“Apophysomyces elegans causing Rhino-Orbital Mucormycosis.”

Abstract

We describe here is a recent case of mucormycosis caused by Apophysomyces elegans in a 60 year old female from South Bengal with uncontrolled diabetes mellitus for two years. She presented with massive orbital oedema and pain in the periorbital area with proptosis of the right eye. Deep tissue obtained by endoscopic sinus sampling from the right middle meatus grew Apophysomyces elegans. The diagnosis was confirmed by histopathology which showed aseptate broad hyphae. Computed tomography scan showed right sided pan-sinusitis involving the right maxillary, ethmoid, frontal and sphenoid sinuses with an antrochoanal polyp and right retro orbital involvement of soft tissue. She required eye exenteration and extensive surgical debridement in addition to intravenous amphotericin B and antidiabetic drugs. She responded to the treatment.