Imaging in Covid-19 associated mucormycosis: a case series

Shailaja Prashanth, Prakash Handi, Nisha Prathap, Rudresh Shoorshetty Manohar, Karthik Bhaskarn
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Abstract

Abstract Introduction: Mucormycosis is a very rare saprophytic, opportunistic fungal infection with high morbidity and mortality. With the Covid-19 pandemic, there is a sudden increase in the incidence of this disease due to causes not clearly known. Methods: Retrospective clinic-radiological analysis of a series of seven microbiologically confirmed cases of Covid-19 associated mucormycosis (CAM) treated at our tertiary care center in 2021 was done. Results: All patients were middle-aged with a mean age of 47 years. All patients had poor glycemic control. Three patients were on oxygen support and were given steroids during Covid-19 treatment. Symptoms were facial pain, swelling, headache, eyelid swelling, and nasal block. All patients underwent contrast MRI to study the extent of tissue involvement. MRI helped in complete surgical debridement with minimal deformity. Conclusion: Judicious use of immunosuppressants and strict glycemic control vital during covid-19 treatment. Contrast MRI is the investigation of choice to identify the extent of involvement in surgical planning.
Covid-19相关毛霉病的影像学:一个病例系列
摘要简介:毛霉病是一种非常罕见的腐生、机会性真菌感染,发病率和死亡率高。随着Covid-19大流行,由于原因不明,该病的发病率突然增加。方法:回顾性分析我院三级保健中心于2021年收治的7例微生物学确诊的新型冠状病毒相关毛霉菌病(CAM)的临床放射学资料。结果:所有患者均为中年人,平均年龄47岁。所有患者血糖控制均较差。3名患者在Covid-19治疗期间接受氧气支持并给予类固醇。症状为面部疼痛、肿胀、头痛、眼睑肿胀和鼻塞。所有患者均行MRI对比检查以研究组织受累程度。MRI有助于完全的手术清创和最小的畸形。结论:合理使用免疫抑制剂和严格控制血糖在covid-19治疗中至关重要。对比MRI是确定手术计划中受累程度的首选调查方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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