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新冠病毒病后患者真菌性鼻窦炎的锥形束计算机断层扫描(CBCT)表现:一例报告

Cone Beam Computed Tomography (CBCT) findings of fungal sinusitis in post COVID-19 patient: A case report.

作者信息

Abesi Farida, Alimohamadi Mona

机构信息

Deprtment of Oral and Maxillofacial Radiology, Dental School, Babol University of Medical Sciences, Babol, Iran.

Department of Oral and Maxillofacial Radiology, Dental School, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Caspian J Intern Med. 2022;13(Suppl 3):307-310. doi: 10.22088/cjim.13.0.307.

Abstract

BACKGROUND

Fungal infections of the paranasal sinus are increasingly recognized in both normal and immunocompromised individuals. It is necessary to distinguish invasive diseases from the non- invasive as the result and prognosis of sinus treatment different in each one. CBCT imaging could help us in this regard. In this case, we describe a fungal sinusitis according to Cone Beam Computed Tomography (CBCT) findings.

CASE PRESENTATION

We present a case of a 48-year-old woman with diabetes mellitus referred to our Maxillofacial Radiology Center in Babol, Iran. The patient has been discharged from the hospital recently after recovering from COVID-19 Considering the background systemic disease (diabetes) and clinical and radiological findings (extension of bone destruction), fungal sinusitis (invasive form) was listed top in the differential diagnosis list , as it is the most common condition in post-COVID-19 patients.

CONCLUSION

CBCT images are very useful for diagnosing normal anatomy variations and sinus lesions especially bone lesions .In this case, its early diagnosis led to rapid recovery of the patient.

摘要

背景

鼻窦真菌感染在正常人和免疫功能低下者中越来越常见。区分侵袭性疾病和非侵袭性疾病很有必要,因为鼻窦治疗的结果和预后在每种情况下都不同。锥形束计算机断层扫描(CBCT)成像在这方面可以帮助我们。在此病例中,我们根据锥形束计算机断层扫描(CBCT)结果描述一例真菌性鼻窦炎。

病例介绍

我们报告一例48岁患有糖尿病的女性患者,转诊至伊朗巴博勒的颌面放射中心。该患者在从新冠肺炎康复后最近出院。考虑到全身性基础疾病(糖尿病)以及临床和放射学检查结果(骨质破坏扩展),真菌性鼻窦炎(侵袭性类型)在鉴别诊断清单中列为首位,因为它是新冠肺炎后患者中最常见的情况。

结论

CBCT图像对于诊断正常解剖变异和鼻窦病变尤其是骨质病变非常有用。在此病例中,其早期诊断使患者迅速康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8361/9272968/28152db81cf8/cjim-13-307-g001.jpg

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