MR IMAGING OF RHINO-ORBITAL-CEREBRAL MUCORMYCOSIS IN POST COVID PATIENT: CASE SERIES

Abstract

Rhino-orbital-cerebral Mucormycosis also known as orbital zygomycosis. It is a life-threatening deadly complication in post covid patient presenting as pathological involvement of nasal cavity and paranasal sinuses with extension into orbital cavity and intracranial compartment as a result of fungal infection caused by fungi in the order Mucorales, mainly Rhizopus oryzae. MATERIAL AND METHOD We present a case series of 5 patient who were biopsy/culture proven invasive rhino cerebral Mucormycosis in post covid-19 patient who were reviewed on MR imaging. MR imaging were recovered from PACS in PMCH Patna and the data was analyzed. RESULT Involvement of para nasal sinuses with adjacent fat standing was present in 100%, orbital involvement was seen in 80%, intracerebral involvement was seen in 60%, mastoiditis was present in 40% of the patient selected in our case series. CONCLUSION MR imaging is helpful in early diagnosis when there is involvement of nasal, paranasal sinus and varying degree of orbital and cranial extension and associated with varying complication