Rare opportunistic bread mold fungal infection of maxillary sinus in a diabetic patient

Bhaskar, Nandini; Chhabra, Vipin; Kaushal, Nitin; Aggarwal, Salil

doi:10.4103/ijabmr.ijabmr_368_16

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…The majority of patients in this study belonged to the lower socio-economic strata and were unemployed (44.44%), which is in agreement with a study that attributes the preponderance of mucormycosis cases in India to a large population belonging to the lower socioeconomic status [21].…”

Section: Discussionsupporting

confidence: 92%

The Psychological Impact of Rhino-Orbital Mucormycosis During the Second Wave of COVID-19 Pandemic From South East Asian Country

Srivastava¹,

Beri²,

Das³

et al. 2023

Cureus

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Aim: The present study addressed overcoming the lacunae in the literature of psychiatric manifestations associated with rhino-orbital mucormycosis. The current study aimed to assess the symptoms of depression, anxiety, stress, coping measures, suicidal intent, and visual disability in patients of rhino-orbital mucormycosis (ROM) during the epidemic of the disease at the nodal tertiary care center in North India.Methods: Fifty-four inpatients of laboratory-proven rhino-orbital mucor-mycosis (ROM) were included for an observational, cross-sectional study at nodal, designated COVID-19, and mucormycosis treating tertiary care hospital. Patients with Hindi Mini-Mental State Examination score <24, prior psychiatric illness, and severely ill requiring ventilator support were excluded. The psychological variables were assessed using Depression, Anxiety, and Stress Scale 21 (DASS 21), Beck's Suicide intent Scale, Coping Scale Questionnaire, and Visual disability scale (IND-VFQ33). Their socioeconomic status was assessed using the Modified Kuppuswamy Scale.Results: Ninety percent of patients with ROM had diabetes mellitus. The majority (44%) of patients belonged to lower socioeconomic strata. Higher frequencies of severe depression (28%), extremely severe anxiety (26%), and mild stress (17%) were noted in the study participants. On the Tukey test, depression score was higher in patients of ROM compared to COVID (with ROM) (p-value= 0.016). On Tukey analysis, anxiety score was significantly higher in ROM patients compared to COVID (with ROM) patients (p-value = 0.018).Coping scores were significantly higher in COVID (with ROM) patients compared to ROM patients (p value = 0.035). Mild to moderate visual disability was noted in the study participants. Conclusion:The current study reflects the association of higher depression and anxiety scores in cases with ROM that indicated higher mental health needs. Early assessment, early detection, and early intervention for psychological help, along with the multidisciplinary team, helped to improve the overall psychological outcome of the affected patients.

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Section: Discussionsupporting

confidence: 92%

The Psychological Impact of Rhino-Orbital Mucormycosis During the Second Wave of COVID-19 Pandemic From South East Asian Country

Srivastava¹,

Beri²,

Das³

et al. 2023

Cureus

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“…In the present study, the general symptoms and signs of the patients in descending order consisted of oedema, ptosis, facial pain, headache, blindness, nasal discharge, a decrease in facial sensation, nausea and vomiting, visual deficiency, ptosis, fever and nasal necrosis; the oral manifestations in these patients consisted of palatal necrosis, palatal ulcers, aphthous and lesions on the tongue, respectively (Table ). The clinical symptoms include fever, malaise, headache, pain in the orbital area, sinusitis, sudden loss of vision, proptosis, ptosis, diplopia, nasal discharge and facial anesthesia . The incidence of fever is variable and not be seen in half of the patients …”

Section: Discussionmentioning

confidence: 99%

Rhinocerebral mucormycosis, risk factors and the type of oral manifestations in patients referred to a University Hospital in Tabriz, Iran 2007‐2017

Nezafati

Kazemi

Asgari

et al. 2018

Mycoses

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Inadequate data are available on the global epidemiology of mucormycosis, mainly derived from the evaluation of specific population groups. Rhinocerebral mucormycosis is an invading and fatal mycosis, particularly among diabetic patients. In the present study, patients hospitalised in Imam Reza Hospital in Tabriz, from 2007 to 2017, were evaluated. The hospital information system (HIS) was used to collect the records of the patients. A total of 42 patients with a diagnosis of mucormycosis were included in the study, 40 cases (95%) of which had a diagnosis of the rhinocerebral form. Of these 40 patients, 21 (52.5%) and 19 (47.5%) were male and female, respectively. Seven cases (17.5%) of rhinocerebral mucormycosis were due to dental procedures. The most predisposing factor in the patients was diabetes with 36 (90%) cases. In our study, the role of tooth extraction in patients with uncontrolled diabetes was identified as an important factor. It may show the important role of dentists in preventing of the disease in diabetic patients.

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“…India is the most affected country by mucormycosis, includes 44.3% of the worldwide cases, followed by the USA and Australia. 5 Inflammation of sinus mucosa is caused by fungi such as Aspergillus, Candida, Mucor, and Penicillium. 1 There was surge in the number of cases of COVID-19 associated with the fungal rhinosinusitis, mainly by Mucormycosis and Aspergillus.…”

Section: Introductionmentioning

confidence: 99%

Post-COVID-19 fungal rhinosinusitis – Correlation between histopathological and microbiological findings

Naik

Purushotham

et al. 2023

Asian J Med Sci

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Background: COVID-19 was a global pandemic. In the late December 2019, several patients presented with symptoms of pneumonia. Coronavirus is the pathogen frequently affecting respiratory system and gastrointestinal system. There was surge in the number of cases of COVID-19 associated with the fungal rhinosinusitis, mainly by Mucormycosis and Aspergillus. This study was done to analyze and correlate various fungal etiologies in post-COVID-19 patients presenting with fungal infections and correlating histopathological findings with frozen section, KOH mount findings, and fungus culture. Aims and Objectives: (1) The aims and objectives of the study are to identify the causative fungal species in biopsy specimens of clinically suspected post-COVID-19 fungal rhinosinusitis and (2) to correlate histopathology findings with frozen section, KOH mount, and fungus culture. Materials and Methods: A prospective study conducted over a period of 4 months between May 2021 and August 2021. Total of 30 nasal biopsies were included. Patients’ data were obtained from department of pathology, Hassan Institute of Medical Sciences, Hassan. Results: Out of 30 cases, 66.67% were males and 33.33% were females with male-to-female ratio of 2:1. Majority of the cases were belonged to 41–50 years of age with mean age of 50 years. On histopathological examination, 56.67% cases were Mucor, 10% cases were mixed Mucor and Aspergillus infection. Out of 30 cases, 24 cases showed good correlation between histopathology and fungus culture. Conclusion: In our study, we found good correlation of histopathology with fungus culture findings.

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Rare opportunistic bread mold fungal infection of maxillary sinus in a diabetic patient

Cited by 3 publications

References 7 publications

The Psychological Impact of Rhino-Orbital Mucormycosis During the Second Wave of COVID-19 Pandemic From South East Asian Country

The Psychological Impact of Rhino-Orbital Mucormycosis During the Second Wave of COVID-19 Pandemic From South East Asian Country

Rhinocerebral mucormycosis, risk factors and the type of oral manifestations in patients referred to a University Hospital in Tabriz, Iran 2007‐2017

Post-COVID-19 fungal rhinosinusitis – Correlation between histopathological and microbiological findings

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