Facial Nerve Palsy with Total Ophthalmoplegia; a Novel Presentation of Fungal Invasion

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Mehdi Zainab; Bhardwaj Nidhi; Aggarwal Jyoti; Kaur Narinder; Singh Brijdeep

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Journal: Archives of Academic Emergency Medicine Year:2021 | Volume:9 | Issue:1 Page(s): 0-0

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Title

Facial Nerve Palsy with Total Ophthalmoplegia; a Novel Presentation of Fungal Invasion

Author(s)

Keywords

Mucormycosis

diabetes mellitus

facial paralysis

retinal artery occlusion

Abstract

Mucormycosis is an expeditious invasion of a fungus of angioinvasive nature, predominant in immunocompromised individuals, often leading to organ malfunction and loss. Facial nerve involvement and total ophthalmoplegia are its rare presentations. Early detection and treatment can alter natural disease course and prevent potential catastrophic outcomes in diabetic patients. Facial nerve palsy is mostly attributed to peripheral neuropathy in patients with advanced diabetes mellitus. It rarely raises alarm about an invasive fungal infection. Here, we report the case of a 38-year-old male with type 2 diabetes mellitus, who presented to us with left lower motor neuron type facial palsy and left-sided total ophthalmoplegia due to invasive rhino-orbito-cerebral Mucormycosis (ROCM). Despite aggressive measures, including antifungal therapy and repeated endoscopic debridement, he subsequently developed central retinal artery occlusion (CRAO) and underwent left eye exenteration.

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APA: Copy

Mehdi, Zainab, Bhardwaj, Nidhi, Aggarwal, Jyoti, Kaur, Narinder, & Singh, Brijdeep. (2021). Facial Nerve Palsy with Total Ophthalmoplegia; a Novel Presentation of Fungal Invasion. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 9(1), 0-0. SID. https://sid.ir/paper/973955/en

Vancouver: Copy

Mehdi Zainab, Bhardwaj Nidhi, Aggarwal Jyoti, Kaur Narinder, Singh Brijdeep. Facial Nerve Palsy with Total Ophthalmoplegia; a Novel Presentation of Fungal Invasion. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2021;9(1):0-0. Available from: https://sid.ir/paper/973955/en

IEEE: Copy

Zainab Mehdi, Nidhi Bhardwaj, Jyoti Aggarwal, Narinder Kaur, and Brijdeep Singh, “Facial Nerve Palsy with Total Ophthalmoplegia; a Novel Presentation of Fungal Invasion,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 9, no. 1, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/973955/en

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