Trombosis de seno cavernoso causada por zigomicosis invasiva fulminante: A propósito de un caso
2015
Zygomycosis is an opportunistic fungal infection caused by fungi of the Mucorales order. It’s potentially lethal infection which generally affects diabetic or inmunocomprised patients. Cavernous sinus thrombosis is uncommon complication. We report the case of a 67 year old woman with invasive zycomycosis who present cranial nerves dysfunction (III, IV, VI, V1 and V2 branches of the trigeminal nerve), proptosis and retroorbital pain as initial manifestation. Brain magnetic resonance imaging evidence early indirect signs. Biopsy of the cavernous sinus revealed Rhizopus as the offending agent. A high index of suspicion is needed to correctly diagnose this condition for its optimal management.(AU) La zigomicosis es una infeccion oportunista y potencialmente letal producida por hongos del orden Mucorales. Afecta a pacientes diabeticos e inmunocomprometidos. La trombosis del seno cavernoso es una complicacion poco frecuente. Presentamos el caso de una paciente mujer de 67 anos diagnosticada de zigomicosis invasiva que debuto con compromiso de pares craneales (III, IV, VI ademas de las ramas V1 y V2 del nervio trigemino), proptosis y dolor retroorbitario derecho. La resonancia magnetica craneal, en fase aguda, mostro signos indirectos caracteristicos. La biopsia de seno cavernoso confirmo la presencia de Rhizopus. Se precisa un alto indice de sospecha clinica que favorezca una intervencion terapeutica precoz y agresiva.(AU)
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