Rhinocerebral mucormycosis. Therapy with amphotericin B lipid complex

Arch Intern Med. 1996 Feb 12;156(3):337-9. doi: 10.1001/archinte.156.3.337.

Abstract

Rhinocerebral mucormycosis with intracranial involvement has a high mortality. The standard therapy consists of aggressive surgical débridement accompanied by high doses of amphotericin B deoxycholate. Even with this therapy, the mortality rate has been 48% in the series reported since 1980. We treated a 60-year-old diabetic woman with rhinocerebral mucormycosis involving the cavernous sinus whose infection responded to medical therapy with amphotericin B lipid complex. To our knowledge, this is the only well-documented medical cure of a patient with rhinocerebral mucormycosis and intracranial involvement.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Amphotericin B / administration & dosage
  • Amphotericin B / therapeutic use*
  • Antifungal Agents / administration & dosage
  • Antifungal Agents / therapeutic use*
  • Brain Diseases / drug therapy*
  • Brain Diseases / microbiology
  • Female
  • Humans
  • Middle Aged
  • Mucormycosis / drug therapy*
  • Sinusitis / drug therapy*
  • Sinusitis / microbiology

Substances

  • Antifungal Agents
  • Amphotericin B