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Magnetic resonance imaging features of post-COVID-19 regional and invasive sino-nasal mucormycosis
Faculty
Medicine
Year:
2022
Type of Publication:
ZU Hosted
Pages:
Authors:
Marwah Elsayed Hameed Salih
Staff Zu Site
Abstract In Staff Site
Journal:
Egyptian journal of radiology and nuclear medicine Egyptian journal of radiology and nuclear medicine
Volume:
Keywords :
Magnetic resonance imaging features , post-COVID-19 regional
Abstract:
Background Sino-nasal mucormycosis is an opportunistic, invasive fungal disease which has shown a rising trend in the setting of COVID-19. The objective of this study is to document and analyze demographic data, clinical presentation and MR imaging spectra for early detection and management of post-COVID-19 sino-nasal mucormycosis. Results Sixty-two cases of sino-nasal mucormycosis were enrolled in this study; their mean age was 50.65 ± 8.25 years, with significant female predominance. Nine patients (14.5%) had active COVID-19 and 53 (85.5%) were recent COVID-19 cases. Sixty patients have not received COVID-19 vaccine. The mean duration from the initial COVID-19 laboratory confirmation to the detection of sino-nasal mucormycosis was 25.7 +/− 4.6 days. Thirty-five patients (56.5%) were kept in the hospital for COVID management and 4 of them received intensive care unit (ICU) treatment. Twenty-seven patients (43.5%) were treated in home isolation. Corticosteroids were administered in 48 cases (77.4%). Twenty-nine patients (46.8%) had been given oxygen for an average time of 11.2 ± 4.15 days. Diabetes was found in 56 cases (90.3%). The most common clinical symptoms were headache, seen in 52 patients (83.87%). The ethmoid sinus was the most common paranasal sinus involved in our study, seen in 47 cases (75.81%). In 36 cases (58%), multiple sinuses were involved. MRI staging according to the extent of regional involvement. Stage 1 seen in 2 cases (3.23%), stage 2 in 13 cases (20.97%), stage 3 in 35 cases (56.45%) and stage 4 in 12 cases (19.35%). Conclusions MRI shows a spectrum of findings in sino-nasal mucormycosis. Imaging plays a major role in staging and assessing the extent of involvement and complications. In light of this, mortality and morbidity can be dramatically decreased with adequate evaluation and therapy.
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Marwah Elsayed Hameed Salih, "Pearls and Pitfalls of Dynamic Contrast Enhanced Magnetic Resonance Mammography in Evaluation of Post-biopsied Suspicious Breast Lesions in Zagazig University Hospitals", جامعة القصر العينى, 2017
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Marwah Elsayed Hameed Salih, "The validity and reproducibility of the thyroid imaging reporting and data system (TI-RADS) in categorization of thyroid nodules: Multicentre prospective study", ELSEVIER, 2019
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Marwah Elsayed Hameed Salih, "Multi-Slice Computed Tomography in Coronary Artery Disease: Detection of Disease Severity, Calcium Score and Prediction of Percutaneous Coronary Intervention Complications", zagazig university medical journal, 2023
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Marwah Elsayed Hameed Salih, "Role of Aortic Isthmus Doppler Ultrasound in Fetuses with Intrauterine Growth Restriction", The Egyptian Journal of Hospital Medicine, 2022
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Marwah Elsayed Hameed Salih, "Performance of Pathognomonic Magnetic Resonance Imaging Findings for Diagnosis of Triple Negative Breast Cancers", The Egyptian Journal of Hospital Medicine, 2022
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