Autores
Anil Bhansali, S Bhadada, A Sharma, V Suresh, A Gupta, P Singh, A Chakarbarti, RJ Dash
Fecha de publicación
2004/11/1
Revista
Postgraduate medical journal
Volumen
80
Número
949
Páginas
670-674
Editor
The Fellowship of Postgraduate Medicine
Descripción
Aim: To report presentation and outcome of rhino-orbital-cerebral mucormycosis (ROCM) exclusively in patients with diabetes mellitus.
Methods: Retrospective, non-comparative, interventional analysis of the medical records of 35 patients with ROCM among 22 316 patients with diabetes seen over the last 12 years.
Results: A cohort of 23 men and 12 women with a mean (SD) age of 47.3 (14.4) years (range 18–70 years) was studied. Five patients had type 1 diabetes mellitus, 29 had type 2 diabetes mellitus, and one had secondary diabetes. Nine patients had ROCM as the first clinical manifestation of diabetes. The mean (SD) blood glucose at presentation was 20.6 (8.3) mmol/l (range 10.0 to 53.3 mmol/l) and 17 patients had ketosis/ketoacidosis. Ophthalmic symptoms and signs were pronounced: external ophthalmoplegia (89%), proptosis (83%), visual loss (80%), chemosis (74%), and eye lid gangrene (14 …
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A Bhansali, S Bhadada, A Sharma, V Suresh, A Gupta… - Postgraduate medical journal, 2004
