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A hospital-based observational study on clinical and radiographic findings in COVID-19 associated rhinomaxillary mucormycosis: revealing the pandora box
Ansari, Sulem; Charantimath, Shivayogi; Jirge, Vasanti Lagali; Keluskar, Vaishali.
  • Ansari, Sulem; KAHER's KLE VK Institute of Dental Sciences. JNMC Campus. Belagavi. IN
  • Charantimath, Shivayogi; KLE VK Institute of Dental Sciences. Department of Oral Medicine and Radiology. Belagavi. IN
  • Jirge, Vasanti Lagali; KLE VK Institute of Dental Sciences. Department of Oral Medicine and Radiology. Belagavi. IN
  • Keluskar, Vaishali; KLE VK Institute of Dental Sciences. Department of Oral Medicine and Radiology. Belagavi. IN
Braz. j. oral sci ; 22: e238902, Jan.-Dec. 2023. ilus
Artículo en Inglés | LILACS, BBO | ID: biblio-1437691
ABSTRACT
Mucormycosis is a rare, rapidly spreading, fulminant, opportunistic infection that is caused by a group of filamentous molds. During the second wave of COVID-19 India reported most of the cases of mucormycosis which is termed as COVID-19-associated mucormycosis (CAM).

Aim:

The purpose of this study is to describe and understand the clinical and radiographic findings related to COVID-19 associated rhinomaxillary mucormycosis.

Methods:

In this observational study 76 individuals with proven rhinomaxillary mucormycosis were included. The demographic profile, predisposing factors, anatomic structures involved, oral manifestations, radiographic findings management, and 90-day mortality were recorded and analyzed.

Results:

Among 76 individuals with COVID-19-associated rhinomaxillary mucormycosis diabetes mellitus was present in 93.42% of cases. Almost all patients received corticosteroids during COVID-19 treatment. The maxilla was most commonly involved in around 98.6% of cases. Interestingly 1 case involving the mandible was noted and the maxillary sinus was the most commonly involved. Mortality occurred in 1.31% (n=1) of cases.

Conclusion:

Diabetes was the most common predisposing factor. Administration of corticosteroids was evident. A considerable number of patients developed diabetes during the treatment of COVID-19. Early signs and oral manifestations of rhinomaxillary mucormycosis play a pivotal role in the early diagnosis and prompt treatment to reduce mortality and morbidity in COVID-19 associatedrhinomaxillary mucormycosis patients

Asunto(s)


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Diagnóstico Precoz / Diabetes Mellitus / COVID-19 / Mucormicosis Tipo de estudio: Estudio diagnóstico / Estudio observacional / Factores de riesgo / Estudio de tamizaje Límite: Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Inglés Revista: Braz. j. oral sci Asunto de la revista: Odontología Año: 2023 Tipo del documento: Artículo País de afiliación: India Institución/País de afiliación: KAHER's KLE VK Institute of Dental Sciences/IN

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Diagnóstico Precoz / Diabetes Mellitus / COVID-19 / Mucormicosis Tipo de estudio: Estudio diagnóstico / Estudio observacional / Factores de riesgo / Estudio de tamizaje Límite: Adulto / Anciano / Femenino / Humanos / Masculino Idioma: Inglés Revista: Braz. j. oral sci Asunto de la revista: Odontología Año: 2023 Tipo del documento: Artículo País de afiliación: India Institución/País de afiliación: KAHER's KLE VK Institute of Dental Sciences/IN