Septal Necrosis as Primary Presentation for Mucormycosis in Covid-19 Era | ||||
Egyptian Journal of Ear, Nose, Throat and Allied Sciences | ||||
Article 45, Volume 23, Issue 23, January 2022, Page 1-3 PDF (1.27 MB) | ||||
Document Type: Short communication | ||||
DOI: 10.21608/ejentas.2022.132793.1502 | ||||
View on SCiNiTO | ||||
Authors | ||||
ahmed hassan sweed 1; Mohamed mobashir2; Ezzeddin ElSheikh2; Mohammed Elsayed Elmaghawry3 | ||||
1Lecturer of Otorhinolaryngology, Zagazig University, faculty of medicine, Egypt | ||||
2Professor of Otorhinolaryngology, Zagazig University, faculty of medicine, Egypt | ||||
3ORL-HNS fellow Zagazig University hospitals, faculty of medicine, Egypt | ||||
Abstract | ||||
Objectives: To report unusual presentation of sinonasal mucormycosis, To emphasize on importance of MRI sequences in dealing with mucormycosis cases. Patients and Methods: We reported a case with persistent rhinological symptoms after Covid-19 recovery, presented endoscopically with necrotic eschar/crust on nasal septum with apparently normal lateral nasal mucosa. MRI T2 fat suppression revealed inflammatory process within RT pterygopalatine / infratemporal fossa territory. Endoscopic sinus surgery was done for debridement of necrotic septal nasal mucosa, exploration of RT PPF / ITF shows pus emerging from it with necrosis of posterior feeding vessel of the nose "SPA". Nasal septum is characterized by double vascularity from both side , but sudden interruption from one side could not be compensated from healthy side leading to necrosis. Conclusion: Any persistent rhinological symptoms after covid-19 infection with necrotic eschar anywhere within rhino-orbital territory should be considered as mucormycosis till prove otherwise. | ||||
Keywords | ||||
Covid-19; mucormycosis; necrotic septum | ||||
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