Successful Treatement of Angioinvasive Complication of Rhinocerebral Mucormycosis – A Case Study
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Vol. 5 No. 08 (2022)
Keywords:
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Rhinocerebralmucormycosis, Angioinvasive Nature, Carotid Artery Occlusion, Amphotericin-B
Abstract
Saprophytic fungi cause rhinocerebralmucormycosis, an uncommon but lethal opportunistic infection of the nasal passages, oral cavity, sinuses, and brain. It is most frequent in those with diabetes and those who are immunocompromised. This case report involves a 38-year-old man who had recently been diagnosed with type 2 diabetes mellitus and complained of headaches, cough, numbness and tingling in his face, jaw discomfort, and diplopia for many days. Despite a differential diagnosis of tubercular meningitis, rhinocerebralmucormycosis was established by radio imaging methods and histopathological examination (HPE). Even though he had acquired carotid artery blockage, suggesting an angioinvasive infection, the patient fully recovered after taking an amphotericin B infusion for 20 doses. The current report emphasizes the significance of having a high index of suspicion when managing patients with diabetes presenting with facial pain, headache or cough and prompt inception of clinical management to control rhinocerebralmucormycosis.
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References
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1) Chandrasekaran S, Kumar S, Bhat SA, et al. Awareness of basic life support among medical, dental, nursing students and doctors. Indian J Anaesth. 2010;54:121–6.
2) Zaheer H, Haque Z. Awareness about BLS (CPR) among medical students-status and requirements. J Pak Med Assoc. 2009;59(1):57–9.
3) Pozner CN. Advanced cardiac life support (ACLS) in adults. UpToDate.
4) Guidelines for the provision of anesthetic services. Anesthetic practice in respect of resuscitation. Royal college of anesthetist; 1999.
5) Thakkar A, Reche A, Srivastava S, Nade N, Jagtap S, Nimbulakar G. Knowledge, attitude, and practice of general dentists toward cone-beam computed tomography and dental radiology. Journal of Datta Meghe Institute of Medical Sciences University. 2019 Jul 1;14(3):226.
6) Al-Shamiri HM, Al-Maweri SA, Shugaa-Addin B, Alaizari NA, Hunaish A. Awareness of basic life support among Saudi dental students and interns. European journal of dentistry. 2017 Oct;11(04):521-5.
7) Roshana S, Batajoo KH, Piryani RM, Sharma MW. Basic life support: knowledge and attitude of medical/paramedical professionals. World journal of emergency medicine. 2012;3(2):141.
8) Narayan DPR, Biradar SV, Reddy MT, Bk S. Assessment of knowledge and attitude about basic life support among dental interns and postgraduate students in Bangalore city, India. World J Emerg Med. 2015;6(2):118–22.
9) F. Bhanji, A. J. Donoghue, M. S. Wolf et al., “Part 14: Education: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care,” Circulation, vol. 132, no. 18, pp. S561–S573, 2015.
10) A. R. Aroor, R. P. Saya, N. R. Attar, G. K. Saya, and M. Ravinanthanan, “Awareness about basic life support and emergency medical services and its associated factors among students in a tertiary care hospital in South India,” Journal of Emergencies, Trauma, and Shock, vol. 7, no. 3, pp. 166–169, 2014.
11) O. Alotaibi, F. Alamri, L. Almufeh, and W. Alsougi, “Basic life support: Knowledge and attitude among dental students and Staf in the College of Dentistry, King Saud University,” Saudi Journal for Dental Research, vol. 7, no. 1, pp. 51–56, 2016.
12) A. Alanazi, M. Alsalmeh, O. Alsomali, A. M. Almurshdi, A. Alabdali, M. Al-Sulami et al., “Poor basic life support awareness among medical and College of Applied Medical Sciences students necessitates the need for improvement in standards of BLS training and assessment for future health care providers,” Middle-East Journal of Scientific Research, vol. 21, pp. 848–854, 2014
13) Kandray DP, Pieren JA, Benner RW. Attitudes of Ohio dentists and dental hygienists on the use of automated external defibrillators. J Dent Educ. 2007;71(4):480–6.est [7].
