with h/0 uncontrolled diabetes mellitus complaints of painless, non – mobile, progressive swelling in the right lateral aspect of neck with laryngeal crepitus. Biopsy revealed a granulomatous condition suggesting of slow growing fungi of the mucor family. He was treated with liposomal intravenous amphotericin B and surgical debridement of the neck mass was done. He was discharged on syrup posaconazole.