DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20212133

Twin presentation of rhinocerebral mucormycosis and parotid abscess with facial nerve palsy in a case of unrevealed uncontrolled diabetes mellitus

Preeti S. Shetti, Reshma R., Prasheetha B., O. Padmavathy

Abstract


Rhinocerebral mucormycosis is a saprophytic invasive fungal infection of the nose and paranasal sinuses. The angio-invasive nature of the disease and rapid spread to the surrounding vital structures makes this infection more fatal. Parotid abscess is a rare disease in both adults and children due to an ascending infection from the oral cavity via the parotid duct. Diabetes mellitus is an immuno-compromised state in which patients are more prone for several infections. Both these diseases can lead to fatal complications due to their spread and toxicity, but the one rare complication of both these diseases is Facial nerve palsy. We are presenting a case of Diabetes mellitus with Rhinocerebral mucormycosis and Parotid abscess. There have been very few documented cases of co-existing Rhinocerebral mucormycosis and Parotid abscess in a patient with facial nerve palsy as complication.


Keywords


Rhinocerebral mucormycosis, Parotid abscess, Facial nerve palsy, Diabetes mellitus

Full Text:

PDF

References


Spellberg B, Edwards J, Ibrahim A. Novel perspectives on mucormycosis: pathophysiology, presentation, and management. Clin Microbiol Rev. 2005;18(3):556-69.

Tan VE, Goh BS. Parotid abscess: a five-year review–clinical presentation, diagnosis and management. The J Laryngol Otol. 2007;121(9):872-9.

Sathasivam P. Head and Neck Infections in Diabetic Patients. J Assoc Physicians India. 2018;66(9):84-8.

Mane R, Patil B, Mohite A, Mohanty R. Facial Nerve Palsy: An Unusual Presentation in Patients with Rhino Cerebral Mucormycosis. Indian J Otolaryngol Head Neck Surg. 2019;71(3):2110-3.

Alam M, Hasan SA, Hashmi SF, Singh PK. Facial palsy due to parotid abscess: an unusual complication. Turkish Arch Otorhinolaryngol. 2016;54(4):168.

Magliano DJ, Sacre JW, Harding JL, Gregg EW, Zimmet PZ, Shaw JE. Young-onset type 2 diabetes mellitus—implications for morbidity and mortality. Nature Reviews Endocrinology. 2020;20:1-1.

Kolekar JS. Rhinocerebral mucormycosis: a retrospective study. Indian Journal of Otolaryngology and Head & Neck Surgery. 2015;67(1):93-6.

Jain S, Kaushal A. Rhinocerebral mucormycosis with isolated sixth nerve palsy in an immunocompetent patient. Med J Malaysia. 2011;66(4):377.

Bakshi SS. An unusual cause for facial nerve palsy: mucormycosis. International Journal of Diabetes in Developing Countries. 2016;36(4):385-8.

Lakshmi MR, Kauser S. Lower motor neuron facial palsy secondary to parotid abscess - first sign of uncontrolled diabetes mellitus: a case report. Int J Otorhinolaryngol Head Neck Surg. 2020;6:1206-8.