TY - JOUR
T1 - Eye for an eye: Near-fatal outcome of fungal infection in a young, diabetic girl
AU - Vos, Fedja I.
AU - Reitsma, Sietze
AU - Adriaensen, Gwijde F. J. P. M.
AU - Fokkens, Wytske J.
PY - 2018
Y1 - 2018
N2 - In this report, we describe the case of a young, diabetic girl with ketoacidosis who suffered sudden loss of vision of the right eye. The loss of vision was caused by an invasive rhino-orbital-cerebral fungal infection (mucormycosis) with extensive periorbital thrombosis. Despite maximal antifungal and surgical treatment (including exenteration of the right orbit), the clinical situation deteriorated. It was only after overcoming the difficulties of managing her hyperglycaemia that the patient's condition stabilised and her life was saved. Another factor contributing to this girls' survival was the swift diagnosis of mucormycosis, which was made soon after the onset of symptoms. Because of this, treatment could be started almost immediately.
AB - In this report, we describe the case of a young, diabetic girl with ketoacidosis who suffered sudden loss of vision of the right eye. The loss of vision was caused by an invasive rhino-orbital-cerebral fungal infection (mucormycosis) with extensive periorbital thrombosis. Despite maximal antifungal and surgical treatment (including exenteration of the right orbit), the clinical situation deteriorated. It was only after overcoming the difficulties of managing her hyperglycaemia that the patient's condition stabilised and her life was saved. Another factor contributing to this girls' survival was the swift diagnosis of mucormycosis, which was made soon after the onset of symptoms. Because of this, treatment could be started almost immediately.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85045676163&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/29666080
U2 - https://doi.org/10.1136/bcr-2017-223059
DO - https://doi.org/10.1136/bcr-2017-223059
M3 - Article
C2 - 29666080
SN - 1757-790X
VL - 2018
JO - BMJ Case Reports
JF - BMJ Case Reports
M1 - 223059
ER -