Necrotising Fasciitis Complicating Rhino Orbito Cerebral Mucormycosis – A Case Report

Abstract

Introduction: Mucormycosis became a common life-threatening fungal infection during COVID 19 delta variant wave in India. They have an intrinsic ability to invade blood vessels. Rhino-orbito-cerebral mucormycosis is the most common, and the most aggressive, form of mucormycosis. Uncontrolled metabolic conditions (especially diabetes mellitus in ketoacidosis) is the main risk factor and the core determinant of the world-wide incidence of mucormycosis. Mortality remains high (30-70%) despite advances in diagnosis and treatment
Clinical Discussion: This is the first case of monomicrobial necrotising fasciitis by Pseudomonas secondary to Rhino orbito cerebral mucormycosis. Treatment experience is shared in the article.