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Revisiting rhino-orbito-cerebral acute invasive fungal sinusitis in the era of COVID-19: pictorial review.
Manchanda, Smita; Semalti, Kapil; Bhalla, Ashu Seith; Thakar, Alok; Sikka, Kapil; Verma, Hitesh.
  • Manchanda S; Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, 110029, India.
  • Semalti K; Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, 110029, India.
  • Bhalla AS; Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, 110029, India. ashubhalla1@yahoo.com.
  • Thakar A; Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.
  • Sikka K; Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.
  • Verma H; Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.
Emerg Radiol ; 28(6): 1063-1072, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1378974
ABSTRACT
COVID-19 patients have been found to have an increased incidence of superadded fungal infections because of multiple factors such as impaired cell-mediated immunity, immunosuppressive therapy, and coexistent diabetes mellitus. Recently, there has been a significant rise in the COVID-19-associated mucormycosis and aspergillosis cases involving the sinonasal cavity and the lungs. Rhino-orbito-cerebral acute invasive fungal rhinosinusitis (AIFR) is a potentially life-threatening, invasive fungal infection. Early diagnosis followed by prompt medical management and surgical intervention is crucial for patient survival. The role of cross-sectional imaging (CT/MRI) is not only to suggest a diagnosis of invasive fungal sinusitis but also to delineate the complete extent of disease. Mapping the extent of orbital and intracranial disease has prognostic as well as management implications, as involvement of these sites marks a worse prognosis. A stepwise approach to evaluation of imaging of AIFR along with a pictorial depiction of the key imaging findings is presented.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Orbital Diseases / Sinusitis / Invasive Fungal Infections / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: Emerg Radiol Year: 2021 Document Type: Article Affiliation country: S10140-021-01980-9

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Orbital Diseases / Sinusitis / Invasive Fungal Infections / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: Emerg Radiol Year: 2021 Document Type: Article Affiliation country: S10140-021-01980-9