A Case report of Mucormycosis and Myocardial Infarction

Abstract

Mucormycosis is an aggressive and angioinvasive fungal infection which often spreads from the paranasal sinuses to the orbital or cranial area. Our case was a 52-year-old male patient with a history of diabetes mellitus (DM) and coronary artery disease (CAD). The patient, referred to the emergency department due to confusion and drowsiness, was admitted to the intensive care unit (ICU) with a diagnosis of diabetic ketoacidosis (DKA). During the physical examination in the ICU, samples were taken from the roof of the mouth with a preliminary diagnosis of mucormycosis. Amphotericin B was initiated to the patient. Inferior myocardial infarction (MI) developed in the follow-up and the patient died at the 20th hour of ICU admission. When the records of the patient were examined, it was determined that he was referred to the outpatient clinic for the examination three times in the last 15 days. In this paper, our aim is to review patients with mucormycosis and MI and to emphasize the importance of physical examination.