Photo Quiz: Acute Oral and Ocular Changes in a Patient with Diabetic Ketoacidosis

Hyperglycemia, usually with related metabolic acidosis, is the most common underlying condition associated with mucormycosis.2 Hematologic malignancy, neutropenia, high-dose corticosteroid therapy, organ transplantation, renal failure, and deferoxamine (Desferal) therapy may also precipitate mucormy...

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Bibliographic Details
Published inAmerican family physician Vol. 77; no. 11; p. 1584
Main Authors Mitchell, Gregg E, Reddy, Avinash, Shepherd, Martha E
Format Journal Article
LanguageEnglish
Published Leawood American Academy of Family Physicians 01.06.2008
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Summary:Hyperglycemia, usually with related metabolic acidosis, is the most common underlying condition associated with mucormycosis.2 Hematologic malignancy, neutropenia, high-dose corticosteroid therapy, organ transplantation, renal failure, and deferoxamine (Desferal) therapy may also precipitate mucormycosis.1,3 Dental extraction can create a portal of entry into the maxillofacial region, and case reports suggest a potential for fungal infection in immunocompromised patients.1 Rhinocerebral mucormycosis is rapidly fatal and should be suspected in high-risk patients presenting with sinusitis, particularly those with diabetes and metabolic acidosis.
ISSN:0002-838X