ABSTRACT
Rhino orbito cerebral mucormycosis has become very common in this covid pandemic. Fungal endophthalmitis is also being increasingly reported. All fungal infections may not be just mucor. This is to report a case of rhino orbito cerebral mucormycosis and aspergillosis with aspergillus endophthalmitis, in a post covid patient who had required intensive care during covid illness. A post covid 73 years old female with type 2 diabetes mellitus and hypertension presented with sudden onset painful loss of vision in right eye with right sided headache. Anterior segment examination showed a streak hypopyon with fundus showing severe vitritis. Diagnostic nasal endoscopy and radiological features were suggestive of probable rhino orbital mucor mycosis, Patient was started on systemic amphotericin B with intravitreal and retro orbital amphotericin. The KOH mount and culture of the vitreous aspirate showed aspergillus while the histopathology of the sinus tissue revealed mucor along with aspergillus. Fungal endophthalmitis is making an appearance in a big way in this covid pandemic Early diagnosis and proper treatment is the only way to defend against these life-threatening fungi. Diagnostic nasal endoscopy with biopsy and vitreous tap for culture as well as histopathology taken before initiating treatment will go a long way in making a correct diagnosis. © 2022 Innovative Publication, All rights reserved.
ABSTRACT
A 42-year-old male patient presented with profound impairment of vision in both eyes, just as he was recovering from COVID-19. A known diabetic and hypertensive, he suffered from COVID-19 pneumonia further complicated by ARDS, septicaemia and acute kidney injury. His vision on presentation was finger counting close to face bilaterally with multiple, yellowish lesions at the posterior pole. Based on the clinical findings and previous blood culture report, it was diagnosed as candida retinitis and treated with oral and intravitreal anti-fungals. The lesions were regressing at follow-up. This is a post COVID-19 presumed candida retinitis case report.