Rhinocerebral mucormycosis with internal carotid occlusion: report of two cases and review of the literature

Laryngoscope. 1985 Sep;95(9 Pt 1):1107-13.

Abstract

Two fatal cases of rhinocerebral mucormycosis with fungal invasion and occlusion of the internal carotid artery are described. Review of the literature reveals 35 similar cases of whom only 6 survived. Emphasis is placed on the need for early diagnosis and prompt therapy which consists of correction of the underlying disease, aggressive surgical debridement, and amphotericin B.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Amphotericin B / therapeutic use
  • Brain Diseases / diagnosis*
  • Brain Diseases / drug therapy
  • Brain Diseases / surgery
  • Carotid Artery Diseases / diagnosis*
  • Carotid Artery Diseases / drug therapy
  • Carotid Artery Diseases / surgery
  • Child
  • Child, Preschool
  • Debridement
  • Female
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Mucormycosis / diagnosis*
  • Mucormycosis / drug therapy
  • Mucormycosis / surgery
  • Nose Diseases / diagnosis*
  • Nose Diseases / drug therapy
  • Nose Diseases / surgery
  • Orbital Diseases / diagnosis
  • Orbital Diseases / drug therapy
  • Orbital Diseases / surgery
  • Paranasal Sinus Diseases / diagnosis
  • Paranasal Sinus Diseases / drug therapy
  • Paranasal Sinus Diseases / surgery

Substances

  • Amphotericin B