Seshadri Harini, Saraf Rashmi, Barchha Satyam
Department of Radiology, KEM Hospital, Mumbai 400012, India.
Division of Interventional Neuroradiology, Department of Radiology, KEM Hospital, Mumbai 400012, India.
BJR Case Rep. 2023 Dec 13;10(1):uaad006. doi: 10.1093/bjrcr/uaad006. eCollection 2024 Jan.
The coronavirus pandemic is now a public health emergency and has spread to nearly 206 countries across the globe. This novel disease has shaken the psycho-social, economic, and medical infrastructure of India. This has become even more challenging, considering the country's huge population. With the increase in the number of coronavirus disease (COVID) cases, our country has seen an unforeseen, unprecedented rise in a potential life and organ-threatening disease-mucormycosis. Mucormycosis is a deadly, extremely morbid, possibly life-threatening, and most feared complication of the coronavirus, caused by environmental molds belonging to the order Mucorales. Here, we report 2 cases of massive epistaxis due to internal carotid artery (ICA) pseudoaneurysm secondary to mucormycosis, post-COVID-19 pneumonia, which was managed by the endovascular route. To the best of our knowledge, there is very sparse literature available describing endovascular treatment of intracranial ICA pseudoaneurysm in a patient with COVID-induced mucormycosis.
冠状病毒大流行目前已成为突发公共卫生事件,并已蔓延至全球近206个国家。这种新型疾病动摇了印度的社会心理、经济和医疗基础设施。考虑到该国庞大的人口,这一情况变得更具挑战性。随着冠状病毒病(COVID)病例数量的增加,我国出现了一种潜在的危及生命和器官的疾病——毛霉菌病,其出现不可预见且前所未有的增加。毛霉菌病是一种由毛霉目环境霉菌引起的、致命的、极其病态的、可能危及生命且最可怕的冠状病毒并发症。在此,我们报告2例COVID-19肺炎后因毛霉菌病继发颈内动脉(ICA)假性动脉瘤导致大量鼻出血的病例,通过血管内途径进行了治疗。据我们所知,关于COVID-19诱发毛霉菌病患者颅内ICA假性动脉瘤的血管内治疗的文献非常稀少。