Temporal Bone Mucormycosis

Nicolas George Katsantonis, Jacob B. Hunter, Brendan P. O'Connell, Jing He, James S. Lewis, George B. Wanna

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Case Details: We present a case of temporal bone mucormycosis in a 71-year-old female with diabetes mellitus who presented to the emergency department with facial nerve paresis, otorrhea, and contralateral hemiparesis. After undergoing a tympanomastoidectomy, the patient's pathology exhibited fungal hyphae consistent with mucormycosis. Discussion: To our knowledge, there have been 9 reported cases of temporal bone mucormycosis, 3 of which presented with facial nerve paresis, all with some subsequent improvement. In this case, facial paralysis persisted at the time of last follow-up (2 months) despite surgery and intravenous antifungals. We also review and summarize the temporal bone mucormycosis literature. Conclusion: Temporal bone mucormycosis is a rare and morbid infectious disease, though its outcomes appear to be different for patients who present with isolated temporal bone disease as compared to those individuals who develop temporal bone mucormycosis secondary to a rhinologic source.

Original languageEnglish (US)
Pages (from-to)850-853
Number of pages4
JournalAnnals of Otology, Rhinology and Laryngology
Volume125
Issue number10
DOIs
StatePublished - Oct 1 2016

Keywords

  • facial nerve
  • infection
  • otitis media
  • temporal bone pathology

ASJC Scopus subject areas

  • Otorhinolaryngology

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    Katsantonis, N. G., Hunter, J. B., O'Connell, B. P., He, J., Lewis, J. S., & Wanna, G. B. (2016). Temporal Bone Mucormycosis. Annals of Otology, Rhinology and Laryngology, 125(10), 850-853. https://doi.org/10.1177/0003489416654711