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International Journal of Current Microbiology and Applied Sciences (IJCMAS)
IJCMAS is now DOI (CrossRef) registered Research Journal. The DOIs are assigned to all published IJCMAS Articles.
Index Copernicus ICI Journals Master List 2018 - IJCMAS--ICV 2018: 95.39 For more details click here
National Academy of Agricultural Sciences (NAAS) : NAAS Score: *5.38 (2020) [Effective from January 1, 2020]For more details click here

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National Academy of Agricultural Sciences (NAAS)
NAAS Score: *5.38 (2020)
[Effective from January 1, 2020]
For more details click here

ICV 2018: 95.39
Index Copernicus ICI Journals Master List 2018 - IJCMAS--ICV 2018: 95.39
For more details click here

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Original Research Articles

PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcmas@gmail.com / submit@ijcmas.com
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2018: 95.39
NAAS RATING 2020: 5.38

Int.J.Curr.Microbiol.App.Sci.2018.7(7): 2408-2412
DOI: https://doi.org/10.20546/ijcmas.2018.707.281


Post Tooth Extraction Necrotising Fasciitis and Rhinocerebral Mucormycosis in a Diabetic Patient
Ekta Gupta1, Usha Verma2*, Prameshwar Lal3, P.C. Guptaand Prabhu Prakash2
1Department of Orthodonics, Vyas Dental College, Jodhpur, India
2Department of Microbiology
3Department of Surgery, Dr. S.N.Medical, College, Jodhpur, India
4Department of Surgery, Paota Hosp. Asso. Group of Hosp., Dr S.N.Medical College Jodhpur, India
*Corresponding author
Abstract:

Dentists and oral surgeons perform tooth extractions. If the tooth is impacted, they cut away gum and bone tissue which cover the tooth and then, using forceps, grasp the tooth and gently rock it back and forth to loosen it from the jaw bone and ligaments that hold it in place. Once the tooth has been extracted, a blood clot usually forms in the socket. Sometimes, the blood clot in the socket breaks loose, exposing the socket leading to dry socket. But when this wok of tooth extraction is performed by unauthorized and unskilled persons there is breach in protocols. If patient is immunocompromised there is risk of developing opportunistic infections may be bacterial, fungal etc. Mucormycosis is an aggressive, frequently fatal invasive fungal infection that can develop in patients with a number of predisposing conditions. We report on a 18-year-old male patient with DM who developed an invasive fungal disease of the facial bones, myositis, cerebritis after tooth extraction with uncontrolled blood sugar from some quack 10 days back and was admitted with complains of tender swelling over right cheek extending up to infraorbital region along with high grade fever and altered sensorium. Patient died in ICU due to Mucormycosis. Mucormycosis is an opportunistic fungal pathogen that has the ability to cause significant morbidity and frequently mortality in the susceptible patient. An overview of this class of pathogens and the history, examination findings (clinical and radiographic), pathogenesis and medical–surgical treatment of mucormycosis is presented.


Keywords: Mucormycosis, DM-1, ICU, Cerebralmucormycosis, Maxillary sinusitis, Necrotising fasciitis.
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How to cite this article:

Ekta Gupta, Usha Verma, Prameshwar Lal, P.C.Gupta and Prabhu Prakash. 2018. Post Tooth Extraction Necrotising Fasciitis and Rhinocerebral Mucormycosis in a Diabetic PatientInt.J.Curr.Microbiol.App.Sci. 7(7): 2408-2412. doi: https://doi.org/10.20546/ijcmas.2018.707.281