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| A case report about mucormycosis in sinus sphenoidalis misdiagnosed to apical orbital syndrome result from tumor |
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| 作者：LIU Shui… 文章来源：Department of ophthalmology，TheSecond Affiliated Hospital of Qi qi ha er Medical College, Hei long jiang 161006,China . 点击数1714 更新时间：2008/3/11 16:37:16 文章录入：毛进 责任编辑：毛进 |
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| Abstract Objective To explore the misdiagnosed causes of mucormycosis, we can elevate the recognition of diagnosis and management to the disease. Methods A case is reported about the clinical materials of sphenoidal sinus mucormycosis which is misdiagnosed to orbital apex syndrome result from tumor. Results A masculine patient who is fifty-eight years old has diabetes mellitus and mucormycosis in nasocular which is diagnosed by pathology material by virtue of biopsy about goiter in nasal cavity and accessory nasal cavity per nasal endoscope. The magement to this patient is expand apertures of antrum highmori, frontal antrum, sphenoidal sinus and clearance of focal lesion.and it is a adjuvant treatment to use antifungal. Insulin pump is used to control blood sugar. Conclusion With the increase of patients who have diabetes mellitus and hypoimmunity, the incidence of mucormycosis gradually go up. Mould can infiltrate and destroy tissue and mucormycosis has the direct protuberant effect, which is one of the causes of optic neuritis, papilla optica edema and apical orbital syndrome. |
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