Double Jeopardy: Multidisciplinary Approach to a Rare Case of Simultaneous Maxillary and Mandibular Mucormycosis

ABSTRACT Background Mucormycosis is a rare, life‐threatening opportunistic fungal infection that typically affects immunocompromised patients. Simultaneous involvement of both the maxilla and mandible is exceptionally rare, presenting unique diagnostic and therapeutic challenges. Case Report A 52‐year‐old female presented with bilateral maxillary and mandibular mucormycosis with a history of hospitalisation 3 months back. The patient presented with persistent pain, purulent discharge, and exposed necrotic bone in both jaws. Diagnosis was confirmed through histopathological examination revealing characteristic broad, aseptate, right‐angle branching fungal hyphae. Management involved intravenous liposomal amphotericin B (total dose 2500 mg) and aggressive surgical debridement including partial maxillectomy and removal of necrotic medullary bone from the mandible. The patient showed complete healing at 3‐month follow‐up. Conclusion This case report describes a rare presentation of simultaneous maxillary and mandibular mucormycosis and highlights the importance of maintaining high clinical suspicion. Early diagnosis and aggressive multidisciplinary treatment are crucial for optimal outcomes in this life‐threatening condition.

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Publication Details

Journal
Oral Surgery
Published
2026-02-24
DOI
https://doi.org/10.1111/ors.70044
Primary Topic
Antifungal resistance and susceptibility
Type
article
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article

Double Jeopardy: Multidisciplinary Approach to a Rare Case of Simultaneous Maxillary and Mandibular Mucormycosis

Amrish Bhagol, Dipti Daga, R. S. Chauhan, Virendra Singh
Oral Surgery
Antifungal resistance and susceptibility
article

Double Jeopardy: Multidisciplinary Approach to a Rare Case of Simultaneous Maxillary and Mandibular Mucormycosis

Amrish Bhagol, Dipti Daga, R. S. Chauhan, Virendra Singh
article en

Abstract

ABSTRACT Background Mucormycosis is a rare, life‐threatening opportunistic fungal infection that typically affects immunocompromised patients. Simultaneous involvement of both the maxilla and mandible is exceptionally rare, presenting unique diagnostic and therapeutic challenges. Case Report A 52‐year‐old female presented with bilateral maxillary and mandibular mucormycosis with a history of hospitalisation 3 months back. The patient presented with persistent pain, purulent discharge, and exposed necrotic bone in both jaws. Diagnosis was confirmed through histopathological examination revealing characteristic broad, aseptate, right‐angle branching fungal hyphae. Management involved intravenous liposomal amphotericin B (total dose 2500 mg) and aggressive surgical debridement including partial maxillectomy and removal of necrotic medullary bone from the mandible. The patient showed complete healing at 3‐month follow‐up. Conclusion This case report describes a rare presentation of simultaneous maxillary and mandibular mucormycosis and highlights the importance of maintaining high clinical suspicion. Early diagnosis and aggressive multidisciplinary treatment are crucial for optimal outcomes in this life‐threatening condition.

Oral Surgery
Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (IN)
Gender equality
Openalex Percentile: Top 31%
Antifungal resistance and susceptibility
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