title: Sequence of oral manifestations in rhino-maxillary mucormycosis.
abstract: Mucormycosis, caused by saprophytic fungi of the order Mucorales of the class Zygomycetes, is a rare opportunistic fungal infection, which has a rapidly progressive and fulminant course with fatal outcome. These fungi are ubiquitous, found in soil, bread molds, decaying fruits and vegetables. The most common form of mucormycosis is rhinocerebral and is usually seen in uncontrolled diabetes mellitus or in immunocompromised patients. This fungus invades the arteries, leading to thrombosis that subsequently causes necrosis of hard and soft tissues. We report a case of palatal perforation by rhino-maxillary mucormycosis in an immunocompromised patient. The aim of this article is to draw attention to the clinical presentation and pathogenesis of mucormycosis and to emphasize the need for high degree of suspicion in its diagnosis and management.
authors: Department of Oral Medicine and Radiology, Seema Dental College and Hospital, Rishikesh, Uttharakhand, India. bharatidoni@gmail.com
authors: Bharati R
authors: BR
authors: Doni
authors: Basavaraj V
authors: BV
authors: Peerapur
authors: Lathadevi Hassan
authors: LH
authors: Thotappa
authors: Surekha B
authors: SB
authors: Hippargi
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000150:complications; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D008439:Maxillary Diseases / Q000382:microbiology*; D008443:Maxillary Sinus / Q000382:microbiology*; D008875:Middle Aged; D009059:Mouth Diseases / Q000382:microbiology*; D009091:Mucormycosis / Q000175:diagnosis*; D009668:Nose Diseases / Q000382:microbiology*; D009894:Opportunistic Infections / Q000175:diagnosis; D019226:Oral Ulcer / Q000382:microbiology; D012220:Rhinitis / Q000382:microbiology