Long term management challenges in diabetic patients with rhino-orbito-cerebral mucormycosis

Abstract

There has been a recent upsurge in prevalence of diabetes mellitus in developing world. This has resulted in exponential increase in the incidence of both communicable and non-communicable diseases. Some of the infections increase morbidity and mortality associated with diabetes. Rhino-orbital-cerebral mucormycosis (ROCM) is one of the fatal opportunistic infections in diabetes. There is little data published regarding the short and long term management of patients suffering from this invasive fungal infection. Hereby, we report few cases of ROCM with varied presentations and their short and long term follow up. These patients were initially treated with injectable amphotericin B and later followed up with oral posaconazole.