Queston #17006Note

The clinical presentation in this question is highly concerning for mucormycosis, an invasive fungal infection most often seen in uncontrolled diabetic patients and the immunocompromised. The term mucormycosis is used to describe infections of fungi in the order Mucorales and is most frequently Rhizopus spp and Mucor spp. Patients often present with severe facial pains and multiple cranial neuropathies due to sinus invasion and extension into the orbit. CT head can show bony destruction from the infection. Treatment requires extensive resection in combination with amphotericin B. Vancomycin, ceftriaxone, and ampicillin is an appropriate treatment regimen for bacterial meningitis but it would not treat fungal infections.