Invasive cranial mycosis our experiences
A 55yr old male who was known case of T2DM, was admitted in our institute in 2011. He had history of trauma to face on left side. CT scan brain and face was done, which revealed fracture of whole left maxillary sinus, left ethmoid sinus & bilateral sphenoid sinus with left peri-orbital edema. His lab investigations showed high blood sugars and leucocytosis. Renal function and urine routine were normal. After some days, patient developed swelling over face which specially involved left side. Black area was present around left eye. Scraping was done, sent for KOH 10% mount. It showed fungal hyphae, which were non - septate. Culture grew Mucormycosis. He was put on insulin infusion and injectable Amphotericin B. Later, extensive surgical debridement including enucleation of left eye ball and facial reconstruction of left side was done [ and ]. Patient responded to treatment and was discharged after 6 weeks.