14) Shree Y, Kumar K, Ganapathy D. Awareness of basic life support among dental students. researchgate. net. Available at: https://www. researchgate. net/profile/Kiran_Pandurangan2/publication/339873903_Awareness_of_basic_lif e_support_among_dental_students/links/5e69b30e458515c5de628420/Awareness-of-basic-life-supportamong-dental-students. pdf. 2019.
15) Saquib SA, Al-Harthi HM, Khoshhal AA, Shaher AA, Al-Shammari AB, Khan A, Al-Qahtani TA, Khalid I. Knowledge and attitude about basic life support and emergency medical services amongst healthcare interns in university hospitals: a cross-sectional study. Emergency medicine international. 2019 Mar 3;2019.
16) Irfan B, Zahid I, Khan MS, Khan OA, Zaidi S, Awan S, Bilal S, Irfan O. Current state of knowledge of basic life support in health professionals of the largest city in Pakistan: a cross-sectional study. BMC health services research. 2019 Dec;19(1):1-7.
17) Tobase L, Peres HH, Gianotto-Oliveira R, Smith N, Polastri TF, Timerman S. The effects of an online basic life support course on undergraduate nursing students’ learning. International journal of medical education. 2017;8:309.
18) James T, KN MF, Mutalik AV, Cherian NC. WOULD Mandatory Teaching Of Bls, Acls and PALS Improve the Knowledge, Attitude And Practice of Medical Students in Emergency Care. International Journal of Medical and Biomedical Studies. 2019;3(6).
19) Srivilaithon W, Amnuaypattanapon K, Limjindaporn C, Diskumpon N, Dasanadeba I, Daorattanachai K. Retention of Basic-Life-Support Knowledge and Skills in Second-Year Medical Students. Open Access Emergency Medicine: OAEM. 2020;12:211.
20) Al-Mohaissen MA. Knowledge and attitudes towards basic life support among health students at a Saudi women’s university. Sultan Qaboos University Medical Journal. 2017 Feb;17(1):e59.
21) Aranda-García S, Herrera-Pedroviejo E, Abelairas-Gómez C. Basic Life-Support learning in undergraduate students of Sports Sciences: Efficacy of 150 minutes of training and retention after eight months. International journal of environmental research and public health. 2019 Jan;16(23):4771.
22) Pande S, Pande S, Parate V, Pande S, Sukhsohale N. Evaluation of retention of knowledge and skills imparted to first-year medical students through basic life support training. Advances in physiology education. 2014 Mar;38(1):42-5.
23) Akhlaghdoust M, Safari S, Davoodi P, Soleimani S, Khorasani M, Raoufizadeh F, Karimi H, Etesami E, Hamzehloei Z, Sadeghi SS, Heidaresfahani L. Awareness of Iranian Medical Sciences Students Towards Basic Life Support; a Cross-Sectional study. Archives of Academic Emergency Medicine. 2021;9(1):e40-.
24) Chandra RR, Kilari SK, Uppalapati SL, Bathula AK, Mopuri MK, Katragadda S. Introduction of Basic Life Support in Medical Curriculum--Is this the Need of an Hour?. Journal of Evolution of Medical and Dental Sciences. 2019 Sep 30;8(39):2982-6.
25) Ahmad A, Akhter N, Mandal RK, Areeshi MY, Lohani M, Irshad M, Alwadaani M, Haque S. Knowledge of basic life support among the students of Jazan University, Saudi Arabia: Is it adequate to save a life?. Alexandria journal of medicine. 2018;54(4):555-9.
26) Fatima N, Akram M, Hamza M. Knowledge, attitude and practices regarding basic life support among medical students of Rawalpindi Medical University, Rawalpindi. Journal of Rawalpindi Medical College. 2018 Dec 29;22(S-1):41-3.
27) Odai ED, Azodo CC, Chhabra KG. Disaster management: Knowledge, attitude, behavior, willingness, and preparedness among Nigerian dentists. Prehospital and disaster medicine. 2019 Apr;34(2):132-6.
Authors
Paul, P. ., Maiti, S. ., Dey, S. ., & Gadre, S. . (2022). Successful Treatement of Angioinvasive Complication of Rhinocerebral Mucormycosis – A Case Study. Journal of Current Medical Research and Opinion, 5(08), 1296–1300. https://doi.org/10.52845/CMRO/2022/5-8-5
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