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National Journal of Maxillofacial Surgery
 
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CASE REPORT
Year : 2013  |  Volume : 4  |  Issue : 2  |  Page : 249-251

Necrosis of maxilla, nasal, and frontal bone secondary to extensive rhino-cerebral mucormycosis


1 Department of Oral and Maxillofacial Surgery, PDM Dental College, Bahadurgarh, Haryana, India
2 Department of Oral and Maxillofacial Surgery, Government Dental College, Rohtak, Haryana, India
3 Department of Dental Surgery, Civil Hospital, Panipat, Haryana, India

Correspondence Address:
Ajay Verma
Reader, 35/9, Lajpat Nagar, Sonepat - 131 001, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-5950.127663

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Mucormycosis is an opportunistic fulminant fungal infection caused by zygomycetes. This fungus can cause a variety of infections in human beings, particularly in the uncontrolled diabetes mellitus. Zygomycetes impinge into the vascular network, resulting in thrombosis and necrosis of the surrounding hard and soft tissues. The infection begins in the nose and paranasal sinuses due to inhalation of fungal spores and spread to orbital and intracranial structures either by direct invasion or through the blood vessels. Sinus mucormycosis is often accompanied by a poor prognosis and a high mortality rate. Hence, aggressive surgical intervention with antifungal therapy is usually necessary. Early diagnosis and prompt treatment can reduce the mortality and morbidity of this lethal fungal infection. We report a case of aggressive rhino-cerebral mucormycosis in a 58-year-old female patient with uncontrolled diabetes mellitus.


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