Mucormycosis following COVID-19 has been documented in diabetic patients.
A 44-YEAR-OLD MAN acquired a black fungal patch on his right eye that spread down to his top lip. The patient complained of blurry vision in one eye and informed medical staff that he had been treated for Covid.
He began therapy with supplementary oxygen, intravenous antibiotics, and corticosteroids 10 days prior due to moderately acute pneumonia caused by SARS–CoV-2 (coronavirus). Doctors discovered the Indian guy had diabetes, a condition in which blood sugar levels are abnormally high. On inspection, his blood sugar level was 298 mg/dL, well beyond the acceptable range of 140 mg/dL or less.
He had a glycated haemoglobin A1c of 9.8%, when the “normal” range is between 4-5.6 percent, according to laboratory tests.
His blood pressure was also 118/82mmHg, his pulse rate was 84 beats per minute, and his body temperature was 37 degrees Celsius.
The patient experienced “exophthalmos” (a protruding eyeball), “ophthalmoplegia” (weak eye muscle), and “chemosis” (eye irritation) of the left eye, according to the study published in The Lancet journal.
“The clinical picture and radiological results, taken together, indicated mucormycosis,” the doctors wrote.
Mucormycosis is defined by the Centers for Disease Control and Prevention (CDC).
“Mucormycosis (formerly known as zygomycosis) is a dangerous but uncommon fungal infection caused by a fungus known as mucormycetes.
“These molds can be found all over the place. Mucormycosis is a fungal infection that primarily affects persons who have health issues or who use medications that reduce the body’s capacity to resist infections and illness.
“After inhaling fungal spores from the air, it most usually affects the sinuses or lungs.
“It can also appear on the skin after a cut, burn, or other sort of skin injury.” A medical team in India suspected Rhizopus arrhizus, a fungus that causes mucormycosis.
Cutaneous (skin) mucormycosis can seem like blisters or ulcers, and the diseased area can turn black, as it did in that man’s case.
Pain, warmth, extreme redness, and swelling around a wound are also signs of mucormycosis.
“Black lesions on the nasal bridge, or upper interior of the mouth” are signs of rhinocerebral (sinus and brain) mucormycosis.
One-sided facial puffiness, headache, nasal or sinus congestion, and fever are all possible symptoms.
Diabetes patients, particularly those with diabetic ketoacidosis, are more likely to develop the illness, according to the CDC.
“Diabetic ketoacidosis (DKA) is a serious issue that can occur in people with diabetes if their bodies begin to run.”Brinkwire Summary News”, according to the NHS.