Neurology: Case of the Month

Test Yourself — Patient 60

Rhinocerebral mucormycosis, partially treated diabetic ketoacidosis

1. Mucormycosis
   • [ A ] Is a rapidly progressive infection
   • [ B ] Can be a chronic infection
   • [ C ] Commonly presents as a rhinocerebral infection
   • [ D ] Affects patients with cirrhosis
   • [ E ] All of the above
2. Carotid artery thrombosis
   • [ A ] Is a rare complication of mucormycosis infections
   • [ B ] Has not been reported in patients with chronic mucormycosis
   • [ C ] Often occurs with advanced rhinocerebral mucormycosis infections
   • [ D ] A and B
   • [ E ] B and C
   • [ F ] All of the above
3. Vascular pathology related to mucormycosis MOST typically involves:
   • [ A ] Acceleration of atherosclerotic disease
   • [ B ] Rupture of blood vessels
   • [ C ] Invasion of the internal elastic layer of arteries
   • [ D ] Mucormycosis does not involve the vasculature
4. The role for imaging in the diagnosis of mucormycosis can be described as follows:
   • [ A ] Certain characteristic findings on neuroimaging may help confirm the diagnosis
   • [ B ] Diagnosis cannot be established without an imaging study
   • [ C ] Bony destruction is helpful in establishing the diagnosis
   • [ D ] All of the above
5. Generally accepted treatment for mucormycosis includes which of the following?
   • [ A ] Correction of underlying disease process
   • [ B ] Hyperbaric oxygen therapy
   • [ C ] Surgical resection of diseased tissue
   • [ D ] A and C
   • [ E ] A, B, and C

 

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