TY - JOUR T1 - RHINOCEREBRAL MUCORMYCOSIS CASE IN THE EMERGENCY ROOM AU - Durak, Vahide Aslıhan AU - Aslan, Şahin AU - Omar, Issa AU - Çıkrıklar, Halil İbrahim AU - Özdemir, Fatma PY - 2021 DA - December DO - 10.33706/jemcr.932160 JF - Journal of Emergency Medicine Case Reports PB - Acil Tıp Uzmanları Derneği WT - DergiPark SN - 2149-9934 SP - 106 EP - 107 VL - 12 IS - 4 LA - en AB - IntroductionRhinocerebral mucormycosis is a rare disease, which causes serious and life-threatening fungal infections.The disease usually develops in immunocompromised individuals and usually begins by mimicking cellulite, especially in the face area, and shows a very rapid course. Case ReportA 75-year-old male patient previously admitted to an external center with 3-4 days complaints of headache, numbness in the right half of his face and closure of his left eye was brought to our emergency department for further investigation.The cranial magnetic resonance imaging (MRI) revealed suspected opportunistic fungal infection or malignancy in the ethmoidal and sphenoidal sinuses.The patient was hospitalized with the diagnosis of opportunistic fungal infection after consultations to relevant clinics. Biopsy revealed polypes and mucocele like cystic tissues. The patient, followed-up and treated with rhinocerebral mucormicosis, was transferred to intensive care unit after deterioration of his general condition.After approximately 45 days of follow-up and treatment, the patient was lost due to multiple organ failure. ConclusionRhinocerebral mucormycosis is an emergency that requires a multidisciplinary approach. Presence of one or more of the non-traumatic orbital apex syndrome findings should alert emergency physicians. In this and similar infections with high mortality rates, early diagnosis and treatment may lead to good results. KW - emergency department KW - fungal infection KW - rhinocerebral mucormycosis CR - 1. Goel S, Palaskar S, Shetty VP, Bhushan A. Rhinomaxillary mucormycosis with cerebral extension. J Oral Maxillofac Pathol. 2009;13:14–7. 2. Mohindra S, Mohindra S, Gupta R, Bakshi J, Gupta SK. Rhinocerebral mucormycosis: The disease spectrum in 27 patients. Mycoses. 2007;50:290–6. 3. Afroze SN, Korlepara R, Rao GV, Madala J: Mucormycosis in a dabetic patient: a case report with an insight into its pathophysiology. Contemp Clin Dent. 2017, 8:662-6. UR - https://doi.org/10.33706/jemcr.932160 L1 - https://dergipark.org.tr/en/download/article-file/1748891 ER -