A case of oral cancer with COVID Complications

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Certain important aspects in this case 1. Chylous leak can occur after radical neck dissection- due to aitrogenic thoracic duct injury . 2.Patient survived Oral cancer , major surgery, re- surgery for chylous leak, moderate Covid-19 viral pneumonia, post covid pulmonary fungal infection- is a good luck for the patient 3.Judicious and rational use of steroids should be done in Covid-19 viral pneumonia 4.long covid disease is now a definitely a clinical entity . Long Covid is a term to describe the effects of Covid-19 that continue for weeks or months beyond the initial illness. The health watchdog the National Institute for Health and Care Excellence (NICE) defines long Covid as lasting for more than 12 weeks, although some people consider symptoms that last more than eight weeks to be long Covid. Research published in June 2021 by Imperial College London, based on half a million people in England, found two main categories of ongoing symptoms: a smaller group of people with respiratory symptoms, such as a cough or breathlessness, who were more likely to have had severe Covid-19 illness initially, and a larger group with a cluster of more general symptoms, particularly tiredness and fatigue. Research based on people who reported their symptoms of long Covid on the COVID Symptom Study app also identified two main groups of symptoms, one mainly respiratory, but including fatigue and headaches, and a second group of symptoms affecting many parts of the body, including the heart, brain and the gut. In the study of 4,182 people, heart symptoms were commonly reported, such as palpitations or increased heartbeat, as well as pins and needles, numbness and ‘brain fog’.

Congratulations Doctor @Parveen Yograj Sir... Thank you Doctor for such an interesting concept and case presentation!
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Congratulations Doctor Parveen Yograj Sir... Thank you Doctor for such an interesting concept and case presentation!
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Very complicated case but nicely managed by experienced Surgeon Dr.P.Yograj. Managed multy problems in one pt. 1st he diagnosed & operated Oral Cancer then again he operated for Chylus leak from neck region. After that Coincidently he managed bilateral COVID-19 viral pneumonia in same pt after two times surgery. Then also managed Pulmonary fungal infection. As pt is also suffering from HTN & T2DM & under Insulin therapy.Normally Corticosteroids contraindicated in diabetic pts but to save life of Covid pt he was bound to give Corticosteroids & there was no way. Thanks , atlast pt is OK & discharged from hospital with relief from his all muti problems. Pt's luck was also good otherwise it was very difficult to save the life of such type of Pt.

Though the patient is dischsrged from hospital and tell about relief from his sll multi problems but it will not be go longer further complications should occur to there is no medicines for malignancy that is with cobid karela aur neem chadha
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NICE . PRESENTATION. SIR CONGRATS TO. ADD. .. IN. SEVERE. ORAL. DISEASES../ CA CANDIDIASIS....IS. THE ...FIRST. COMPLICATION.. . . SO NORMALLY.... INITIAL. ANTIFUNGAL. .THERAPY. IS STARTED. WITH. REQUIRED. MANAGEMENT. ..THIS. PREVENTS. FURTHER. COMPLICATIONS. LIKE FUNGAEMIA... ALSO... .BLOOD. AND. URINE / SPUTUM .CULTURE. IS. PREFERED. IN. THE. BEGINNING. ALONG. WITH. OTHER. ROUTINE. EVALUATION ...

An important and also educative post for me. Thank you Sir@Dr. Parveen Yograj for your valuable sharing, and thanks@Expert Insights .

Thank you Sir@Dr. Parveen Yograj .
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Congratulations @Dr. Parveen Yograj you have wonderfully handled this case . But hats off to the patient also who being so aged having so many complications ,so many diseases back to back survived with courage and came back more stronger everytime

Congrats Dr. Parveen ji for sharing such an interesting concept and case presentation on oral cancer with covid complications.. Waiting for new case presentation..

Dr Parveen Yograj has clearly explained the treatment procedures and protocols including complications. Congratulations

Nice presentation useful information uploaded thanks doctor..

Thanks doctor
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Oral cancer with complications is a rare disorder, congratulations sir

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