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新冠病毒感染后中耳与颈部毛霉菌病。

Mucormycosis of the Middle Ear and Neck Post COVID 19.

机构信息

Department of ENT, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Department of ENT, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. milan.

出版信息

J Nepal Health Res Counc. 2023 Mar 10;20(3):812-815. doi: 10.33314/jnhrc.v20i3.3799.

Abstract

Mucormycosis is an opportunistic infection caused by fungi of order Mucorales and affect immunosuppressed patients. The cases of mucormycosis have surged during the COVID pandemic, especially in cases requiring steroids and mechanical ventilation. Here we present a case of a 40-year-old diabetic post COVID female patient. She presented with right earache, right facial paralysis (grade four) of two weeks duration and right sided neck swelling for ten days. Ultrasonography and computed tomography revealed multiple abscesses in the right side of the neck. Histopathological examination of tissue from the neck and middle ear confirmed the diagnosis of mucormycosis. This is a rare case of concurrent neck and middle ear mucormycosis in a post COVID patient. Keywords: Coronavirus; COVID 19; middle ear; mucormycosis; neck.

摘要

毛霉菌病是一种由毛霉目真菌引起的机会性感染,主要影响免疫抑制患者。在 COVID-19 大流行期间,毛霉菌病的病例急剧增加,特别是在需要使用类固醇和机械通气的情况下。我们在此报告一例 40 岁的 COVID 后患糖尿病的女性患者。她因右侧耳痛、右侧面瘫(四级)两周和右侧颈部肿胀十天而就诊。超声和计算机断层扫描显示右侧颈部有多个脓肿。颈部和中耳组织的组织病理学检查证实了毛霉菌病的诊断。这是一例 COVID 后患糖尿病患者同时发生颈部和中耳毛霉菌病的罕见病例。关键词:冠状病毒;COVID-19;中耳;毛霉菌病;颈部。

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