Abstract

AYURVEDIC MANAGEMENT OF MUCORMYCOSIS: A SINGLE CASE STUDY

Dr. Harimohan Tanwar*, Dr. Gunjan Sharma, Dr. Vijay Jatoliya and Dr. Sarita Yadav

.

Abstract

Throughout the history of mucormycosis, from the first case in humans reported in 1885 by Paltauf, through publication by Gregory et al of the first observation of rhino-orbital cerebral mucormycosis in 1943, to the report by Harris in 1955 of the first known survivor, little has changed in the diagnosis and outcome of this disease. Although mucormycosis of any form-cerebral, cutaneous, rhinocerebral, intestinal, or pulmonary is still a rarity, left sphenoid, posterior ethmoid, left maxillary sinusitis with proteinaceous contents likely fungal sinusitis. Mucosal thickening also seen in bilateral frontal, right maxillary and ethmoid sinuses. There is extensive phlegmonous inflammatory changes in the intra, extra-conal space of left orbit with extra ocular muscle oedema. Left side proptosis with deformity of walls and acute ischemic changes also noted mild thickening of left cavernous sinus with associated loss of flow of cavernous ICA suggest in cavernous thrombophlebitis changes. The maxilla rarely undergoes necrosis due to its rich vascularity. Maxillary necrosis can occur due to bacterial infections such as osteomyelitis, viral infections such as herpes zoster or fungal infections such as mucormycosis, aspergillosis etc.

Keywords: Maxillary Bone Necrosis, Mucormycosis, Uncontrolled Diabetes, Ayurveda, Infection, Vessels, etc.