Mucormycosis is a devastating fungal infection seen in patients who are immunosuppressed or in severe inflammatory states. Mucormycosis has been increasingly seen in the setting of the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus. We describe a 68-year-old male with a past medical history of uncontrolled diabetes mellitus who presented with acute vision loss and was found to have concomitant diabetic ketoacidosis (DKA) and coronavirus disease 2019 (COVID-19) infection on presentation. Rhinocerebral mucormycosis was suspected given the patient’s presentation and was confirmed with an ethmoidal sinus biopsy. Our case was further complicated by the presence of cavernous sinus thrombosis, cerebral infarcts, and, later, the development of a left orbital hematoma following therapeutic anticoagulation. This case report aims to address the rare but now increasing incidence of rhinocerebral mucormycosis in the setting of COVID-19, further complicated by DKA, cerebral thrombosis, and intraorbital hematoma.
【저자키워드】 COVID 19, COVID-19 associated mucormycosis, diabetic ketoacidosis (dka), diabetes type 2, intra-orbital hematoma, rhinocerebral mucormycosis, 【초록키워드】 COVID-19, coronavirus disease, SARS-CoV-2, coronavirus, thrombosis, Infection, Diabetes Mellitus, Case report, Mucormycosis, male, Patient, incidence, therapeutic anticoagulation, Immunosuppressed, Fungal infection, hematoma, Diabetic, acute respiratory syndrome, past medical history, cavernous sinus, the patient, increasingly, inflammatory states, 【제목키워드】 COVID-19, ketoacidosis,