COVID-19 Associated Rhino Orbital Mucormycosis-Case Report (Post COVID Psunami of Black Fungus)

Coronavirus disease 2019 (COVID-19) is known to be associated with a myriad of viral, fungal, and bacterial co-infections. Rhino-orbital mucormycosis is a rare, an aggressive angio-invasive fungal infection which tends to affect patients with a history of diabetes (especially with ketoacidosis), chronic steroid use and on immunosuppressive drugs. It involves paranasal sinuses and orbital cavity, and may extend into the cerebral parenchyma. Clinical presentations include regional facial, paranasal sinus, dental and orbital pain, orbital edema, proptosis, decreased vision and ophthalmoplegia. Contrasted computed tomography (CT) of the orbits and/or paranasal sinuses and Magneticresonance imaging (MRI) can be helpful in diagnosis. Early recognition of symptoms and prompt initiation of treatment, both with intravenous lipid-soluble amphoteracin and aggressive surgical debridement are crucial in improving clinical outcomes.