CT and MRI Findings of Invasive Mucormycosis in the Setting of COVID-19: Experience From a Single Center in India

AJR Am J Roentgenol. 2021 Dec;217(6):1431-1432. doi: 10.2214/AJR.21.26205. Epub 2021 Jun 23.

Abstract

An increasing incidence of rhinoorbitocerebral mucormycosis (ROCM) among patients with COVID-19 has recently been reported in India. We report the imaging findings for 25 patients with COVID-19 and invasive ROCM at a single hospital in India. Findings included sinus wall erosions (n = 20), air within bony sinus structures (n = 11), and focal mucosal nonenhancement (n = 8). Orbital, vascular, and intracranial complications were also observed. Radiologists should recognize the increasing incidence of ROCM among patients with COVID-19 to facilitate early diagnosis.

MeSH terms

  • Adult
  • Aged
  • COVID-19 / complications*
  • Central Nervous System Fungal Infections / diagnostic imaging*
  • Central Nervous System Fungal Infections / epidemiology
  • Central Nervous System Fungal Infections / microbiology
  • Female
  • Humans
  • Incidence
  • India / epidemiology
  • Magnetic Resonance Imaging / methods
  • Male
  • Middle Aged
  • Mucormycosis / diagnostic imaging*
  • Mucormycosis / epidemiology
  • Optic Nerve Diseases / diagnostic imaging
  • Optic Nerve Diseases / microbiology
  • Orbital Diseases / diagnostic imaging*
  • Orbital Diseases / epidemiology
  • Orbital Diseases / microbiology
  • Paranasal Sinus Diseases / diagnostic imaging*
  • Paranasal Sinus Diseases / epidemiology
  • Paranasal Sinus Diseases / microbiology
  • Paranasal Sinuses / diagnostic imaging
  • Paranasal Sinuses / microbiology
  • Retrospective Studies
  • Tomography, X-Ray Computed / methods