Maxillary mucormycosis and aspergillosis in post-COVID-19 patients in Mexico: A case series - 12/12/23

Doi : 10.1016/j.jormas.2023.101615

Cynthia M. Urias-Barreras ^a,^b, Alberto Rodríguez-Archilla ^b, Adrian Canizalez-Roman ^c,^d, Daniela A. Bastidas ^c, Nidia M. León-Sicairos ^c,^e,^⁎
^a School of Dentistry, Autonomous University of Sinaloa, Culiacan, Sinaloa 80013, Mexico
^b Department of Stomatology, Oral Medicine Unit, Faculty of Dentistry, University of Granada, Granada, Spain
^c School of Medicine, Autonomous University of Sinaloa, Culiacan, Sinaloa 80019, Mexico
^d Secretariat of Health, The Women's Hospital, Culiacan, Sinaloa 80020, Mexico
^e Departamento de Investigación, Hospital Pediátrico de Sinaloa “Dr. Rigoberto Aguilar Pico” Servicios de Salud de Sinaloa. Blvd. Constitución S/N, Colonia Jorge Almada, C.P, Culiacan, Sinaloa 80200, Mexico

^⁎Corresponding author at: School of Medicine, Autonomous University of Sinaloa, 80246, Culiacan, Sinaloa, Mexico.School of MedicineAutonomous University of Sinaloa80246CuliacanSinaloaMexico

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Abstract

Background

Fungal infections, during or as a consequence of SARS-CoV-2 infection, associated with uncontrolled diabetes mellitus and indiscriminate use of corticosteroids have been reported. In the jaw, mostly mucormycosis has been diagnosed in hospitals.

Methods

A retrospective, cross-sectional, descriptive study of the clinical, imaging, and histopathologic characteristics of maxillary invasive fungal infection in post-COVID-19 patients diagnosed in a private non-hospital oral pathology service in Mexico during 2020–2022 was conducted.

Results

We found 20 cases of maxillary invasive fungal infections in post-COVID-19 patients, 75% including a diagnosis of mucormycosis and 25% diagnosed as probable aspergillosis. The most common signs and symptoms were exposed necrotic bone followed by tooth mobility, discharge, and pain. On imaging, unilateral maxillary sinus involvement was observed in 6 cases (30%), and bilateral maxillary sinus involvement was observed in 3 cases (15%).

Conclusions

It is essential to consider the association of osteonecrosis of the jaw in post-COVID-19 patients, with aspergillosis, not only mucormycosis, for early diagnosis and appropriate treatment.

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Keywords : Aspergillosis, COVID-19, Invasive fungal infections, Mucormycosis, Oral manifestations

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Vol 125 - N° 1

Article 101615- février 2024 Retour au numéro

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Maxillary mucormycosis and aspergillosis in post-COVID-19 patients in Mexico: A case series - 12/12/23

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