在COVID-19后侵袭性真菌鼻炎中面部.
Hetal Marfatia1, Anav Rattan1,2, Sanket Katkar1
1Department of Otorhinolaryngology & Head and Neck Surgery, Seth GS, Medical College and K.E.M. Hospital, Mumbai, Maharashtra India.
概括
后COVID-19侵入性真菌鼻炎可以导致面部,特别是在糖尿病患者. 磁共振成像 (MRI) 有助于识别损伤部位,如骨和石头顶部.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 后COVID-19并发症包括侵入性真菌鼻炎.
- 面部神经麻 (第七头骨神经麻) 可能是一个罕见的表现.
- 了解临床表现和成像之间的相关性对于诊断至关重要.
研究的目的:
- 为了调查COVID-19后侵袭性真菌鼻炎与第7大脑神经麻的表现.
- 为了将地形诊断测试和放射学发现相关起来,以确定病变的位置.
- 为了确定与这种情况相关的风险因素.
主要方法:
- 在第三级护理医院对11名患者的回顾性研究.
- 纳入标准:COVID-19后的侵袭性真菌鼻炎与面部.
- 数据收集:详细的病史,临床检查和磁共振成像 (MRI).
主要成果:
- 患者平均年龄为44.8岁;男性与女性的比例为4.5:1.
- 糖尿病是一种显著的免疫抑制因素 (11/11名患者).
- 核磁共振扫描显示,10名患者的pterygopalatine fossa参与,4名患者的Petrous apex参与.
结论:
- 后COVID-19侵入性真菌鼻炎可以表现为面部.
- 在这些情况下,糖尿病是免疫抑制的关键因素.
- 磁力共振成像对于局部化病变很有价值,而膜和顶是潜在的位置.
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