Mucor is a saprophytic fungus. Although it commonly invades the nose and the paranasal sinuses, cutaneous, pulmonary or gastrointestinal lesions may also be seen and haematogenous spread to other sites can also occur. The predisposing factors include Diabetes Mellitus and other conditions causing immunocompromised state. However, rare cases without any underlying disorder have been also reported. This case is described to demonstrate rarer neurological presentation of Oto-cerebral Mucormycosis rather than the well recognized rhino-orbito-cerebral form. Early diagnosis and institution of treatment is the mainstay to successful therapy.
The aim of this case report is to highlight the management approach to the cases of bacterial orbital cellulitis, a rare entity with serious ophthalmologic and rhinological implications.In the cases discussed here, the first case is of a 73 yrs old male suffering from diabetes mellitus and second case is of 45 yrs HIV positive female. Both patients presented with pain and swelling of eyelids, conjunctival chemosis, proptosis and reduced visual acuity. They underwent nasal endoscopic drainage of the abscess and orbital decompression. First patient also underwent simultaneous repair of CSF Leak using nasal septal cartilage and bone and second patient who had lower eyelid necrotizing fascitis underwent lateral canthotomy followed by tarsorrhaphy. Both the patients improved postoperatively.
The nasal cavity presents with various types of neoplasms, including epithelial and mesenchymal tumors. Cavernous hemangioma of nasal cavity is quite rare. It usually presents as a unilateral mass arising from mucosa of nasal cavity.
Case Report
We describe here, a case of 25-year-old serving soldier, who was referred to our hospital with a mass in both nasal cavities with bilateral nasal obstruction. On examination, the mass originated from the inferior aspect of inferior turbinate of both sides. Subsequently on histological examination after complete endoscopic excision revealed that the mass was a cavernous hemangioma arising from both inferior turbinates.
Discussion
To our knowledge, this is the first case of cavernous hemangioma arising from both inferior turbinate reported in literature.
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