Less common and spinal involvement is almost unknown. CNS involvement is almost unknown. Clinical presentation is abscess or mass lesion, meningitis is almost unseen. Vasculitis leading on to thrombosis and mycotic aneurysms in common involving proximal larger arteries. CSF findings are nonspecific.
Culture is almost impossible.
Few survive with abscess. This fungus is an occasional member of normal nasopharyngeal flora. It remains nonpathogenic except in patients with diabetic ketoacidosis in whom rhinocerebral form may develop. Like aspergillosis there is a strong tendancy to involve blood vessels. Rhinocerebral mucormycosis begins in the paranasal sinuses, may extend locally into the orbit with eye pain, facial and periorbital swelling and ext opthalmoplegia and proptosis and loss of vision secondary to central artery occlusion.