Central retinal artery occlusion as the presenting manifestation of invasive rhino-orbital-cerebral mucormycosis
Rhino-orbital-cerebral mucormycosis (ROCM) is a rare but devastating fungal infection caused by filamentous fungi of the family Mucoraceae. We report a rare case of unilateral ROCM in a diabetic patient where central retinal artery occlusion (CRAO) was the first manifestation of the disease. Magneti...
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Wolters Kluwer Medknow Publications
2020-01-01
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doaj-8676deb4c1ff4c35b271e016bb75659d2020-11-25T01:57:56ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722020-01-01101626510.4103/tjo.tjo_72_18Central retinal artery occlusion as the presenting manifestation of invasive rhino-orbital-cerebral mucormycosisPritam BawankarSayalee LahanePooja PathakPayal GondeAnjali SinghRhino-orbital-cerebral mucormycosis (ROCM) is a rare but devastating fungal infection caused by filamentous fungi of the family Mucoraceae. We report a rare case of unilateral ROCM in a diabetic patient where central retinal artery occlusion (CRAO) was the first manifestation of the disease. Magnetic resonance imaging scan revealed orbital and intracranial spread of the disease. Definitive diagnosis was established by culture of the biopsy specimen which showed Rhizopus oryzae on Sabouraud's dextrose agar. The patient was successfully treated with extensive debridement of sinuses and intravenous liposomal amphotericin B; however, the left eye remained blind following the CRAO.http://www.e-tjo.org/article.asp?issn=2211-5056;year=2020;volume=10;issue=1;spage=62;epage=65;aulast=Bawankarcentral retinal artery occlusiondiabetes mellitusophthalmoplegiaptosisrhino-orbital-cerebral mucormycosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Pritam Bawankar Sayalee Lahane Pooja Pathak Payal Gonde Anjali Singh |
spellingShingle |
Pritam Bawankar Sayalee Lahane Pooja Pathak Payal Gonde Anjali Singh Central retinal artery occlusion as the presenting manifestation of invasive rhino-orbital-cerebral mucormycosis Taiwan Journal of Ophthalmology central retinal artery occlusion diabetes mellitus ophthalmoplegia ptosis rhino-orbital-cerebral mucormycosis |
author_facet |
Pritam Bawankar Sayalee Lahane Pooja Pathak Payal Gonde Anjali Singh |
author_sort |
Pritam Bawankar |
title |
Central retinal artery occlusion as the presenting manifestation of invasive rhino-orbital-cerebral mucormycosis |
title_short |
Central retinal artery occlusion as the presenting manifestation of invasive rhino-orbital-cerebral mucormycosis |
title_full |
Central retinal artery occlusion as the presenting manifestation of invasive rhino-orbital-cerebral mucormycosis |
title_fullStr |
Central retinal artery occlusion as the presenting manifestation of invasive rhino-orbital-cerebral mucormycosis |
title_full_unstemmed |
Central retinal artery occlusion as the presenting manifestation of invasive rhino-orbital-cerebral mucormycosis |
title_sort |
central retinal artery occlusion as the presenting manifestation of invasive rhino-orbital-cerebral mucormycosis |
publisher |
Wolters Kluwer Medknow Publications |
series |
Taiwan Journal of Ophthalmology |
issn |
2211-5056 2211-5072 |
publishDate |
2020-01-01 |
description |
Rhino-orbital-cerebral mucormycosis (ROCM) is a rare but devastating fungal infection caused by filamentous fungi of the family Mucoraceae. We report a rare case of unilateral ROCM in a diabetic patient where central retinal artery occlusion (CRAO) was the first manifestation of the disease. Magnetic resonance imaging scan revealed orbital and intracranial spread of the disease. Definitive diagnosis was established by culture of the biopsy specimen which showed Rhizopus oryzae on Sabouraud's dextrose agar. The patient was successfully treated with extensive debridement of sinuses and intravenous liposomal amphotericin B; however, the left eye remained blind following the CRAO. |
topic |
central retinal artery occlusion diabetes mellitus ophthalmoplegia ptosis rhino-orbital-cerebral mucormycosis |
url |
http://www.e-tjo.org/article.asp?issn=2211-5056;year=2020;volume=10;issue=1;spage=62;epage=65;aulast=Bawankar |
work_keys_str_mv |
AT pritambawankar centralretinalarteryocclusionasthepresentingmanifestationofinvasiverhinoorbitalcerebralmucormycosis AT sayaleelahane centralretinalarteryocclusionasthepresentingmanifestationofinvasiverhinoorbitalcerebralmucormycosis AT poojapathak centralretinalarteryocclusionasthepresentingmanifestationofinvasiverhinoorbitalcerebralmucormycosis AT payalgonde centralretinalarteryocclusionasthepresentingmanifestationofinvasiverhinoorbitalcerebralmucormycosis AT anjalisingh centralretinalarteryocclusionasthepresentingmanifestationofinvasiverhinoorbitalcerebralmucormycosis |
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