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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.
Author Related Publications
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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Department Related Publications
Ahmed Sabry Ahmed Ragheb, "Adjuvant role of lung ultrasound in the diagnosis of pneumonia in intensive care unit-patients", elsevier, 2013
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Elshaumaa Fathy Mohamed Handal Elshetry, "Impact of Adding Mean Apparent Diffusion Coefficient (ADCmean) Measurements to O-RADS MRI Scoring For Adnexal Lesions Characterization: A Combined O-RADS MRI/ADCmean Approach", Elsevier Inc, 2023
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