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Facial Nerve Palsy in COVID-19-Associated Mucormycosis Patients: A Case Series
Sinonasal mucormycosis is a deadly fungal illness that primarily affects diabetics who are uncontrolled. Numerous cranial nerves can be involved; however, facial nerve palsy has only been observed in a few cases. The main objective of this research is to highlight facial nerve involvement as a clini...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8638780/ https://www.ncbi.nlm.nih.gov/pubmed/34873538 http://dx.doi.org/10.7759/cureus.19208 |
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author | Mehta, Rupa Nagarkar, Nitin M KSBS, Krishna Sasanka TY, Sree Sudha Arora, Ripu Daman Aggarwal, Aakash |
author_facet | Mehta, Rupa Nagarkar, Nitin M KSBS, Krishna Sasanka TY, Sree Sudha Arora, Ripu Daman Aggarwal, Aakash |
author_sort | Mehta, Rupa |
collection | PubMed |
description | Sinonasal mucormycosis is a deadly fungal illness that primarily affects diabetics who are uncontrolled. Numerous cranial nerves can be involved; however, facial nerve palsy has only been observed in a few cases. The main objective of this research is to highlight facial nerve involvement as a clinical sign of sinonasal mucormycosis. Nasal stuffiness, headaches, eye pain, orbital edema, ophthalmoplegia, and vision loss are common symptoms in these mucormycosis patients. The study was done in the Department of Otolaryngology & Head and Neck Surgery, All India Institute of Medical Sciences (AIIMS), Raipur, India. Nevertheless, 17 patients with facial nerve palsy (lower motor nerve palsy) and sinonasal mucormycosis arrived at our department. All patients were diabetic, and a majority of patients got Schirmer's test positive with severe stage. In the case of mucormycosis, facial nerve palsy is an unusual but noteworthy symptom. This could be misinterpreted as a cerebrovascular accident (CVA), causing the therapy to be delayed. This is critical as early identification, surgical debridement, and adequate therapy of the underlying metabolic imbalance, as well as amphotericin B, are critical for a successful treatment outcome in mucormycosis. |
format | Online Article Text |
id | pubmed-8638780 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-86387802021-12-05 Facial Nerve Palsy in COVID-19-Associated Mucormycosis Patients: A Case Series Mehta, Rupa Nagarkar, Nitin M KSBS, Krishna Sasanka TY, Sree Sudha Arora, Ripu Daman Aggarwal, Aakash Cureus Otolaryngology Sinonasal mucormycosis is a deadly fungal illness that primarily affects diabetics who are uncontrolled. Numerous cranial nerves can be involved; however, facial nerve palsy has only been observed in a few cases. The main objective of this research is to highlight facial nerve involvement as a clinical sign of sinonasal mucormycosis. Nasal stuffiness, headaches, eye pain, orbital edema, ophthalmoplegia, and vision loss are common symptoms in these mucormycosis patients. The study was done in the Department of Otolaryngology & Head and Neck Surgery, All India Institute of Medical Sciences (AIIMS), Raipur, India. Nevertheless, 17 patients with facial nerve palsy (lower motor nerve palsy) and sinonasal mucormycosis arrived at our department. All patients were diabetic, and a majority of patients got Schirmer's test positive with severe stage. In the case of mucormycosis, facial nerve palsy is an unusual but noteworthy symptom. This could be misinterpreted as a cerebrovascular accident (CVA), causing the therapy to be delayed. This is critical as early identification, surgical debridement, and adequate therapy of the underlying metabolic imbalance, as well as amphotericin B, are critical for a successful treatment outcome in mucormycosis. Cureus 2021-11-02 /pmc/articles/PMC8638780/ /pubmed/34873538 http://dx.doi.org/10.7759/cureus.19208 Text en Copyright © 2021, Mehta et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Otolaryngology Mehta, Rupa Nagarkar, Nitin M KSBS, Krishna Sasanka TY, Sree Sudha Arora, Ripu Daman Aggarwal, Aakash Facial Nerve Palsy in COVID-19-Associated Mucormycosis Patients: A Case Series |
title | Facial Nerve Palsy in COVID-19-Associated Mucormycosis Patients: A Case Series |
title_full | Facial Nerve Palsy in COVID-19-Associated Mucormycosis Patients: A Case Series |
title_fullStr | Facial Nerve Palsy in COVID-19-Associated Mucormycosis Patients: A Case Series |
title_full_unstemmed | Facial Nerve Palsy in COVID-19-Associated Mucormycosis Patients: A Case Series |
title_short | Facial Nerve Palsy in COVID-19-Associated Mucormycosis Patients: A Case Series |
title_sort | facial nerve palsy in covid-19-associated mucormycosis patients: a case series |
topic | Otolaryngology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8638780/ https://www.ncbi.nlm.nih.gov/pubmed/34873538 http://dx.doi.org/10.7759/cureus.19208 |
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