Rhino-orbital mucormycosis after COVID-19 in the emergency department
Journal of Emergency Medicine Case Reports
; 13(3):88-91, 2022.
Article
in English
| CAB Abstracts | ID: covidwho-2254082
ABSTRACT
Rhino-orbital mucormycosis (ROM) is an acute and fulminant infection. The number of ROM cases developing after coronavirus disease 2019 (COVID-19) is increasing. A 62-year-old male patient was admitted to the emergency department in northern Syria complaining of new-onset vision loss, swelling, and severe swelling of the left eye. It was noted that a 3-day course of prednisolone 250 mg was given to treat COVID-19. We found that he had a history of diabetes mellitus (DM) for 10 years. Physical examination revealed ptosis, proptosis, and ocular movement restriction in all directions in the left eye. All other systemic examinations were normal. A cranial and orbital magnetic resonance imaging scan performed after hospitalization for further evaluation and treatment showed an increase in the density of the sphenoid, ethmoid, and frontal sinus walls in the left orbit. Despite antifungal and surgical treatment, the patient died on day 14. The use of steroids in treatment and the presence of concomitant DM are the main predisposing factors. The prognosis of this disease, which has a high mortality and morbidity, is adversely affected in geographic regions where health care is inadequate.
Prion; Viral; Bacterial and Fungal Pathogens of Humans [VV210], Pesticides and Drugs, Control [HH405], Non-drug Therapy and Prophylaxis of Humans [VV710], Non-communicable Human Diseases and Injuries [VV600], human diseases, clinical aspects, medical treatment, case reports, viral diseases, coronavirus disease 2019, mucormycosis, mycoses, blood sugar, diabetes mellitus, disease course, prognosis, steroids, drug therapy, antifungal agents, surgery, surgical operations, prednisolone, infections, man, Severe acute respiratory syndrome coronavirus 2, Mucorales, Syria, Turkey, Homo, Hominidae, primates, mammals, vertebrates, Chordata, animals, eukaryotes, Severe acute respiratory syndrome-related coronavirus, Betacoronavirus, Coronavirinae, Coronaviridae, Nidovirales, positive-sense ssRNA Viruses, ssRNA Viruses, RNA Viruses, viruses, Mucoromycotina, Zygomycota, fungi, low income countries, Mediterranean Region, medium Human Development Index countries, Middle East, West Asia, Asia, OECD Countries, upper-middle income countries, very high Human Development Index countries, SARS-CoV-2, clinical picture, viral infections, blood glucose, glucose in blood, disease progression, chemotherapy, fungistats
Full text:
Available
Collection:
Databases of international organizations
Database:
CAB Abstracts
Language:
English
Journal:
Journal of Emergency Medicine Case Reports
Year:
2022
Document Type:
Article
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