Abstract
Mucor is a saprophytic organism and commonly invades the nose and paranasal sinuses of immunocompromised and diabetic patients involvement of the middle ear and mastoid in a nondiabetic patients is very rare and this may be the first case report clinical presentation of ear pain with reference to the mastoid and upper neck may be the early symptoms unlike the foul smelling ear discharge as seen in atticoantral disease. Radical debridement in the form of M.R.M with or without the use of amphotericin B may suffice in non-diabetic patients this case is reported to highlight the point that mucormycosis can also involve middle ear and mastoid in nondiabetic patients.
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References
Hazarika P, Ravikumar V, Nayak RG, Roa PS, Shivnanda PG (1984) Rhinocerebral mucormycosis. Ear Nose Throat J 63:100–106
Gussen R, Canalis RF (1982) Mucormycosis of the temporal bone. Ann Otol Rhinol laryngol 91:27–32
Macdonell RA, Donan GA, Kalnins RM, Richards MJ, Blandin PF (1987) Otocerebral mucormycosis-a case report. Clin Exp Neurol 23:225–232
Olalla I, Ortin M, Hermida G, Cortes MA, Richard C, Iriondo A, Mozota ML, Zubizarreta A (1996) Autologus peripheral blood stem cell transplantation in a patient with previous invasive middle ear mucormycosis. Bone Marrow Transpl 18(6):1183–1184
Yun MW, Lui CC, Wj Chen (1994) Facial paralysis secondary to tympanic mucormycosis: case report. Am J Otolaryngol 15(3):413–414
Bergstrom L, Hemenway WG, Barnhant RA et al (1970) Rhinocerebral and otologic mucormycosis. Ann Otol Rhinol Laryngol 79:70–81
Gass JDM (1961) Occular manifestation of acute mucormycosis. Arch Ophthalmol 65:226–237
Joe LK, Eng NI, Tyokronegord J et al (1959) Phycomycosis of central nervous system associated with diabetes mellitus in Indonesia. Am J Clin Pathol 32:62–70
Reeves DL, Dickson DR, Benjamin EL (1965) Phycomycosis of central nervous system. J Neurosurg 23:82–84
Sekhar LN, Duzvuy M, Rao GR (1980) Carotidcavernous sinus thrombosis caused by Aspergollo Fumigatous. J Neurosurg 52:120–125
Cowrey WR, New PFJ, Price DL (1972) Angiographic manifestation of craniofacial phycomycosis. Radiology 103:329–334
Mc Cormick WF, Schochet SS Jr, Weaver PA (1975) Disseminated aspergillosis, aspergillous end ophthalmitis optic nerve infraction and carotid artery thrombosis. Arch Pathol 99:353–359
Macgill JJ, Simpson G, Healy GB (1980) Falminant aspergellosis of the nose and paranasal sinuses-a new clinical entity. Laryngoscope 90:748S–754S
Price JC, Stevans DL (1980) Hyperbaric oxygen in the treatment of rhinocerebral mucormycosis. Laryngoscope 90:737–747
Acknowledgments
We are thankful to our Medical director Dr. C. R. Shetty of New Medical Center for allowing us to publish this interesting case report. We are also thankful to Mrs Madhurima Hazarika for the audiological tests done for this patient.
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Hazarika, P., Zachariah, J., Victor, J. et al. Mucormycosis of the Middle Ear: A Case Report with Review of Literature. Indian J Otolaryngol Head Neck Surg 64, 90–94 (2012). https://doi.org/10.1007/s12070-011-0156-3
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DOI: https://doi.org/10.1007/s12070-011-0156-3