Mucormycosis physical examination
Patients with mucormycosis usually appear lethargic, weak and debilitated owing to its development in immune compromised patients. Physical examination of patients with mucormycosis is usually remarkable for skin necrosis with a black eschar, fever, chills, myalgias, sore throat, non-productive cough, abdominal pain.
General appearance of the patient
- Patients with mucormycosis usually appear weak and debilitated owing to its development in immune compromised individuals and patients with metabolic disorders.
- High-grade fever
- Hypothermia/hyperthermia may be present in disseminated infection
- Kussmal respirations may be present in diabetic patients who develop mucormycosis on a background of diabetic ketoacidosis
- Weak pulse
- Hypotension, if condition leads to septic shock
- Palsies of cranial nerves II, III, IV, V, VI, and VII
- Cerebral edema and vascular compromise may lead to coma and stroke
- Sore throat
- Dyspnea on exertion
- Non-productive cough
- Crackles and rales on chest auscultation in pulmonary mucormycosis