Volume 7, Issue 2 (4-2022)
CJHR 2022, 7(2): 61-68 |
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Chalisgaonkar C, Singh S, Mishra A, Derashri G, Marathe N. Mucor Mycosis Associated with COVID-19: A Case Series at a Tertiary Care Center in India.. CJHR 2022; 7 (2) :61-68
URL: http://cjhr.gums.ac.ir/article-1-242-en.html
URL: http://cjhr.gums.ac.ir/article-1-242-en.html
1- Department of Ophthalmology, Shyam Shah Medical College associated with Sanjay Gandhi and Gandhi Memorial Hospital, Rewa, Madhya Pradesh, India , charudatt_c@yahoo.co.in
2- Department of Community Medicine, Shyam Shah Medical College associated with Sanjay Gandhi and Gandhi Memorial Hospital, Rewa, Madhya Pradesh, India
3- Community Health Centre, Narwar, Ujjain, Madhya Pradesh, India.
2- Department of Community Medicine, Shyam Shah Medical College associated with Sanjay Gandhi and Gandhi Memorial Hospital, Rewa, Madhya Pradesh, India
3- Community Health Centre, Narwar, Ujjain, Madhya Pradesh, India.
Abstract: (964 Views)
Background: COVID-19 patients across the globe have been reporting several post-COVID health conditions such as respiratory, vascular, cardiac and renal complications and opportunistic infections; the most common of which has been fungal infections.
Objective: The objective of our study was to identify socio-demographic characteristics, risk factors, clinical parameters, site of involvement and outcome of patients with COVID-19 associated Mucor Mycosis (CAM) at a tertiary care centre in Rewa (Madhya Pradesh, India),
Materials and Methods: This was a prospective observational study, conducted between 1st May to 30th June 2021; including 40 patients who had Mucor Mycosis with recent or active COVID-19. The data was collected using a structured data collection form by trained interviewers who were already working in Mucor Mycosis Ward.
Results: The overall mean and median age of the patients was 50.8 years and 52.5 years respectively, with majority of the males (72.5%). Of total, 47.5% patients had active COVID-19, whereas 50% had recent COVID-19 infection. Twenty-two patients (55%) had co-morbidities, among whom the majority had underlying diabetes mellitus (50%). History of Oxygen supplementation and use of steroids was found in 75% and 45% of the patients respectively. History of self-consumption of decoction (Kadha) and self-administration of inhalation drugs was found among 22 (80%) and 8 (20%) patients respectively. Twnty-one patients (52.5%) had gone through operative procedure/ intervention and 11 (27.5%) patients received conservative treatment. In terms of outcome, 20 patients (50%) had been successfully discharged, followed by 14 deaths (35%), 3 referrals (7.5%) to the higher centres and 3 readmissions (7.5%).
Conclusion: Addictions and Indian traditional therapies might have played crucial role in occurrence of CAM. In addition, although Oxygen supplementation and steroid consumption have been life-saving against COVID-19, yet might be responsible for acute surge in CAM cases.
Objective: The objective of our study was to identify socio-demographic characteristics, risk factors, clinical parameters, site of involvement and outcome of patients with COVID-19 associated Mucor Mycosis (CAM) at a tertiary care centre in Rewa (Madhya Pradesh, India),
Materials and Methods: This was a prospective observational study, conducted between 1st May to 30th June 2021; including 40 patients who had Mucor Mycosis with recent or active COVID-19. The data was collected using a structured data collection form by trained interviewers who were already working in Mucor Mycosis Ward.
Results: The overall mean and median age of the patients was 50.8 years and 52.5 years respectively, with majority of the males (72.5%). Of total, 47.5% patients had active COVID-19, whereas 50% had recent COVID-19 infection. Twenty-two patients (55%) had co-morbidities, among whom the majority had underlying diabetes mellitus (50%). History of Oxygen supplementation and use of steroids was found in 75% and 45% of the patients respectively. History of self-consumption of decoction (Kadha) and self-administration of inhalation drugs was found among 22 (80%) and 8 (20%) patients respectively. Twnty-one patients (52.5%) had gone through operative procedure/ intervention and 11 (27.5%) patients received conservative treatment. In terms of outcome, 20 patients (50%) had been successfully discharged, followed by 14 deaths (35%), 3 referrals (7.5%) to the higher centres and 3 readmissions (7.5%).
Conclusion: Addictions and Indian traditional therapies might have played crucial role in occurrence of CAM. In addition, although Oxygen supplementation and steroid consumption have been life-saving against COVID-19, yet might be responsible for acute surge in CAM cases.
Article Type: Original Contributions |
Subject:
Epidemiology
Received: 2022/01/25 | Accepted: 2022/03/2 | Published: 2022/04/1
Received: 2022/01/25 | Accepted: 2022/03/2 | Published: 2022/04/1
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