中隔坏死是Covid-19时代毛霉菌病的主要表现

Q4 Medicine

Egyptian Journal of Ear, Nose, Throat and Allied Sciences Pub Date : 2022-01-01 DOI:10.21608/ejentas.2022.132793.1502

A. Sweed, Mohamed Mobashir, E. Elsheikh, M. Elmaghawry

{"title":"中隔坏死是Covid-19时代毛霉菌病的主要表现","authors":"A. Sweed, Mohamed Mobashir, E. Elsheikh, M. Elmaghawry","doi":"10.21608/ejentas.2022.132793.1502","DOIUrl":null,"url":null,"abstract":"Objectives: To report unusual presentation of sinonasal mucormycosis, To emphasize on importance of MRI sequences in dealing with mucormycosis cases. Patients and Methods: We reported a case with persistent rhinological symptoms after Covid-19 recovery, presented endoscopically with necrotic eschar/crust on nasal septum with apparently normal lateral nasal mucosa. MRI T2 fat suppression revealed inflammatory process within RT pterygopalatine / infratemporal fossa territory. Endoscopic sinus surgery was done for debridement of necrotic septal nasal mucosa, exploration of RT PPF / ITF shows pus emerging from it with necrosis of posterior feeding vessel of the nose \"SPA\". Nasal septum is characterized by double vascularity from both side, but sudden interruption from one side could not be compensated from healthy side leading to necrosis. Conclusion: Any persistent rhinological symptoms after covid-19 infection with necrotic eschar anywhere within rhino-orbital territory should be considered as mucormycosis till prove otherwise. © 2022, Egyptian Society of Ear Nose Throat and Allied Sciences. All rights reserved.","PeriodicalId":37983,"journal":{"name":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","volume":"60 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Septal Necrosis as Primary Presentation for Mucormycosis in Covid-19 Era\",\"authors\":\"A. Sweed, Mohamed Mobashir, E. Elsheikh, M. Elmaghawry\",\"doi\":\"10.21608/ejentas.2022.132793.1502\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objectives: To report unusual presentation of sinonasal mucormycosis, To emphasize on importance of MRI sequences in dealing with mucormycosis cases. Patients and Methods: We reported a case with persistent rhinological symptoms after Covid-19 recovery, presented endoscopically with necrotic eschar/crust on nasal septum with apparently normal lateral nasal mucosa. MRI T2 fat suppression revealed inflammatory process within RT pterygopalatine / infratemporal fossa territory. Endoscopic sinus surgery was done for debridement of necrotic septal nasal mucosa, exploration of RT PPF / ITF shows pus emerging from it with necrosis of posterior feeding vessel of the nose \\\"SPA\\\". Nasal septum is characterized by double vascularity from both side, but sudden interruption from one side could not be compensated from healthy side leading to necrosis. Conclusion: Any persistent rhinological symptoms after covid-19 infection with necrotic eschar anywhere within rhino-orbital territory should be considered as mucormycosis till prove otherwise. © 2022, Egyptian Society of Ear Nose Throat and Allied Sciences. All rights reserved.\",\"PeriodicalId\":37983,\"journal\":{\"name\":\"Egyptian Journal of Ear, Nose, Throat and Allied Sciences\",\"volume\":\"60 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Egyptian Journal of Ear, Nose, Throat and Allied Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.21608/ejentas.2022.132793.1502\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Egyptian Journal of Ear, Nose, Throat and Allied Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21608/ejentas.2022.132793.1502","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

目的:报道鼻毛霉菌病的异常表现，强调MRI序列在鼻毛霉菌病诊断中的重要性。患者和方法:我们报告了1例Covid-19恢复后持续出现鼻内科症状的病例，内镜下表现为鼻中隔坏死痂/结痂，鼻外侧黏膜明显正常。MRI T2脂肪抑制显示RT翼腭部/颞下窝区域内的炎症过程。内镜下鼻窦手术对坏死的鼻中隔鼻黏膜进行清创，RT PPF / ITF探查显示脓伴鼻后喂养血管“SPA”坏死。鼻中隔的特点是两侧有双血管，但一侧的突然中断不能从健康侧得到补偿，导致坏死。结论:若感染后出现持续鼻症状并伴有鼻眶内任何部位的坏死痂，则应考虑为毛霉菌病。©2022，埃及耳鼻喉及相关科学学会。版权所有。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Septal Necrosis as Primary Presentation for Mucormycosis in Covid-19 Era

Objectives: To report unusual presentation of sinonasal mucormycosis, To emphasize on importance of MRI sequences in dealing with mucormycosis cases. Patients and Methods: We reported a case with persistent rhinological symptoms after Covid-19 recovery, presented endoscopically with necrotic eschar/crust on nasal septum with apparently normal lateral nasal mucosa. MRI T2 fat suppression revealed inflammatory process within RT pterygopalatine / infratemporal fossa territory. Endoscopic sinus surgery was done for debridement of necrotic septal nasal mucosa, exploration of RT PPF / ITF shows pus emerging from it with necrosis of posterior feeding vessel of the nose "SPA". Nasal septum is characterized by double vascularity from both side, but sudden interruption from one side could not be compensated from healthy side leading to necrosis. Conclusion: Any persistent rhinological symptoms after covid-19 infection with necrotic eschar anywhere within rhino-orbital territory should be considered as mucormycosis till prove otherwise. © 2022, Egyptian Society of Ear Nose Throat and Allied Sciences. All rights reserved.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Egyptian Journal of Ear, Nose, Throat and Allied Sciences Medicine-Otorhinolaryngology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： Egyptian Journal of Ear, Nose, Throat and Allied Sciences aspires to play a national, regional and international role in the promotion of responsible and effective research in the field of Otolaryngology, Head and Neck Surgery in Egypt, Middle East and Africa. Mission To encourage and support research in Ear, Nose and Throat (ENT) field and interdisciplinary topics To implement high-quality editorial practices among Otolaryngologists To upgrade the ability and experience of local doctors in international publishing To offer professional publishing support to local researchers, creating a supportive network for career development To highlight ENT diseases and problems peculiar to our region To promote research in endemic, hereditary and infectious ENT problems related to our region To expose and study impact of ethnic, social, environmental and cultural issues on expression of different ENT diseases To organize common epidemiologic research of value to the region To provide resource to national and regional authorities about problems in the field of ENT and their implication on public health and resources To facilitate exchange of knowledge in our part of the world To expand activities with regional and international scientific societies.