SINO NASAL MUCORMYCOSIS (WITH INVOLVEMENT OF HARD PALATE) - A CASE STUDY

Dr. Noorush Shifa Nizami* and Dr. Shaik Mohammed Sumeer

ABSTRACT

We report a case of post COVID-19 Sino-orbital Mucormycosis infection and its management. The patient was diagnosed with COVID-19 and was treated according to the persisting protocols with the recovery on the 16th day. A diagnosis of mucormycosis was established after Biopsy within 16 hours of admission surgical debridement was performed and then followed by conservative management with intravenous (IV) Amphotericin B was done and along with this post operatively antibiotics, antipyretic, antiemetic and supportive treatment was given. Mucormycosis generally will develop secondary to immunosuppression or any debilitating diseases. In Head and Neck cases, the fungus usually gains entry through the respiratory tract which basically involves the nose and sinuses, and further progresses into the orbital and intracranial structures. Therefore, an early diagnosis and along with that inter-vention is required for a good prognosis in order to decrease the morbidity and to increase the quality of life of patient. This can be accomplished on the basis of clinical picture and the direct smears. However, Research needs to be carried out for COVID-19 patients in order to get better prevention and management of this type of opportunistic infection in order to reduce its morbidity and incidence, and also the Prophylactic treatment protocols should be established, along with the rational use of corticosteroids.

Keywords: Mucormycosis, Amphoterecin B, Covid-19, case study, fungal infection.