Rhino-Orbital Mucormycosis in a COVID-19 Patient: A Dreadful Challenge
Kathmandu University Medical Journal
; 20(2):249-251, 2022.
Article
in English
| EMBASE | ID: covidwho-2229461
ABSTRACT
Coronavirus disease 2019 (COVID-19) is a pandemic disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-COV-2). COVID-19 infections may be associated with a wide range of bacterial and fungal co-infections. Recent studies are reporting invasive fungal infection associated with severe COVID-19. Herein, we report a case of COVID-19 rhino-orbital mucormycosis infection caused by Rhizopus sps in a 32 year old diabetic patient who was successfully managed with early aggressive debridement of infected tissue endoscopically with extended ethmoidectomy by modified Denker's approach along with orbital decompression and antifungal therapy with Liposomal Amphotericin B and Posaconazole. Serial diagnostic nasal endoscopy showed no evidence of progression of the infection. The patient was discharged on 21st day of hospitalization still on oral Posaconazole for a total of 3 months. Copyright © 2022, Kathmandu University. All rights reserved.
Amphotericin B; Covid-19; Mucormycosis; Surgical debridement; adult; antifungal therapy; article; blurred vision; case report; clinical article; coronavirus disease 2019/di [Diagnosis]; diabetes mellitus; diabetic ketoacidosis/co [Complication]; diabetic ketoacidosis/di [Diagnosis]; diabetic ketoacidosis/dt [Drug Therapy]; disease association; emergency ward; endoscopic sinus surgery; endoscopic surgery; epistaxis; ethmoidectomy; exophthalmos/di [Diagnosis]; eye injury; follow up; fungal sinusitis/di [Diagnosis]; headache; histopathology; hospital discharge; hospitalization; human; male; mucormycosis/di [Diagnosis]; mucormycosis/dt [Drug Therapy]; mucormycosis/su [Surgery]; nasal endoscopy; nasal lavage; Nepal; nose smear; orbit disease; orbit infection/di [Diagnosis]; orbit infection/dt [Drug Therapy]; orbit infection/su [Surgery]; orbit reconstruction; oropharyngeal swab; pain; paranasal sinusitis/di [Diagnosis]; prognosis; real time polymerase chain reaction; remission; Rhizopus; treatment duration; university hospital; amphotericin B lipid complex/dt [Drug Therapy]; amphotericin B lipid complex/io [Intraocular Drug Administration]; insulin/dt [Drug Therapy]; posaconazole/dt [Drug Therapy]; posaconazole/po [Oral Drug Administration]; eyeball protrusion; orbital pain; rhino orbital mucormycosis/di [Diagnosis]; rhino orbital mucormycosis/dt [Drug Therapy]; rhino orbital mucormycosis/su [Surgery]
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Collection:
Databases of international organizations
Database:
EMBASE
Language:
English
Journal:
Kathmandu University Medical Journal
Year:
2022
Document Type:
Article
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