Patil Aruna, Mohanty Himansu Shekhar, Kumar Sharath, Nandikoor Shrivalli, Meganathan Prabhu
Department of Radiology, Apollo Hospitals, Bangalore, India.
Department of Pathology, Apollo Hospitals, Bangalore, India.
BJR Case Rep. 2016 May 1;2(2):20150448. doi: 10.1259/bjrcr.20150448. eCollection 2016.
Angioinvasive rhinocerebral mucormycosis is an acute fulminant infection caused by fungi of the order Mucorales that targets uncontrolled diabetics and other immunosupressed individuals. Early imaging features of angioinvasiveness include the presence of thrombosed vessels, especially in the orbital regions and the "black turbinate" sign representing devitalized paranasal sinus mucosa. Intracranial extension carries a grave prognosis, with death reported in 90% of cases. This case report highlights the early and key imaging features of angioinvasive rhinocerebral mucormycosis and a rare complication of complete internal carotid artery thrombosis.
血管侵袭性鼻脑型毛霉菌病是一种由毛霉目真菌引起的急性暴发性感染，主要侵袭血糖控制不佳的糖尿病患者和其他免疫抑制个体。血管侵袭的早期影像学特征包括血栓形成的血管，尤其是在眼眶区域，以及代表鼻窦黏膜坏死的“黑鼻甲”征。颅内蔓延预后严重，90%的病例报告死亡。本病例报告强调了血管侵袭性鼻脑型毛霉菌病的早期关键影像学特征以及颈内动脉完全血栓形成这一罕见并发症。
