[Mucormycosis of the paranasal sinuses].

Abstract

Until nowadays, mucormycosis is the most aggressive fungal disease spreading in humans. Currently the Rhizopus, Lichtheimia and Mucor species are responsible for the development of diseases in the greatest number. The prevalence of mucormycosis appears to be much higher because in many cases achieving histological sample is difficult and the presence of risk factors is getting higher. While the classification systems, examination protocols, pharmaceutical and surgical treatment methods have developed, it is important to highlight that the continuous increase in the number of diabetes and the accompanying ketoacidosis, the recurrence of the COVID–19 epidemics in our overpopulated society had a high benefit factor in the spread of the disease, especially the one which affects the paranasal sinuses: the rhino-orbito-cerebral form. The purpose of this publication is to provide a detailed presentation of the disease, in which the effective treatment depends in many cases on the establishment of an accurate, early diagnosis, through a targeted drug therapy and, in several cases, an aggressive surgical debridement is indispensable. Orv Hetil. 2024; 165(48): 1878–1887.