COVID-19 and rhino-orbital mucormycosis – A case report

Dilbagh Singh
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Abstract

There is a constant rise in cases of rhino-orbital mucormycosis in people with coronavirus disease 2019 (COVID-19). Generally, mucormycosis develops in immunosuppression or debilitating diseases. In cases having head and neck involvement, the mold enters the respiratory tract with further involvement of nose and sinuses and there is consecutive progression into orbital and intracranial structures. Diabetes mellitus (DM) is an independent risk factor for both severe COVID-19 and mucormycosis. The clinical examination and direct smears are helpful for early diagnosis of the disease and timely intervention. For the better prevention and management of such opportunistic infections in COVID-19 patients, it is prudent to establish prophylactic treatment protocols along with rational use of corticosteroids. We here report a case of rhino-orbital mucormycosis infection caused by Rhizopus oryzae in a COVID-19 patient with DM.
新冠肺炎与鼻微生物毛霉菌病——病例报告
2019冠状病毒病(COVID-19)患者的鼻眶毛霉菌病病例持续上升。通常,毛霉病在免疫抑制或衰弱性疾病中发展。在累及头颈部的病例中,霉菌进入呼吸道,进一步累及鼻子和鼻窦,并连续进展到眼眶和颅内结构。糖尿病(DM)是严重COVID-19和毛霉菌病的独立危险因素。临床检查和直接涂片检查有助于疾病的早期诊断和及时干预。为更好地预防和管理COVID-19患者的机会性感染,应审慎制定预防性治疗方案,合理使用糖皮质激素。我们在此报告一例由米根霉引起的COVID-19合并DM患者鼻-眶毛霉感染。
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