Case Report
Year: 2019 | Month: July | Volume: 6 | Issue: 7 | Pages: 575-579
Diagnostic Role of CBCT in Fulminating Mucormycosis of Maxilla
Dr. Jaishri Pagare1, Dr Satyapal Johaley2
1Prof and HOD, Department of Oral Medicine and Radiology, Government Dental College and Hospital, Aurangabad, Maharashtra, India
2Assistant Professor, Department of Oral Medicine and Radiology, Government Dental College and Hospital, Aurangabad, Maharashtra, India
Corresponding Author: Dr. Jaishri Pagare
ABSTRACT
Mucormycosis is also known as phycomycosis and zygomycosis. It is an opportunistic fungal infection caused by a saprophytic fungus which belongs to a class of phycomycetes. It is an opportunistic infection which occurs in debilitating and immunocompromised patients such as diabetes mellitus, malnutrition hematological malignancies, neutropenia, burns, long term steroid therapy and immunosuppressive therapy. Successful management of this fulminating infection requires early diagnosis of the disease and aggressive medical and surgical interventions to prevent high morbidity and mortality associated with the disease process. In most of the case of mucormycosis Computed tomography (CT) is the cornerstone of modern medical Radiology to diagnose the extension of lesion in Rhinomaxillary region. Cone beam CT (CBCT), which is a comparatively recent scanning technology in dentistry, provides images equivalent to medical CT at reduced costs and radiation doses. The radiation dose to the patient with CBCT is 40 % lesser than that of multi-slice CT dose but is 3-7 times higher than conventional panoramic radiograph exposure dose. CBCT has been considered the examination of choice in various instances, since it give high resolution imaging, diagnostic consistency and risk benefit assessment.
In this case report a case of fulminating mucormycosis involving the maxilla and rhinomaxillary area with extensive tissue necrosis in an uncontrolled diabetes mellitus patient diagnosed with the help of Cone Beam Computed Tomography (CBCT).
Key words: Mucormycosis, Tissue necrosis, uncontrolled diabetes mellitus, CBCT, Rhinomaxillary Mucormycosis
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