Dr.Radhika

Dr.Gajanan Channashetti, Dr.Lavanya S.R.

Abstract

Study design:Retrospective study
Purpose: To report outcomes of rhino-orbital-cerebral mucormycosis(ROCM) at tertiary care centre.
Methods: Retrospective analysis of in-patients diagnosed to have ROCM during the year 2021 was done.Diagnosis was confirmed based on lab and MRI investigations.Clinical features & management outcomes were noted.
Results: Among 113 suspected cases,81 were confirmed to have ROCM.Majority of the patients had suffered COVID 19 disease.67 cases out of 81 underwent maxillectomy with sinus debridement.Among the 67 cases,11 patients had orbital involvement with no PL, Orbital exentration was performed.Among remaining 14 patients,mortality due to cardiac & respiratory illness was seen in 3 patients,7 went against advice & 4 had CNS involvement.All the patients were treated with Liposomal amphotericin-B.
Conclusion:Early diagnosis,surgical intervention followed by amphotericinB in ROCM has favourable outcome.CNS involvement has a high mortality rate.