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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 32(1); 1989 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1989;32(1): 139-44.
Two Cases of Rhinocerebral Mucormycosis
Chul Hee Lee, MD, Tae Hoon Jinn, MD, Han Yong Choi, MD, and Jin Young Kim, MD
Department of Otolaryngology, College of Medicine, Seoul National University, Korea
鼻大腦型 毛菌症 2例
李哲熙 · 陳泰薰 · 崔漢龍 · 金鎭永
서울大學校 醫科大學 耳鼻咽喉科學敎室
ABSTRACT

Rhinocerebral mucormycosis is a rare but fatal pathologic entity. Early diagnosis and treatment, including wide surgical debridement and the use of Amphotericin B, are needed if a rapid fatal course and complications are to be avoided. Recently we experienced two cases of rhinocerebral mucormycosis. One case is a 51 years old female, who had diabetes for 20 years and suffered from sudden right cheek swelling, right ophthalmoplegia and right palatal necrosis. Caldwell-Luc's operation and intranasal ethmoidectomy was done and biopsy proved mucormycosis. Total 2.0gms of Amphotericin B was given and she was cured. Another case is a 54 years old female, who was diagnosed as acute lymphocytic leukemia and given chemotheraphy. She suffered from sudden right cheek swelling, right ophthalmoplegia, right palatal necrosis and altered consciousness. Caldwell-Luc's operation was done and biopsy proved mucormycosis but she expired. This is the report of two cases of rhinocerebral mucormycosis with the review of literatures.

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