Bilateral blindness in a young male of rhino-orbital-cerebral mucormycosis: A case report

The storm of COVID?19?associated mucormycosis (CAM) has not yet settled, and it has proven itself a disfiguring and potentially life?threatening disease, complicating the course of COVID?19 infection. Mucormycosis is a rare but devastating fungal infection caused by filamentous fungi of the family Mucoraceae. We report a rare case of a 37?year?old diabetic male with bilateral rhino?orbital?cerebral mucormycosis (ROCM) where it leads to bilateral central retinal artery occlusion (CRAO) as manifestation of the disease. Bilateral CRAO secondary to ROCM is extremely rare. A strong suspicion of CAM in uncontrolled diabetics can result in early diagnosis and management.

Rare Presentations on Fibroptic Bronchoscopy

Flexible bronchoscopy is a brief procedure routinely performed under local anaesthesia or under sedation by pulmonologist. These days flexible bronchoscopy is more widely used for diagnostic as well as therapeutic purposes without much morbidity or complications. Flexible bronchoscopy gives better access to the tracheo-bronchial tree with its more flexible tip to reach upper lobe areas and greater patient comfort as compared to rigid bronchoscopy. Here, we present few cases of infectious as well as non-infectious diseases who were diagnosed only after diagnostic bronchoscopy was done. All patients have typical presentation on bronchoscopy. Diagnostic bronchoscopy should be done at the earliest for early diagnosis and better disease outcome.

Excellent outcome of Aspergillous endophthalmitis in a case of allergic bronchopulmonary aspergillosis.

While invasive aspergillosis occurs typically in severely immunocompromised patients, cases of surgical site infections have been reported in immunocompetent individuals. The purpose is to report an eye with post‑operative Aspergillus endophthalmitis, which achieved a good visual outcome following early and aggressive treatment. A young patient, known case of allergic bronchopulmonary aspergillosis presented to us with post‑cataract surgery endophthalmitis. He was treated with pars plana vitrectomy and intravitreal voriconazole and systemic itraconazole. The patient regained a vision of 20/30 with follow up of 2 years.