emDOCs Podcast – Episode 38: Mucormycosis
What is mucormycosis, and when should you consider this diagnosis? This week’s podcast looks at this and more.
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mucormycosis
EM@3AM: Mucormycosis
A 65-year-old male with poorly controlled type 2 diabetes and ESRD on dialysis presents for right sided nose/facial discomfort and swelling and fever. Exam reveals altered mental status. He has right nasal swelling and tenderness, with a necrotic area on nasal septum. He is tachycardic, but the CV, pulmonary, skin, and GI systems are otherwise normal. What’s the likely diagnosis?
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Sinusitis Mimics: ED-relevant pearls and pitfalls
Your next patient is a 17-year-old male you had seen one week before for fever and congestion, diagnosed with a viral upper respiratory infection. He returns this time for nasal congestion, severe frontal headache, fevers, sore throat, and nasal drainage. When he looks around the room, he gets dizzy and is seeing double. He is febrile, tachycardic, and ill appearing, and you note proptosis of the right eye, a sluggish pupil, and inability to move the eye due to pain. Is this sinusitis, or something more sinister?
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