Magnetic Resonance Imaging Features of Rhino-Orbito-Cerebral Mucormycosis in Post-COVID-19 Patients: Radio-Pathological Correlation

Faculty Medicine Year: 2023
Type of Publication: ZU Hosted Pages: 11
Authors:
Journal: Diagnostics MDPI Volume: 13
Keywords : Magnetic Resonance Imaging Features , Rhino-Orbito-Cerebral Mucormycosis    
Abstract:
Abstract There has been a notable increase in rhino-orbito-cerebral mucormycosis (ROCM) post-coronavirus disease 2019 (COVID-19), which is an invasive fungal infection with a fatal outcome. Magnetic resonance imaging (MRI) is a valuable tool for early diagnosis of ROCM and assists in the proper management of these cases. This study aimed to describe the characteristic MRI findings of ROCM in post-COVID-19 patients to help in the early diagnosis and management of these patients. This retrospective descriptive study was conducted at a single hospital and included 52 patients with COVID-19 and a histopathologically proven ROCM infection who were referred for an MRI of the paranasal sinuses (PNS) due to sino-orbital manifestations. Two radiologists reviewed all the MR images in consensus. The diagnosis was confirmed by histopathological examination. The maxillary sinus was the most commonly affected PNS (96.2%). In most patients (57.7%), multiple sinuses were involved with the black turbinate sign on postcontrast images. Extrasinus was evident in 43 patients with orbital involvement. The pterygopalatine fossa was involved in four patients. Three patients had cavernous sinus extension, two had pachymeningeal enhancement, and one had epidural collection. The alveolar margin was affected in two patients, and five patients had an extension to the cheek. The awareness of radiologists by the characteristic MRI features of ROCM in post-COVID-19 patients helps in early detection, early proper management, and prevention of morbid complications.
   
     
 
       

Author Related Publications

  • Mohammad Abd Alkhalik Basha, "Comparison of three embolic materials at partial splenic artery embolization for hypersplenism: clinical, laboratory, and radiological outcomes", SPRINGER, 2021 More
  • Mohammad Abd Alkhalik Basha, "Combined therapy with conventional trans-arterial chemoembolization (cTACE) and microwave ablation (MWA) for hepatocell", Tylor and Francis Online, 2021 More
  • Mohammad Abd Alkhalik Basha, "Transcatheter drug delivery through bronchial artery for COVID-19: is it fiction or could it come true?", SPRINGER, 2020 More
  • Mohammad Abd Alkhalik Basha, "The added value of digital breast tomosynthesis in improving diagnostic performance of BI-RADS categorization of mammographically indeterminate breast lesions", SPRINGER, 2020 More
  • Mohammad Abd Alkhalik Basha, "The validity of grayscale and color Doppler ultrasound in assessment of scrotal swellings: a retrospective study in a large case series", SAGE Journals, 2020 More

Department Related Publications

  • Amal Mohamed Mahmoud Mangoud, "- Initiation of Cytological Diagnosis Unit 1 /1 /1984 المجلة المجلة", لايوجد, 1900 More
  • Amal Mohamed Mahmoud Mangoud, "- Tissue Immunity in Rhinoscleroma 1 /3 /1986 المجلة المجلة", لايوجد, 1900 More
  • Amal Mohamed Mahmoud Mangoud, "Neprotic Syndrome: An Etiological, Histopathological, Immunological and Ultrastruchral Study 1 /1 /1992 المجلة المجلة", لايوجد, 1900 More
  • Amal Mohamed Mahmoud Mangoud, "AgNor Regions Distribution in Diagnosis of Premalignant and Malignant Lesions in the Urinary Bladder 1 /8 /1994 المجلة المجلة", لايوجد, 1900 More
  • Amal Mohamed Mahmoud Mangoud, "Imaging of the Endometrium in Dysfunctional Uterine Bleeding by Electron Microscopy 1 /8 /1994 المجلة المجلة", لايوجد, 1900 More
Tweet