Functional Endoscopic Sinus Surgery for Rhino-orbital mucormycosis in a pediatric patient with Acute Lymphocytic Leukemia- Anaesthetic considerations

Vol 5 | Issue 3 | Sep-Dec 2019 | page: 13-15  | Akhilesh Pahade, Itee Chowdhury, Amit Kumar Mittal, Ashita Mowar


Authors: Akhilesh Pahade [1], Itee Chowdhury [1], Amit Kumar Mittal [1], Ashita Mowar [2]

Address of Correspondence
1Department of Anaesthesia, Rajiv Gandhi Cancer Institute, Rohini, Delhi, India.
2Department of Anaesthesia, SRMS IMS, Barielly, Uttarpradesh, India.

Dr. Akhilesh Pahade,
Rajiv Gandhi Cancer Institute, Rohini, Delhi, India.
Email: akhildada09@yahoo.in


Disseminated rhinocerebral mucormycosis is a lethal form of invasive fungal infection. Predisposing factors include immuno suppressed patients, diabetic ketoacidosis. Effective management consists of high index of suspicion, cytological diagnosis, optimization of comorbidities, systemic antifungal therapy with prompt surgical debridement of infected tissue. Our patient was a known case of acute lymphocytic leukemia (ALL) of pediatric age undergoing chemotherapy and presented with high grade fever and epistaxis. Following a confirmatory cytology from nasal cavity his general condition was optimized and surgical (Functional endoscopic sinus surgery (FESS) debridement done. Here we present the anaesthetic challenges in a patient of ALL affected with mucormycosis with multiple comorbidities highlighting airway management.
Keywords: Rhino cerebral mucormycosis, Acute lymphocytic leukemia, Diabetic ketoacidosis, Amphotericin B, Functional endoscopic sinus surgery, Difficult airway


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How to Cite this Article:Pahade A, Chowdhury I, Mittal A, Mowar A. | Functional Endoscopic Sinus Surgery for Rhino-orbital mucormycosis in a pediatric patient with Acute Lymphocytic Leukemia- Anaesthetic considerations. | Journal of Anaesthesia and Critical Care Case Reports | Sep – Dec 2019; 5(3): 13-15.

 


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