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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...

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Autores principales: Mehta, Rupa, Nagarkar, Nitin M, KSBS, Krishna Sasanka, TY, Sree Sudha, Arora, Ripu Daman, Aggarwal, Aakash
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
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.
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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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