Imaging spectrum of acute invasive fungal rhino-orbital-cerebral sinusitis in COVID-19 patients: A case series and a review of literature - 17/09/21
, Tougan T. Abdelaziz a , Doaa M. Ashour b , Anas Askoura c , Mohamed Ibrahim Saleh b , Mohammad S. Mahmoud c
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Graphical abstract |
Highlights |
• | Acute invasive fungal rhino-orbital sinusitis is a possible encounter in COVID-19 patients. |
• | Most of the included patients presented predominantly within a late stage of COVID-19 infection. |
• | The included patients were presented with radiologic features like the pattern previously reported in literature. |
Abstract |
Background |
The incidence of devastating opportunistic coinfections in patients with COVID-19 infection, their imaging features and their morbidity and mortality consequences need to be unraveled.
Methods |
This is a case series presenting the radiologic features and clinical presentation of acute invasive fungal rhino-orbital-cerebral sinusitis (AIFS) in eight hospitalized patients with confirmed COVID-19 infection.
Results |
Our patient cohort presented with symptoms of the invasive fungal disease within 12–35 days from their initial presentation with COVID-19 infection. The cross-sectional imaging features of AIFS associated with COVID-19 infection do not differ from those reported in the literature for AIFS associated with other risk factors, yet our patients had features of aggressive late-stage forms with high morbidity and mortality rate.
Conclusion |
AIFS is a possible encounter in patients with COVID-19 patients and radiologists should be familiar with its imaging features.
Le texte complet de cet article est disponible en PDF.Abbreviations : AIFS, COVID-19, DM, DCL, PL, RT-PCR
Keywords : Acute invasive fungal rhino-orbital-cerebral sinusitis, Mucormycosis, COVID-19
Plan
Vol 48 - N° 5
P. 319-324 - septembre 2021 Retour au numéro
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