Frontal osteomyelitis post-COVID-19 associated mucormycosis

Rhino-orbito-cerebral mucormycosis (ROCM) is the most commonly noted form of mucormycosis, which is the most common secondary fungal infection following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Osteomyelitis is one of the rare sequelae of ROCM, frontal osteomyelitis being the rarest. We present four patients of coronavirus disease 2019 (COVID-19)-associated mucormycosis, who presented with frontal bone osteomyelitis after being treated for ROCM surgically and medically. This is the first case series highlighting this complication in post–COVID-19 mucormycosis patients and needs utmost attention as it can be life-threatening and can cause extreme facial disfiguration. All four patients are alive with salvage of the affected globe and vision being preserved in one patient. If identified early, disfiguration of face and intracranial extension can be avoided.

Keywords

Frontal bone osteomyelitis, fungal orbital and sinus infections, mucormycosis, post–COVID?19 mucormycosis, Pott’s puffy tumor

Citation

Kulkarni Pooja, Beeraka Deepika, Tanwar Meghana, Kim Usha, Ganesan Rajniganth Mahalingam, Saini Pragya. Frontal osteomyelitis post-COVID-19 associated mucormycosis. Indian Journal of Ophthalmology. 2023 Jul; 71(7): 2906-2910

URI

https://imsear.searo.who.int/handle/123456789/225155

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