sweed, A., mobashir, M., ElSheikh, E., Elmaghawry, M. (2022). Septal Necrosis as Primary Presentation for Mucormycosis in Covid-19 Era. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 23(23), 1-3. doi: 10.21608/ejentas.2022.132793.1502
ahmed hassan sweed; Mohamed mobashir; Ezzeddin ElSheikh; Mohammed Elsayed Elmaghawry. "Septal Necrosis as Primary Presentation for Mucormycosis in Covid-19 Era". Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 23, 23, 2022, 1-3. doi: 10.21608/ejentas.2022.132793.1502
sweed, A., mobashir, M., ElSheikh, E., Elmaghawry, M. (2022). 'Septal Necrosis as Primary Presentation for Mucormycosis in Covid-19 Era', Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 23(23), pp. 1-3. doi: 10.21608/ejentas.2022.132793.1502
sweed, A., mobashir, M., ElSheikh, E., Elmaghawry, M. Septal Necrosis as Primary Presentation for Mucormycosis in Covid-19 Era. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 2022; 23(23): 1-3. doi: 10.21608/ejentas.2022.132793.1502
Septal Necrosis as Primary Presentation for Mucormycosis in Covid-19 Era
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.
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