DR. ANJU JOSE

DR.JEEVAKALA CHINNASAMY, DR. PRIYADHARSHNI S, DR. PREETHIGHA RAJA

Abstract

Mucormycosis, an invasive fungal infection, manifests in various forms, the most common being Rhino Orbital Cerebral form, affecting the Sinuses, Orbit & Brain. Rarely it affects the craniofacial bones resulting in Osteomyelitis. Skull osteomyelitis usually occurs secondary to infection of temporal bone (Typical) or the sinuses & deep facial tissues (Atypical).We report a case of 52 year old male who had stage 3B ROCM with typical features, successfully treated & discharged but later presented with Frontal Osteomyelitis with subperiosteal fluid collection extending to the extraconal space of both Orbits with mass affect on the superior rectus & the globe resulting in mechanical ptosis & coronal dystopia. He was managed promptly with intravenous antibiotics & Amphotericin, drainage of subperiosteal fluid & Revision FESS & was discharged with BCVA of 6/6 without any ocular complications. Atypical skull osteomyelitis is an unusual manifestation in ROCM & hence presented for its rarity.