Mucormycosis - Dual Therapy with Prolonged Survival

In 2014, a 69-year-old Panamanian female with a past medical history of diabetes mellitus type 2 and the presence of a pterygium on her conjunctiva had had resection a month prior of her pterygium and placement of an amniotic membrane graft to her left eye for which she had been treated with longterm corticosteroids. She presented to the emergency department of a hospital in Panama City, Panama with a history of one week of evolution of swelling of the right side of her face, ipsilateral eye proptosis and odynophagia. A large ulcer (3 X 4 cm) in her hard palate was evident.