A Case Report On Mucormycoses With Post Covid-19 Status

Abstract

Introduction: Mucormycosis (previously called zygomycosis) is a serious but rare fungal infection caused by a group of moulds called mucoromycetes. Patient information: A 50-year-old male patient presented with complaints of bilateral nasal blockage, left-side swelling around the eye, left-side headache, mild watery discharge from the left eye, blurring vision, left-side facial pain and bilateral nasal discharge. The patient was covid positive on 14/04/02021 and becomes negative on 29/04/2021. Known case-patient of diabetes mellitus and is currently on medication tab metformin twice a day. The patient was apparently alright 1 month back when he noticed B/L nasal blockage left side of the eye, left-sided swelling around the eye, left-sided headache 20 days of discharge and left-side facial pain. The patient is now admitted to our hospital for further management. The patient was admitted to the mucormycosis ward. After admission, the patient was advised blood investigation, MRI orbit with brain screening contrast and MRI orbit peripheral nervous system (PNS) with brain screening contrast dons. MRI report was for show only invasive sinusitis with fungal etology. Post-operative medication given, Injection piptaz 4.5gm, injection clindamycin 600 mg, injection levofloxacin 750mg, injection pantoprazole 40 mg, injection meropenem 1 gm and nebulization, injection insulin given as per doctors ordered. Conclusion: In this case, the patient was on a closed monitor. To accomplish overall the situation during the time of surgery. Overall the pa ent response was positive for nursing management and conservative management.