Evidence map›Paper›PMID 40276688›Full record

ArticleJournal of neurological surgery reports2025

Preoperative Administration of Amphotericin B in Orbital Mucormycosis Management: A Case Report.

Russel T Wagner, Jacopo Berardinelli, Melanie B Fukui, Sammy Khalili, Neil S Mundi, Amin B Kassam, Stephen J Winkler

Abstract readCase Reports
In one paragraph

Article in Journal of neurological surgery reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Russel T WagnerIntent Medical Group, Endeavor Health Advanced Neurosciences Center, Northwest Community Hospital, Arlington Heights, Illinois, United States.
Jacopo BerardinelliDivision of Neurosurgery, Department of Neuroscience, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Napoli, Campania, Italy.
Melanie B FukuiIntent Medical Group, Endeavor Health Advanced Neurosciences Center, Northwest Community Hospital, Arlington Heights, Illinois, United States.
Sammy KhaliliIntent Medical Group, Endeavor Health Advanced Neurosciences Center, Northwest Community Hospital, Arlington Heights, Illinois, United States.
Neil S MundiIntent Medical Group, Endeavor Health Advanced Neurosciences Center, Northwest Community Hospital, Arlington Heights, Illinois, United States.
Amin B KassamIntent Medical Group, Endeavor Health Advanced Neurosciences Center, Northwest Community Hospital, Arlington Heights, Illinois, United States.
Stephen J WinklerIntent Medical Group, Endeavor Health Advanced Neurosciences Center, Northwest Community Hospital, Arlington Heights, Illinois, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report presents a 29-year-old male with diabetes mellitus who developed rhino-orbito-cerebral mucormycosis (ROCM) that was successfully treated with liposomal amphotericin B orbital injections. Despite emergent endoscopic debridement, the patient's disease progressed intracranially and intraorbitally, but he declined further surgical intervention. Subsequently, due to rapid acute vision loss, we initiated transcutaneous retrobulbar amphotericin B (TRAMB) injections. Following these injections, visual acuity, motility, and intraorbital fungal burden improved despite intracranial progression. This report highlights the benefits of TRAMB administration in aggressive fungal infections and explores the mechanisms behind its effectiveness, particularly in globe preservation. By targeting the infection in an area with a relatively robust blood supply, TRAMB reduces surgical difficulty and improves overall outcomes.

Indexed as

amphotericin Bantifungal therapydiabetes mellitusfungal infectionglobe preservationintracranial extensionminimally invasive treatmentorbital mucormycosispreoperative managementTRAMB injections

Identifiers

PMID40276688
PMCPMC12020544

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.