Learning objectives
-Delineate the role of imaging based on CT and MRI in the diagnosis of mucormycosis and their findings. -Illustrate some of the uncommon features of mucormycosis according to its localization.
Background
Til today,
mycormucosis is still a rare and an uncommon infection making the diagnosis a real challenge for the clinician.
It is an opportunistic fungal infection caused by Zygomycetes,
order Mucorales .In the late years,
it has been noted a significant increase in its rate as an angioinvasive mycosis besides candidiasis and aspergillosis. Six forms have been described: rhino-orbito-cerebral,
pulmonary,
gastrointestinal,
cutaneous,
disseminated and uncommon form. Rhinocerebral mucormycosis is...
Findings and procedure details
Retrospective study over 19 years of patients diagnosed of mucormycosis.
16 patients were enrolled. A computed tomography was performed in all our patients while MRI was performed in 12 patients. The average age of our patients was 37.2 years old with 10 males and 6 females.
12 patients were followed up for diabetes while one patient was severily immunocompromised. We found different sites with: rhinocerebral (n=13),
soft tissues (2) and pulmonary (1). Cerebral CT showed tissular content...
Conclusion
Mucormycosis is an aggressive fungal infection with non specific presentation.
Imaging is important in the assessment of the extent in multi-organ involvement and can recognize diagnosis in association to other clinical symptoms.
References
[1]Mertens A,
Barche D,
Scheinpflug L,
Scholz FG,
Vielhaber S,
Scherlach C,
Tröger U,
Geginat G,
Färber J,
Arens C.
[Rhinocerebral Mucormycosis].
Laryngorhinootologie.
2018 Aug;97(8):550-554.
[2]Sahota R,
Gambhir R,
Anand S,
Dixit A.
Rhinocerebral Mucormycosis: Report of aRare Case.
Ethiop J Health Sci.
2017 Jan;27(1):85-90
[3]Pennell E,
Pecson I,
Nakamura C,
Galvis AE.
Pulmonary mucormycosis in an
adolescent female with type 1 diabetes mellitus.
IDCases.
2018 Nov 27;14
[4]Abreu BFBB,
Duarte...