Virologia e Micologia
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Computed Tomographic Findings of Invasive Mucormycosis in Diabetic COVID-19 Patients on Steroid Therapy: Case Report

Raj Saha, Prasun Das, Srijak Bhattacharyya, Malay Karmakar*, Swadha Priya Basu

Background: As India continues to cope with the existing rise in COVID-19 infections, mucormycosis has emerged as a formidable complication in COVID infected diabetics on steroid therapy.

Case presenation: We describe the imaging findings in 6 cases of invasive mucormycosis in sero positive diabetic COVID-19 patients on steroid therapy. Three cases had predominantly varying involvement of the paranasal sinuses with extension into the orbital compartment and 3 were also associated with pulmonary involvement.

Conclusion: Mucormycosis causes aggressive necrosis of the paranasal sinuses extending into the orbit and brain. Pulmonary Necrosis is also common owing to its angio invasive nature. Delay in treatment is often fatal so prompt treatment must be initiated even before histological confirmation using the knowledge of risk factors and characteristic radiological imaging appearances.