Rhino-orbital-cerebral mucormycosis in post COVID-19 patients
A hospital based clinical study
Keywords:
mucormycosis, nasal discharge, peri-orbital edema, headache, diminished vision, liposomal amphotericin B, diabetes, posaconazoleAbstract
Introduction-Mucormycosis is an angio invasive infection that occurs due to fungi Mucorales. It occurs primarily in severe immunocompromised individuals and in poorly controlled diabetes mellitus patients. Objectives-To study the clinical features and assess the severity of orbital involvement among the rhino-orbital mucormycosis patients. To study the management & outcome in post covid rhino orbital mucormycosis patients. Methods- It was a Hospital based retrospective study conducted from a period June 2021 to August 2021(3 months) in Vinayaka Mission’s Kirupananda Variyar Medical College, Salem. Sample size of 50 taken from medical records section.Patient’s demographic data like age, gender were noted. Data such as presenting symptoms, signs, history of presenting illness, COVID history, and associated co morbidities were noted. Findings of anterior segment evaluation (done by slit lamp biomicroscopy in ambulatory patients, torch light examination for bed ridden patients) were noted. SPSS (Version 22.0) was used for analysis. Results-the most common age group was 40-60 years (58%), followed by >60 years (24%), this suggest that mostly mucormycosis is more common after 40 years as per present study. most common duration was between 2-4 weeks when the symptoms of mucormycosis starts to seen from COVID seen in 58% of patients (p>0.05).
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