Rhino-Orbital mucormycosis in an immunocompetent pediatric patient with hyperglycemia of the hospitalized patient.

Introduction: Acute invasive rhino-orbital mucormycosis usually affects diabetic or neutropenic patients, and only exceptionally develops in immunocompetent adults and children.

Methodology: A 12-years-old immunocompetent female, presented with complicated rhinosinusitis with a subperiosteal orbital abscess, without improvement after initial medical and surgical management, the patient also developed hyperglycemia of the hospitalized patient that represented a challenging and potentially lethal clinical scenario.

Results: Diagnosed with an unsuspected rhino-orbital mucormycosis by direct microscopy and PCR, she survived after amphotericin B and surgical treatment.

[Blindness due to head injury in an adolescent patient].

We describe the case of a 15 year old male adolescent with blindness of the right eye secondary to frontal head injury and blindness as the sole complication. Computed tomography and magnetic resonance imaging studies were both normal. We postulate a non anatomical severing of the optic nerve as the etiological cause for blindness.