Sino-orbital mucormycosis in a COVID-19 patient: A case report.

International Journal of Surgery Case Reports
Aastha MainiV Bhagyasree

Abstract

We report a case of post COVID-19 Sino-orbital Mucormycosis infection caused by Rhizopus oryzae and its management. The patient was diagnosed with COVID-19 and treated according to the persisting protocols. Following recovery, on the 18th day, the patient developed chemosis and pain in the left eye. A diagnosis of mucormycosis was established after Magnetic Resonance Imaging (MRI) and Functional Endoscopic Sinus Surgery (FESS). Initially, conservative management with intravenous (IV) Fluconazole & Amphotericin B was done and later on with surgical debridement. The patient recovered with minimal residual deformity. Mucormycosis generally develops secondary to immunosuppression or debilitating diseases. In Head and Neck cases, the mold usually gains entry through the respiratory tract involving the nose and sinuses, with possible further progression into the orbital and intracranial structures. Hence, an early diagnosis and intervention is required for a good prognosis, decreasing the morbidity. This can be achieved on the basis of clinical picture and direct smears. Research needs to be carried out in COVID-19 patients for better prevention and management of opportunistic infections in order to reduce its incidence and morbidity...Continue Reading

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Citations

Jul 3, 2021·Therapeutic Advances in Infectious Disease·Alfonso J Rodriguez-MoralesAndrés F Henao-Martínez
Jul 1, 2021·Diabetes & Metabolic Syndrome·Awadhesh Kumar SinghAnoop Misra
Jul 27, 2021·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Richa GargSamiksha Bhardwaj
Jul 9, 2021·Environmental Research·Iyer MahalaxmiBalachandar Vellingiri
Jul 27, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Sandipta MitraArunabha Sengupta
Jul 25, 2021·Infection·Jaffar A Al-TawfiqKuldeep Dhama
Jul 14, 2021·Mycoses·Lav SelarkaJonathan J Y Ong
Aug 12, 2021·Annals of Medicine and Surgery·Talal AlmasSaba Sarfraz
Aug 29, 2021·Travel Medicine and Infectious Disease·Ahmet DilekHakan Leblebicioglu
Sep 28, 2021·Journal of Medical Virology·Shringika SoniNidhi Chauhan

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