Rhino-orbital mucormycosis in COVID-19 patients—a new threat?

Springer Science and Business Media LLC - Tập 52 Số 1 - 2021
Sandeep Awal1, Som Biswas2, Sampreet Kaur Awal3
1Department of Radiology, Jeevandeep Diagnostics, Jamshedpur, India
2Department of Radiology, Radiance Teleradiology Services, Navi Mumbai, India
3Department of Microbiology, Guru Gobind Singh Medical College & Hospital, Faridkot, Punjab, India

Tóm tắt

Abstract Background Coronavirus disease 2019 (COVID-19) is known to be associated with a myriad of viral, fungal, and bacterial co-infections. Rhino-orbital mucormycosis is a rare angio-invasive fungal infection which has shown a rising trend in the setting of COVID-19. Case presentation We describe the imaging findings in 3 cases of rhino-orbital mucormycosis in patients with history of COVID-19. All cases had varying involvement of paranasal sinuses extending into the orbital compartment while case 3 had intracranial extension of infection. Conclusions Rhino-orbital mucormycosis can have aggressive necrosis of the involved paranasal sinuses and orbits with or without cerebral extension. Hence, the correct diagnosis is imperative as prompt antifungal drugs and surgical debridement can significantly reduce mortality and morbidity.

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