Myelin oligodendrocyte glycoprotein antibody disease (MOGAD) is a recent addition to the field of central nervous system inflammatory disorders. It can have a wide range of presentations, including optic neuritis, transverse myelitis, acute disseminated encephalomyelitis or any combination of these. The aquaporin-4-positive neuromyelitis optica (NMO) is a close differential owing to the similar clinical presentation. There is a proven association between NMO and autoimmunity, whereas such an association is yet to be established in the case of MOGAD. Here we describe the case of a woman in her 30s presenting with sudden-onset quadriparesis with sensory and autonomic involvement who was diagnosed with MOGAD (cervicothoracic longitudinally extensive transverse myelitis) and found to have primary Sjogren syndrome on further workup. This association between MOGAD and autoimmunity should be kept in mind, as diagnosis of the former should alert the physician to the possibility of the latter’s existence and the need to initiate an appropriate workup.
Mucormycosis is a fatal infection of the immunocompromised individuals. It is unusual to affect healthy individuals. The main aim of this case report is to highlight the role of amphotericin B emulsion in this disease. The case was managed in our setup with surgical debridement and followed by amphotericin B emulsion for 4 weeks. We did not notice hypokalemia and renal function test abnormality in the entire course of the treatment. We present the case and the review of the literature of newer lipid complex amphotericin.
How to cite this article
Dash AK, Patro S, Patro SK, Gupta AK, Biswal RN. Amphotericin B Emulsion in Rhino-orbital Mucormycosis: Is It Most Effective? Clin Rhinol An Int J 2016;9(1): 40-42.
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