Evaluation of Magnetic Resonance Imaging Findings of COVID-19- Related Rhino-Orbito-Cerebral Mucormycosis

Abstract

Objective: Rhino-orbito-cerebral mucormycosis is an angioinvasive, opportunistic infection in coronavirus disease 2019 patients. The aim of this study is to evaluate the spread and complications of coronavirus disease 2019-related rhino-orbito-cerebral mucormycosis with magnetic resonance imaging findings.

Methods: The study included 14 patients with head and neck magnetic resonance imaging, positive severe acute respiratory failure syndrome Coronavirus 2 (SARS-CoV-2) reverse transcriptase polymerase chain reaction test, and pathologically proven mucormycosis. Paranasal sinus, orbital and intracranial involvement features were examined in detail and complications were evaluated.

Results: Diabetes mellitus was the most common comorbidity in all patients except one (92%). Systemic steroid treatment was provided to 10 patients (74%) and oxygen support was provided to 8 patients (57%). In our study, the mortality rate was found to be 35%. Rhinosinusitis was the most common radiological finding present in all patients at the time of diagnosis. Orbital involvement was detected in 10 patients (71%) and intracranial involvement in 9 patients (64%).

Conclusion: Magnetic resonance imaging has an important role in diagnosing and determining complications and managing the disease in patients with coronavirus disease 2019-associated rhino-orbito-cerebral mucormycosis.

Cite this article as: Akbaş B, Kaya B, Çavuşoğlu Akbaş A, et al. Evaluation of magnetic resonance imaging findings of COVID-19-related rhino-orbito-cerebral mucormycosis. Current Research in MRI, 2023;2(1):6-10.