Abstract Issue

Volume 12 Issue 3 ( July-September ) 2023

Original Articles

Transforming Lives: A Formidable Challenge in Black Fungus Spurt
Dr. Geeta Mishra Tripathi, Dr. Karuna Jindwani, Dr. Tauseef Khan, Dr. Divashree Sharma, Dr. Juhi Singh

Background: As a sequalae to the severely complicated second wave of covid-19 pandemic in India, an outburst of an opportunistic invasive fungal disease involving maxillofacial-rhino-cerebro-orbital region was observed in covid-19 recovered or recovering patients. ‘Mucormycosis’or black fungus were umbrella terms used for this fulminant disease. Aims and Objectives: A retrospective analysis of demographic profiles and management modalities of 77 patients suffering from mucormycosis or ‘black fungus’ who were admitted in mucor ward especially assigned to manage black fungus cases in Shyam Shah Medical College from April 2021 to February 2022. This paper reviews our role in precise management of 15 cases who underwentmaxillectomy with intensive antifungal medication with special emphasis on 2 cases and their follow-up. Results: 52 patients out of 77 cases had undergone endoscopic debridement of fungal hyphae and infected nasal tissue via Rigid nasal endoscope ‘0’, ‘30’, ‘70’ degree 4 mm of 2.7 mm nasal endoscope. 15 cases had to undergo partial, segmental and hemi maxillectomy. 3 cases reported with aggressive ascending infection and, hence, had to undergo extenteration of eye ball. However, we could not save lives of 16 admitted patients due to rapidly spreading infection in patients with severe comorbidities. Conclusion: Mucormycosis was a form of rapidly spreading opportunistic infection which invited fatal consequences due to cerebral involvement. We endorse mass awareness of the symptomatology and step-wise management protocol for management of black fungus cases.

 
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