MUCORMYCOSIS IN COVID 19- 2ND WAVE : CLINICAL PROFILE IN CENTRAL INDIA
Journal: International Journal of Advanced Research (Vol.10, No. 01)Publication Date: 2022-01-15
Authors : Seema Patel B.D Bokare A. Keche D. Birhade A. Kuthe; R. Darokar;
Page : 785-789
Keywords : Rhino Orbito Cerebral Mucormycosis (ROCM) COVID-19 Immunocompromised Diabetes Mellitus;
Abstract
A sudden surge of Rhino-Orbito-Cerebral Mucormycosis (ROCM) was observed following second wave of Covid-19 in India. Diabetes mellites (DM) , steroids, hypoxia, hyperglycemia ,metabolic acidosis or Diabetic ketoacidosis, high serum iron levels, zinc supplementation, immunosuppression along with other risk factors have been found to facilitate fungal germination. Patients diagnosed with ROCM, a total of 273, were included in the study. Detailed history was noted and assessment was done. Male:Female ratio was 2.59:1. Most common presenting age group was 31 to 50 yrs (51.65%). The commonest presenting symptom was nasal obstruction (58.97%) followed by ipsilateral facial swelling (53.11%). Palatal ulceration, blood stained nasal discharge ,orbital swelling, diminution or loss of vision, headache, loosening of teeth were among other presentations. Common associated comorbidity was diabetes(84.61%), hypertension (HTN) , anemia, immunocompromised state etc. History of associated past covid infection was seen in 75.52% while 18.68% had coexisting mucor with covid. History of steroid use was in 86.81%, O2 administration by mask in 64.10%, ventilatory support in 5.12 % and tablet zinc intake in 86.45%. Covid-19 along with DM, HTN, anemia, steroid therapy and oxygen therapy are the risk factors for ROCM. Thus regular blood sugar monitoring , judicious use of corticosteroids, maintaining hygiene of mask and circuit during oxygen therapy is recommended while treating covid.
Other Latest Articles
- THE EFFECT OF CUSTOMER LOYALTY ON FAST FOOD RESTAURANTS IN BATAM
- EVALUCION DE LA SEGURIDAD DE VIDEOLARINGOSCOPIA VS LARINGOSCOPIA DIRECTA EN LA INTUBACION DE PACIENTES CON TRIPLE PREDICTOR POSITIVO DE VIA AEREA DIFICIL
- ANALYSIS OF THE EFFECT OF CUSTOMER BUYING INTENTION ON THE SELECTION OF THE NEW NORMAL KIT IN THE COVID-19 PANDEMIC
- THE EFFECT OF STRATEGIC LEADERSHIP STYLE AND GREEN HUMAN RESOURCE MANAGEMENT ON THE MANAGEMENT PERFORMANCE OF KODAM JAYA
- ANALYSIS OF THE BEHAVIOR OF SPORTS PERFORMANCE IN KYOKUSHIN, SUBJECTED TO SPECIALIZED INVESTIGATIONS
Last modified: 2022-03-03 15:28:54