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#mucormycosis #blackfungus #cividassociatedmucormycosis #blackfungus #mucormycosistreatment #mucormycosissymptoms #mucormycosisindelhi #mucormycosisfungus #covid19 #covidupdate #covidvaccine #covid19india #covidsecondwave #covid19india #covid19newsupdate #covid19secondwave #covid19vaccination #covid19vaccinationregistration #covid19vaccine #covid19breathingexercise #covid19essayinhindi #covid19latestupdates What is Mucormycosis ? Why the concern? #mucormycosis #blackfungus #black_fungus Mucormycosis is informally called Black Fungus . • “Mucor” is a fungus which is normally present in the environment and in soil. It causes disease only when immunity is critically low. • Mucormycosis is not a new disease. It is known to occur in patients with low immunity such as in uncontrolled diabetes, post transplant, and some cancer treatments What is causing this Mucor surge? • COVID-19 has tendency to worsen diabetes and also cause diabetes in previously normal individuals • The Covid 19 infection itself causes decrease in some types of white blood cells and decrease in immunity. • Some medicines like Steroids and Tocilizumab used for treatment of Covid-19 infection can worsen immune status. • The severity of Mucor infection is largely dependent on the patient’s immunity and general health. If Covid – 19 infection, high blood sugar levels, and immunosuppressive treatments are all present then the risk from infection increases. Patients with Covid-19 illness (active/recovering/post- discharge) – common presentation: rhino-orbito-cerebral mucormycosis (ROCM) o Initially – nasal blockade or congestion, nasal discharge (bloody or brown/ black), local pain o Facial pain or numbness or swelling o Headache, orbital pain o Toothache, loosening of maxillary teeth, jaw involvement o Blurred or double vision Pulmonary mucormycosis: o Fever, cough, chest pain, pleural effusion, hemoptysis, worsening of respiratory symptoms How to prevent this infection • As poorly controlled diabetes is the major issue, good glycemic control during management of COVID 19 patients is required • Systemic steroids should only be used in patients with hypoxemia • Oral steroids are contra indicated in patients with normal oxygen saturation on room air • If systemic steroid is used, blood sugar should be monitored • The dose and duration of steroid therapy should be limited to dexamethasone (0.1mg/kg/day) for 5-10 days • Universal masking reduce exposure to Mucorales; avoidance of construction sites • During discharge of the patients, advice about the early symptoms or signs of mucormycosis (facial pain, nasal blockage and excessive discharge, loosening of teeth etc., chest pain, respiratory insufficiency). Source : 1. All India Institute of Medical Sciences, New Delhi Covid-19 Infection and Rhino-orbito-cerebral Mucormycosis Guidance for patients. 2. Mucormycosis / Black fungus disease in Covid 19: Causes, Signs & Symptoms, Diagnosis, and Treatment : Dr.G Bhanu Prakash Animated Medical Videos. • Mucormycosis / Black fungus disease in Cov... Special thanks to : Dr. G.bhanu prakash sir : for support and care . Dr. Mayank Patidar sir , Dr. Darab Imteyaz sir : guidance Mahendra Sonaniya : video shoot Please like , Subscribe and share . Thank You 🙏😊❤️