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A case series of mucormycosis mimics on MRI—Tales of respite amidst the havoc

BACKGROUND: Rhinocerebral mucormycosis is new bandit amidst present COVID-19 pandemic, it is an acute and lethal opportunistic fungal infection affecting immunocompromised and diabetic patients. Since the disease has got high morbidity and mortality despite aggressive treatment, radiologists play a...

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Autores principales: Sukhani, Paresh, Goyal, Alka, Bellamkondi, Ashwini, Mendiratta, Kuldeep, Rathi, Bhavyansh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9188853/
http://dx.doi.org/10.1186/s43163-022-00261-7
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author Sukhani, Paresh
Goyal, Alka
Bellamkondi, Ashwini
Mendiratta, Kuldeep
Rathi, Bhavyansh
author_facet Sukhani, Paresh
Goyal, Alka
Bellamkondi, Ashwini
Mendiratta, Kuldeep
Rathi, Bhavyansh
author_sort Sukhani, Paresh
collection PubMed
description BACKGROUND: Rhinocerebral mucormycosis is new bandit amidst present COVID-19 pandemic, it is an acute and lethal opportunistic fungal infection affecting immunocompromised and diabetic patients. Since the disease has got high morbidity and mortality despite aggressive treatment, radiologists play a very crucial role in early and accurate diagnosis. Erroneous diagnosis should be refrained by logistic approach and thorough clinico-radiological correlation. MATERIAL AND METHODS: Ours was a cross sectional study included six cases after taking written informed consent who recently presented with mucormycosis like symptoms and imaging findings during a period of 1 month, but by detailed clinical and radiological evaluation, we concluded that all these cases were either physiological mimics or extraneous artefacts, this helped greatly in relieving undue anxiety of patients and referral physicians and also avoided unnecessary further workup. This study was conducted after approval by the institutional ethical committee. RESULTS: Our study included 3 males and 3 females of age ranging from 32 to 62 years, all of which had history of COVID-positive having mild to moderate CT severity score who were treated with steroids and oxygen therapy (except one case). The most common presenting symptom was headache followed by nasal congestion. The mucor mimickers encountered were benign black turbinate sign, artifacts due to cosmetic dermal fillers and dental fillings, hemangioma, prolonged prone ventilation, and fungal ball. CONCLUSIONS: Amidst the sudden spurt in the number of cases of mucormycosis in our country in the present COVID era, there has been an increase in the number of imaging requisitions. This series of cases aims to sensitize radiologists about the importance of detailed clinical history, thorough clinic-radiological correlation and at times also taking extra efforts to reconnect to patients regarding specific clinical history and avoid fallacious diagnosis.
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spelling pubmed-91888532022-06-17 A case series of mucormycosis mimics on MRI—Tales of respite amidst the havoc Sukhani, Paresh Goyal, Alka Bellamkondi, Ashwini Mendiratta, Kuldeep Rathi, Bhavyansh Egypt J Otolaryngol Original Article BACKGROUND: Rhinocerebral mucormycosis is new bandit amidst present COVID-19 pandemic, it is an acute and lethal opportunistic fungal infection affecting immunocompromised and diabetic patients. Since the disease has got high morbidity and mortality despite aggressive treatment, radiologists play a very crucial role in early and accurate diagnosis. Erroneous diagnosis should be refrained by logistic approach and thorough clinico-radiological correlation. MATERIAL AND METHODS: Ours was a cross sectional study included six cases after taking written informed consent who recently presented with mucormycosis like symptoms and imaging findings during a period of 1 month, but by detailed clinical and radiological evaluation, we concluded that all these cases were either physiological mimics or extraneous artefacts, this helped greatly in relieving undue anxiety of patients and referral physicians and also avoided unnecessary further workup. This study was conducted after approval by the institutional ethical committee. RESULTS: Our study included 3 males and 3 females of age ranging from 32 to 62 years, all of which had history of COVID-positive having mild to moderate CT severity score who were treated with steroids and oxygen therapy (except one case). The most common presenting symptom was headache followed by nasal congestion. The mucor mimickers encountered were benign black turbinate sign, artifacts due to cosmetic dermal fillers and dental fillings, hemangioma, prolonged prone ventilation, and fungal ball. CONCLUSIONS: Amidst the sudden spurt in the number of cases of mucormycosis in our country in the present COVID era, there has been an increase in the number of imaging requisitions. This series of cases aims to sensitize radiologists about the importance of detailed clinical history, thorough clinic-radiological correlation and at times also taking extra efforts to reconnect to patients regarding specific clinical history and avoid fallacious diagnosis. Springer Berlin Heidelberg 2022-06-13 2022 /pmc/articles/PMC9188853/ http://dx.doi.org/10.1186/s43163-022-00261-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Sukhani, Paresh
Goyal, Alka
Bellamkondi, Ashwini
Mendiratta, Kuldeep
Rathi, Bhavyansh
A case series of mucormycosis mimics on MRI—Tales of respite amidst the havoc
title A case series of mucormycosis mimics on MRI—Tales of respite amidst the havoc
title_full A case series of mucormycosis mimics on MRI—Tales of respite amidst the havoc
title_fullStr A case series of mucormycosis mimics on MRI—Tales of respite amidst the havoc
title_full_unstemmed A case series of mucormycosis mimics on MRI—Tales of respite amidst the havoc
title_short A case series of mucormycosis mimics on MRI—Tales of respite amidst the havoc
title_sort case series of mucormycosis mimics on mri—tales of respite amidst the havoc
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9188853/
http://dx.doi.org/10.1186/s43163-022-00261-7
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