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Results

Out of 12 paediatric patients of CAM, there were eight male and four female patients, aged from 3 years to 16 years. Out of the 12 patients, 3 were diabetic (25%). Three patients (25%) were taking prolonged systemic steroids with prolonged hospital ICU stay. Two children (16.66%) were under chemotherapy for acute leukaemia. The common clinical symptoms were facial swelling, facial pain, nasal block and nasal discharge. Diagnosis was confirmed by histological examination. All were treated with endoscopic surgical debridement and amphotericin B. Two patients were passed away; one was due to cerebral involvement and another was due to respiratory failure by pneumonia.

Conclusions

Early identification and prompt treatment in paediatric patients with CAM are required. Aggressive endoscopic surgical debridement for local control and appropriate systemic antifungal treatment will help to improve the prognosis and survival of the patients.