ISSN: 0973-7510

E-ISSN: 2581-690X

Case Series | Open Access
Madhavi S. Hullur1, R. Bharathi1, R. Bindu Madhavi1, Arvind Natarajan1 , H.S. Brindha2, S.M. Azeem Mohiyuddin2, R. Kalyani3, Anil Kumar Sakalecha4, Bukke Ravindra Naik4 and K.N. Shashidhar5
1Department of Microbiology, Sri Devaraj Urs Medical College (SDUMC / SDUAHER), Tamaka, Kolar, Karnataka, India.
2Department of Otorhinolaryngology, Sri Devaraj Urs Medical College (SDUMC / SDUAHER), Tamaka, Kolar, Karnataka, India.
3Department of Pathology, Sri Devaraj Urs Medical College (SDUMC / SDUAHER), Tamaka, Kolar, Karnataka, India.
4Department of Radiodiagnosis, Sri Devaraj Urs Medical College (SDUMC / SDUAHER), Tamaka, Kolar, Karnataka, India.
5Department of Biochemistry, Sri Devaraj Urs Medical College (SDUMC / SDUAHER), Tamaka, Kolar, Karnataka, India.
Article Number: 7690 | © The Author(s). 2022
J Pure Appl Microbiol. 2022;16(4):2961-2967. https://doi.org/10.22207/JPAM.16.4.62
Received: 16 March 2022 | Accepted: 01 September 2022 | Published online: 01 December 2022
Issue online: December 2022
Abstract

Acute Invasive Fungal Rhinosinusitis (AIFR) is a serious condition with aggressive course and high mortality rates. There is an upsurge in the incidence of invasive fungal rhinosinusitis in post COVID-19 patients. We have come across 20 AIFR cases in post COVID-19 patients.  On retrospective exploration of the patient’s records, we found that 30% patients had received steroids and 90% had diabetes. All the patients were managed by administration of IV amphotericin B and local debridement of infected tissues. The mortality rate was as low as 15 %. We conclude that combined approach of Antifungal therapy with debridement of infected tissues improves the prognosis and survival of AIFR patients.

Keywords

COVID-19, Fungal Sinusitis, Aspergillus, Mucor, Fungal Culture

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