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伊朗北部 COVID 后毛霉菌骨髓炎及其影像学表现:病例系列。

Post-COVID mucormycosis osteomyelitis and its imaging manifestations in the North of Iran: case series.

机构信息

Department of Maxillofacial Surgery, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.

Department of Maxillofacial Surgery, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.

出版信息

Oral Radiol. 2024 Jan;40(1):69-80. doi: 10.1007/s11282-022-00650-x. Epub 2022 Sep 5.

Abstract

Mucormycosis is an invasive fungal infection that usually affects patients with immunocompromised conditions. In the context of the COVID-19 pandemic and the following corticosteroid therapy, mucormycosis prevalence has increased. The situation may be more complicated with some underlying diseases such as diabetes mellitus. In addition, due to the vicinity of maxillary bone to the nasal cavity and paranasal sinuses, which are the main routes for the infection to spread, dentists, maxillofacial radiologists, and surgeons may be the first to encounter these patients. Post-COVID mucormycosis osteomyelitis is one of the complications of this infection Bone destruction and the erosion or breach of cortical boundaries of the maxilla and the bone structures in the vicinity of paranasal sinuses are the most critical radiographic findings of post-covid osteomyelitis. Herein, there are some cases of post-covid mucormycosis osteomyelitis involving the maxillary and other facial bones.

摘要

毛霉菌病是一种侵袭性真菌感染,通常影响免疫功能低下的患者。在 COVID-19 大流行和随后的皮质类固醇治疗的背景下,毛霉菌病的患病率有所增加。在某些基础疾病(如糖尿病)的情况下,情况可能会更加复杂。此外,由于上颌骨与鼻腔和副鼻窦相邻,是感染传播的主要途径,因此牙医、颌面放射科医生和外科医生可能是最先遇到这些患者的人。COVID 后毛霉菌病骨髓炎是这种感染的并发症之一。骨破坏和上颌骨以及副鼻窦附近骨结构的皮质边界侵蚀或破裂是 COVID 后骨髓炎的最关键的放射学发现。在此,有一些涉及上颌骨和其他面部骨骼的 COVID 后毛霉菌病骨髓炎病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8801/9441844/76e871468e70/11282_2022_650_Fig1_HTML.jpg

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