Is it Mucormycosis ?
A 30 yrs old, Female patient with postive h/o of Covid-19 virus, gradual developed redness & itching than Blackening of both eyes. Right side mild Blackening and left side heavy Blackening occurs. After 28 days, when the covid-19 treatment is over patient suffers from this disease. May be like Mucormycosis ? Kindly suggest investigation with management for this patient. Shifted to AIIMS.
? MUCORMYCOSOSIS .. WITH .. EYE INVOLVEMENT .. NEED'S .. ANTIFUNGAL TREATMENTS .. EYE SURGEONS OPINION ..
Yes it is most probably MUCORMYCOSIS Adv nasal swab for KOH microscopic examination Also get opthalmic examination Early surgical intervention Followed by inj amphotercinB
Mucromycosis fungal start immediately treatment start that patients.. Patients both eylid swelling.. Tab salnac-Sp sos.. Moxifloxacin keto eye drops QD 7 days.. Lubricant eyes drops QD 7 days.. Anti-inflammatory eyes drops QD 7 days.. Homide eye drops BD 7 days.. Cold compress reduce the sweeling..3 time 7 days.. Antifungal ointment cream use at bed time.. Clean eyes regularly saline water solutions... Patients covid 19 positive treatment start under hospital... I think not clear black fungal mucromycosis may be.. My opinion is not sure mucromycosis fungal infection any one doctor perfect show that kind of patients show mucromycosis... Both eyelid swelling.... don't worry
DOES NOT LOOK LIKE MUCORMYCOSIS BECAUSE THIS ORDER STARTS WITH CRUSTED LESION ON FACE FACIAL PAIN SINUS INVOLVEMENT FRINTAL MAXILLARY OR ETHEMIID EYE INVOLVEMENT IS IN TGEBFORM OF PROPTOSIS EVHYMODES VISUAL.LISS BRAIN AND LUNGBINVOLEMENT
Mucor mycosis is a possibility after covid treatment due to high dose steroids or uncontrolled suger levels or other immune suppression agent Rhino ocular cerebral mucormycosis is a life threatening condition.. amphotericin b injection drug of choice such conditions..
Mycormycosis Needs further investigation and evaluation to conclude and line of treatment. Start treatment Antifungal and fluconazole. Eye surgeon opinion required.
Opinion of ophthalmologist Maybe mucormycosis Eye causes
30/F.. history and reports suggestive of Covid19 complication. Black fungus?? Look for medication treatment what she had in covid19.. Check sugar.. steroids exposure or Any immune suppressant drugs used. Send for biopsy of nasal tissue.. Immediate hospitalization. May require antifungal IV treatment.. Take ENT reference..
May be adv further investigations hpe abd CT images
May be Mucormycosis??? Need Other related investigation like MRI PNS, MRI ..Brain And Ophthalmologist Opinion.. ENT Opinion
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