Zygomycosis: an uncommon cause for peripheral facial palsy in diabetes.
Mucormycosis is an emerging fungal infection with a high rate of mortality. Diabetic and immuno-compromised patients are the most frequent hosts. We report a case of rhino-orbito-cerebral mucormycosis revealed by facial palsy in a diabetic, immuno-compromised patient with difficult life conditions. He received intravenous antifungal treatment (amphotericin B) and early surgical debridement and completely recovered with no recurrence after 3 months of follow-up. Physicians should be aware of such atypical clinical presentations due to the need for early appropriate combined medical and surgical management to improve disease recovery and prognosis.
Meas
T
T
Department of Internal Medicine B, Lariboisière Hospital, APHP, 2, rue Ambroise-Paré, 75010 Paris, France. taly.meas@lrb.aphp.fr
Mouly
S
S
Kania
R
R
Hervé
D
D
Herman
P
P
Kévorkian
J P
JP
Virally
M
M
Laloi-Michelin
M
M
Médeau
V
V
Guillausseau
P J
PJ
D048909:Diabetes Complications / Q000175:diagnosis*; D005158:Facial Paralysis / Q000000981:diagnostic imaging / Q000209:etiology*; D005658:Fungi; D006801:Humans; D014057:Tomography, X-Ray Computed; D020096:Zygomycosis / Q000175:diagnosis* / Q000000981:diagnostic imaging