Craniofacial mucormycosis following assault: an unusual presentation of an unusual disease.
A case of craniofacial mucormycosis following assault is discussed. A female diabetic developed peri-orbital cellulitis adjacent to a scalp wound which progressed to a necrotizing fasciitis. This did not respond to treatment. Subsequently the patient developed a hemiparesis, with CT imaging showing peri-orbital and paranasal sinus inflammatory changes, evidence of cavernous sinus invasion and development of a middle cerebral artery territory infarction. The patient died shortly afterwards. The imaging findings and their relationship to the pathological spread of mucor infection are discussed.
Melsom
S M
SM
Department of Diagnostic Radiology, Royal Perth Hospital, Australia.
Khangure
M S
MS
D002481:Cellulitis / Q000382:microbiology; D006259:Craniocerebral Trauma / Q000150:complications*; D019115:Fasciitis, Necrotizing / Q000382:microbiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009091:Mucormycosis / Q000209:etiology*; D009916:Orbital Diseases / Q000382:microbiology; D012535:Scalp / Q000293:injuries; D012852:Sinusitis / Q000382:microbiology; D014057:Tomography, X-Ray Computed; D014946:Wound Infection / Q000150:complications / Q000382:microbiology*