Abstract
During the second wave of the COVID-19 pandemic, the medical fraternity witnessed a sudden surge of rhino-orbito-cerebral mucormycosis (ROCM) cases, probably because of the immunocompromised state of the patients imposed by SARS-CoV-2 itself, excessive use of steroids or co-existing conditions such as diabetes mellitus. This chapter includes an extensive series of 67 patients with COVID-19-associated ROCM who presented to the Department of Otorhinolaryngology at a tertiary care centre. The patients were of varying severity and were assessed based on their clinical features, investigations, and imaging involving computed tomography and magnetic resonance imaging.
A classification to depict different stages of rhino-orbital-cerebral mucormycosis has also been explained. The results showed that though the mortality of COVID-associated mucormycosis is remarkably high, there is no doubt that preventive practises and rational use of immunomodulators and steroids play a role in management, but also a high index of suspicion with early diagnosis and prompt management is the key to survival.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Sreshta K, Dave TV, Varma DR, Nair AG, Bothra N, Naik MN, Sistla SK. Magnetic resonance imaging in rhino-orbital-cerebral mucormycosis. Indian J Ophthalmol. 2021;69(7):1915–27. https://doi.org/10.4103/ijo.IJO_1439_21.
Hosseini SMS, Borghei P. Rhinocerebral mucormycosis: pathways of spread. Eur Arch Otorhinolaryngol. 2005;262:932–8. https://doi.org/10.1007/s00405-005-0919-0.
Goyal P, Lee S, Gupta N, Kumar Y, Mangla M, Hooda K, Li S, Mangla R. Orbital apex disorders: imaging findings and management. Neuroradiol J. 2018;31(2):104–25. https://doi.org/10.1177/1971400917740361.
Han Q, Escott EJ. The black turbinate sign, a potential diagnostic pitfall: evaluation of the normal enhancement patterns of the nasal turbinates. Am J Neuroradiol. 2019;40(5):855–61. https://doi.org/10.3174/ajnr.A6037.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Mehta, M., Chhabra, P., Jain, A. (2022). Clinical Profile and Management of a Series of Rhino-Orbital-Cerebral Mucormycosis Cases at Otorhinolaryngology Department of a Tertiary Hospital. In: Gupta, N., Honavar, S.G. (eds) Rhino-Orbito-Cerebral Mucormycosis. Springer, Singapore. https://doi.org/10.1007/978-981-16-9729-6_17
Download citation
DOI: https://doi.org/10.1007/978-981-16-9729-6_17
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-16-9728-9
Online ISBN: 978-981-16-9729-6
eBook Packages: MedicineMedicine (R0)