Isolated Acute Sphenoid Fungal Sinusitis with Cavernous Sinus Thrombosis: Our Experience

Author(s):  
Amit Kumar ◽  
Kartikesh Gupta ◽  
Amit Kumar Tyagi ◽  
Saurabh Varshney ◽  
Niraj Kumar
2021 ◽  
Author(s):  
Stuti Chowdhary ◽  
Arun Alexander ◽  
Sivaraman Ganesan ◽  
Joe Vimal Raj ◽  
Sunitha Vellathussery Chakkalakkoombil ◽  
...  

Abstract Purpose Cavernous sinus thrombosis (CST) is a complication of rhino-orbital-cerebral mucormycosis. The COVID-19 pandemic saw a rapid surge in the cases of acute fungal sinusitis, many of whom also had CST, further contributing to the ophthalmoplegia. This study was a retrospective audit of patients with mucormycosis treated during the first wave of the COVID-19 pandemic.Methods This study was conducted at a tertiary referral centre, and patients with rhino-orbital mucormycosis were included. Relevant laboratory investigations and CT scans of the paranasal sinuses and the cavernous sinus were analysed. Mortality at discharge was calculated.Results 61 cases of invasive mucormycosis were seen, of whom 20 were COVID-19 positive, and 21 had radiological evidence of CST. All patients in the study initially presented with clinical suspicion of mucormycosis, and COVID-19 was diagnosed during pre-admission investigations. 93% of patients had diabetes. A majority of patients received Amphotericin B and surgical debridement. The sphenoid sinus was involved in 32(52%) patients and the orbit in 34(56%). Factors affecting CST, such as platelet counts, were studied. Fifteen (25%) patients succumbed during their treatment.Conclusions 34.4% of patients with mucormycosis developed CST. Being COVID-19 positive led to an increase in mortality; however, there was no significant increase in death due to simultaneous COVID-19 and CST. Sinus involvement was not significant for the development of CST.


BMJ ◽  
1942 ◽  
Vol 2 (4272) ◽  
pp. 612-613 ◽  

Author(s):  
Huiyang Qu ◽  
Yanling Li ◽  
Mengying Chen ◽  
Honghong Sun ◽  
Shuang Du ◽  
...  

Oral Surgery ◽  
2019 ◽  
Vol 12 (2) ◽  
pp. 153-158
Author(s):  
Akram Abdo Almansoori ◽  
Han‐Wool Choung ◽  
Jo‐Eun Kim ◽  
Bongju Kim ◽  
Soung‐Min Kim ◽  
...  

2000 ◽  
Vol 43 (2) ◽  
pp. 139
Author(s):  
Hyeong Lae Lee ◽  
Nam Joon Lee ◽  
Jung Hee Lee ◽  
Hyeon Soon Pyo ◽  
Geun Eo ◽  
...  

1971 ◽  
Vol 64 (10) ◽  
pp. 1243-1247 ◽  
Author(s):  
C DOWNEY PRICE ◽  
STEPHEN B. HAMEROFF ◽  
R D RICHARDS

Sign in / Sign up

Export Citation Format

Share Document