Invasive cranial mycosis our experiences
A 27yr old non-diabetic male was admitted in our institute in 2013 with chronic kidney disease (urea- 172.5mg% & creatinine- 8.5mg%), metabolic acidosis, septicemia and normocytic normochromic anaemia. He had noticed ptosis in right eye since one day []. On examination, Ocular movements were restricted in right eye suggestive of involvement of 3rd, 4th and 6th cranial nerve and papilledema was present. Black discoloration was present over right nasal region. His right palate showed a white patch which later turned to black []. MRI brain and orbit showed mucosal thickening in right maxillary and ethmoid sinus. Tissue was sent for culture and biopsy. Immediate 10% KOH mount was done, which came positive for fungal filaments []. Culture report later confirmed Mucormycosis. Patient was put on haemodialysis. He did not give consent for debridenment and further management. Unfortunately, the attendents took the patient home against medical advice [].