A black intruder into the Pandemic: Rhino-Orbital Mucormycosis Complicating COVID-19
Correspondence Address :
Dr. Keya Chakrabarti,
Gymkhana Palm Heights, B804, Bharatpur, Bhubaneshwar, Odisha, India.
E-mail: keyachakrabarti1992@gmail.com
There is an increased incidence of rhino orbital mucormycosis during the Coronavirus Disease-2019 (COVID-19) pandemic attributed to diabetes mellitus, corticosteroid usage and immunocompromise caused by COVID-19. In this series, seven biopsy proven cases of mucormycosis (six male patients and one female patient) are presented from a tertiary care center in Eastern India from (May 2021 to June 2021). Empirical systemic liposomal amphotericin B, radical sinus surgery with orbital decompression and irrigation of sinus and orbit with amphotericin B was performed. The mean age of the patients were 42.71±7.34 years with a male preponderance (85.7%). Five patients had orbital involvement (71.42%), and two had cerebral involvement (28.6%). All of them had elevated blood glucose levels, though only three (42.85%) were known cases of type 2 diabetes. The most common manifestations were sinus tenderness (100%), paresthesia (100%), facial swelling (71.42%) and nasal discharge (28.57%). Follow-up at two months showed zero mortality. Timely diagnosis, appropriate management with intravenous amphotericin B and endoscopic radical sinus surgery, debridement of the necrotic tissue proved to be necessary for a good outcome in rhino-orbito-cerebral mucormycosis
Coronavirus Disease-2019, Diabetes Mellitus complicating, Orbital decompression
10.7860/JCDR/2021/51246.15632
Date of Submission: Jul 07, 2021
Date of Peer Review: Aug 12, 2021
Date of Acceptance: Sep 22, 2021
Date of Publishing: Nov 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
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• Plagiarism X-checker: Aug 09, 2021
• Manual Googling: Sep 02, 2021
• iThenticate Software: Oct 04, 2021 (8%)
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