Authors: KMK Masthan, N Aravindha Babu, Jagdish Rajguru
Abstract
Zygomycosis or mucormycosis is an increasingly frequent life-threatening infection caused by opportunistic fungal organisms of the class zygomycetes. The pathognomonic feature is the presence of invasive aseptate mycelia that are larger than other filamentous fungi with the hyphae exhibiting right angle and haphazard branching. Usually classified as rhinocerebral, disseminated and cutaneous types, this classification serves as important predictor of pathogenesis and prognosis. These occur mostly in immunosuppressed patients including individuals with diabetes (43% exhibit the rhinocerebral form) and patients with organ transplants and hematologic malignancies. Without early aggressive treatment, the disease follows a dismal and fatal course. Early recognition and aggressive treatment have reduced the mortality and morbidity. We present a case of rhinocerebral mucormycosis with palatal perforation who presented with a slowly progressive swelling of the left cheek.
Indian Journal of Multidisciplinary Dentistry, Vol. 1, Issue 3, March-April 2011
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