Mucormycosis

Infectious diseases

General description

Mucormycosis is caused by a group of fungi including Rhizopus, Rhizomucor, Absidia, and Basidiobolus. Lesions caused by mucor are also found in the lungs and gastrointestinal tract, most typically sinus lesions. It grows in the sinuses and nasal passages of immunocompromised patients and forms intracranial lesions due to destruction of the skull base or hematogenous infection.

Paranasal sinus lesion

Imaging studies reveal thickened mucus in the paranasal sinuses, with T2WI displaying hypointensity and DWI showing hyperintensity. The nasal turbinate exhibits T2WI hypointensity, a finding referred to as "black turbinate."

Abscess

  • Anywhere in the brain
Homogeneous
Central
T2WI
Hyperintensity
Nodular
Peripheral
T2WI
Hypointensity
Ring shaped
Nodular
CE T1WI
Enhancement

T2WI shows homogeneous hyperintensity sometimes with peripheral nodular hypointensity. Contrast enhanced T1WI shows nodular or ring enhancement.