J. HAROLD HELDERMAN, M.D.; HARRY S. COOPER, M.D.; JOHN MANN, M.D.
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Hyperglycemia or ketoacidosis is the classic setting for phycomycetic infection in man (1, 2). We report here a case of rhinocerebral phycomycosis in a patient with controlled diabetes mellitus, with an unusual indolent and chronic, rather than acute, infection and with clinical and necropsy evidence of cure.
A 55-year-old steel worker entered the hospital for the second time complaining of right frontal headache and a foul discharge from the right nostril (both having developed 1 month before), and sudden blindness. He had not had fever or weakness. Seven years before admission, he was seen for mild diabetic ketoacidosis; in the
HELDERMAN JH, COOPER HS, MANN J. Chronic Phycomycosis in a Controlled Diabetic. Ann Intern Med. ;80:419. doi: 10.7326/0003-4819-80-3-419
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Published: Ann Intern Med. 1974;80(3):419.
Cardiology, Coronary Risk Factors, Diabetes, Endocrine and Metabolism.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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