Post-COVID mucormycosis: A retrospective observational study

Introduction: Mucormycosis is a life-threatening fungal infection caused by fungi belonging to the family Mucorales, and the fungus mainly responsible for infection in humans is Rhizopus oryzae. Recently, several cases of coronavirus disease 2019 (COVID-19)-associated mucormycosis are being reported...

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Main Authors: Nurani Shaik, Akhila Bollam, Gayathri Konduri, Aedula Vinaya Sekhar
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2022-01-01
Series:Indian Journal of Respiratory Care
Subjects:
Online Access:http://www.ijrc.in/article.asp?issn=2277-9019;year=2022;volume=11;issue=3;spage=230;epage=233;aulast=Shaik
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author Nurani Shaik
Akhila Bollam
Gayathri Konduri
Aedula Vinaya Sekhar
author_facet Nurani Shaik
Akhila Bollam
Gayathri Konduri
Aedula Vinaya Sekhar
author_sort Nurani Shaik
collection DOAJ
description Introduction: Mucormycosis is a life-threatening fungal infection caused by fungi belonging to the family Mucorales, and the fungus mainly responsible for infection in humans is Rhizopus oryzae. Recently, several cases of coronavirus disease 2019 (COVID-19)-associated mucormycosis are being reported worldwide. Subjects and Methods: A retrospective observational study was conducted in the emergency department at a tertiary care hospital for 2 months. The primary objectives of this study were to assess the risk factors of post COVID-19 the signs and symptoms, toassess the relationship between steroidal usage and post-COVID-19 mucormycosis evaluating the treatment patterns. Results and Discussion: In the current study, 45 cases were examined. It was found that patients with comorbidities, especially diabetes mellitus, i.e., 80%, have more exposure to post-COVID-19 mucormycosis than any other comorbidity. It is also found that methylprednisolone is the major steroid used, accounting for 43% of the steroids used for the treatment of COVID. The treatment included the usage of lipophilic amphotericin B in 61% of the patients, which is associated with lipophilic posaconazole in 95% of the patients. Conclusion: Post-COVID-19 mucormycosis is a major threat to the individuals affected with COVID-19. The major risk factor is the presence of diabetes mellitus; therefore, proper measures must be undertaken in diabetic patients. Patient develops any symptoms related to the eyes, nose, face, lungs, and skin should seek a medical emergency to avoid chronic complications.
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spelling doaj.art-aaa7b5781a3345e3aa95236786ac1ea22023-09-03T13:26:28ZengJaypee Brothers Medical PublisherIndian Journal of Respiratory Care2277-90192321-48992022-01-0111323023310.4103/ijrc.ijrc_26_22Post-COVID mucormycosis: A retrospective observational studyNurani ShaikAkhila BollamGayathri KonduriAedula Vinaya SekharIntroduction: Mucormycosis is a life-threatening fungal infection caused by fungi belonging to the family Mucorales, and the fungus mainly responsible for infection in humans is Rhizopus oryzae. Recently, several cases of coronavirus disease 2019 (COVID-19)-associated mucormycosis are being reported worldwide. Subjects and Methods: A retrospective observational study was conducted in the emergency department at a tertiary care hospital for 2 months. The primary objectives of this study were to assess the risk factors of post COVID-19 the signs and symptoms, toassess the relationship between steroidal usage and post-COVID-19 mucormycosis evaluating the treatment patterns. Results and Discussion: In the current study, 45 cases were examined. It was found that patients with comorbidities, especially diabetes mellitus, i.e., 80%, have more exposure to post-COVID-19 mucormycosis than any other comorbidity. It is also found that methylprednisolone is the major steroid used, accounting for 43% of the steroids used for the treatment of COVID. The treatment included the usage of lipophilic amphotericin B in 61% of the patients, which is associated with lipophilic posaconazole in 95% of the patients. Conclusion: Post-COVID-19 mucormycosis is a major threat to the individuals affected with COVID-19. The major risk factor is the presence of diabetes mellitus; therefore, proper measures must be undertaken in diabetic patients. Patient develops any symptoms related to the eyes, nose, face, lungs, and skin should seek a medical emergency to avoid chronic complications.http://www.ijrc.in/article.asp?issn=2277-9019;year=2022;volume=11;issue=3;spage=230;epage=233;aulast=Shaikamphotericin bcoviddiabetes mellitusposaconazolepostcoronavirus disease 2019 mucormycosis
spellingShingle Nurani Shaik
Akhila Bollam
Gayathri Konduri
Aedula Vinaya Sekhar
Post-COVID mucormycosis: A retrospective observational study
Indian Journal of Respiratory Care
amphotericin b
covid
diabetes mellitus
posaconazole
postcoronavirus disease 2019 mucormycosis
title Post-COVID mucormycosis: A retrospective observational study
title_full Post-COVID mucormycosis: A retrospective observational study
title_fullStr Post-COVID mucormycosis: A retrospective observational study
title_full_unstemmed Post-COVID mucormycosis: A retrospective observational study
title_short Post-COVID mucormycosis: A retrospective observational study
title_sort post covid mucormycosis a retrospective observational study
topic amphotericin b
covid
diabetes mellitus
posaconazole
postcoronavirus disease 2019 mucormycosis
url http://www.ijrc.in/article.asp?issn=2277-9019;year=2022;volume=11;issue=3;spage=230;epage=233;aulast=Shaik
work_keys_str_mv AT nuranishaik postcovidmucormycosisaretrospectiveobservationalstudy
AT akhilabollam postcovidmucormycosisaretrospectiveobservationalstudy
AT gayathrikonduri postcovidmucormycosisaretrospectiveobservationalstudy
AT aedulavinayasekhar postcovidmucormycosisaretrospectiveobservationalstudy