From Bilateral Periorbital Necrotic Wound to Fungal Brain Abscess: A Complicated Case of COVID-19-Associated Mucormycosis

COVID-19-associated mucormycosis (CAM) is categorized as rhinocerebral-orbital (RCOM), pulmonary, gastrointestinal, cutaneous, and disseminated mucormycosis. An alarming surge in morbidity and mortality attributed to mucormycosis concurrent with coronavirus disease 2019 (COVID-19) has emerged as a c...

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Main Authors: Bahram Eshraghi, Nastaran-Sadat Hosseini, Rasoul Mohammadi, Seyed Hamid Reza Abtahi, Alireza Ramezani-Majd, Roya Azad, Mohsen Pourazizi
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2022/3821492
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author Bahram Eshraghi
Nastaran-Sadat Hosseini
Rasoul Mohammadi
Seyed Hamid Reza Abtahi
Alireza Ramezani-Majd
Roya Azad
Mohsen Pourazizi
author_facet Bahram Eshraghi
Nastaran-Sadat Hosseini
Rasoul Mohammadi
Seyed Hamid Reza Abtahi
Alireza Ramezani-Majd
Roya Azad
Mohsen Pourazizi
author_sort Bahram Eshraghi
collection DOAJ
description COVID-19-associated mucormycosis (CAM) is categorized as rhinocerebral-orbital (RCOM), pulmonary, gastrointestinal, cutaneous, and disseminated mucormycosis. An alarming surge in morbidity and mortality attributed to mucormycosis concurrent with coronavirus disease 2019 (COVID-19) has emerged as a cause for concern during the current outbreak of COVID-19. The global incidence of CAM has been attributed to environmental, host, and iatrogenic factors. Further, Mucorales interacting with epithelial cells followed by endothelium invasion are pivotal in developing mucormycosis in patients with COVID-19. In essence, CAM is an emerging condition that requires increased vigilance in all COVID-19 patients, including those who have recovered. In this case report, we describe a rare case of CAM in a 33-year-old immunocompetent man who developed bilateral periocular pain and a small area of cutaneous necrosis in both medial canthi associated with impaired vision, which progressed into a fungal brain abscess formation in the post-COVID period. Furthermore, this case aims to illustrate the potential underlying risk factors of CAM other than known risk factors, especially in immunocompetent individuals.
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publishDate 2022-01-01
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spelling doaj-art-4d66495f707943eabe849f0d5e582aa62025-02-03T05:57:23ZengWileyCase Reports in Infectious Diseases2090-66332022-01-01202210.1155/2022/3821492From Bilateral Periorbital Necrotic Wound to Fungal Brain Abscess: A Complicated Case of COVID-19-Associated MucormycosisBahram Eshraghi0Nastaran-Sadat Hosseini1Rasoul Mohammadi2Seyed Hamid Reza Abtahi3Alireza Ramezani-Majd4Roya Azad5Mohsen Pourazizi6Isfahan Eye Research CenterSchool of MedicineDepartment of Medical Parasitology and MycologyDepartment of OtolaryngologyIsfahan Eye Research CenterDepartment of RadiologyIsfahan Eye Research CenterCOVID-19-associated mucormycosis (CAM) is categorized as rhinocerebral-orbital (RCOM), pulmonary, gastrointestinal, cutaneous, and disseminated mucormycosis. An alarming surge in morbidity and mortality attributed to mucormycosis concurrent with coronavirus disease 2019 (COVID-19) has emerged as a cause for concern during the current outbreak of COVID-19. The global incidence of CAM has been attributed to environmental, host, and iatrogenic factors. Further, Mucorales interacting with epithelial cells followed by endothelium invasion are pivotal in developing mucormycosis in patients with COVID-19. In essence, CAM is an emerging condition that requires increased vigilance in all COVID-19 patients, including those who have recovered. In this case report, we describe a rare case of CAM in a 33-year-old immunocompetent man who developed bilateral periocular pain and a small area of cutaneous necrosis in both medial canthi associated with impaired vision, which progressed into a fungal brain abscess formation in the post-COVID period. Furthermore, this case aims to illustrate the potential underlying risk factors of CAM other than known risk factors, especially in immunocompetent individuals.http://dx.doi.org/10.1155/2022/3821492
spellingShingle Bahram Eshraghi
Nastaran-Sadat Hosseini
Rasoul Mohammadi
Seyed Hamid Reza Abtahi
Alireza Ramezani-Majd
Roya Azad
Mohsen Pourazizi
From Bilateral Periorbital Necrotic Wound to Fungal Brain Abscess: A Complicated Case of COVID-19-Associated Mucormycosis
Case Reports in Infectious Diseases
title From Bilateral Periorbital Necrotic Wound to Fungal Brain Abscess: A Complicated Case of COVID-19-Associated Mucormycosis
title_full From Bilateral Periorbital Necrotic Wound to Fungal Brain Abscess: A Complicated Case of COVID-19-Associated Mucormycosis
title_fullStr From Bilateral Periorbital Necrotic Wound to Fungal Brain Abscess: A Complicated Case of COVID-19-Associated Mucormycosis
title_full_unstemmed From Bilateral Periorbital Necrotic Wound to Fungal Brain Abscess: A Complicated Case of COVID-19-Associated Mucormycosis
title_short From Bilateral Periorbital Necrotic Wound to Fungal Brain Abscess: A Complicated Case of COVID-19-Associated Mucormycosis
title_sort from bilateral periorbital necrotic wound to fungal brain abscess a complicated case of covid 19 associated mucormycosis
url http://dx.doi.org/10.1155/2022/3821492
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