Nice information.. Useful information.. Mucromycosis fungal infections... Historical... Pathophysiology... Prevention... Nice Updated... information useful.. Diabetic patients.... complications rare mucromycosis... regularly eye check and control blood sugar levels... Exercise start continue... meditation start.... life style changes.....
Fantastic presentation on Mucormycosis , Covid 19 & Diabetes on more pandamic declared by Government of India and states as it becomes Lethal Triads . Mucormycosis seen in second wave of Covid 19 pandamic . Many factors and causitive agents were there. 1 -Masala medicines 2- Uncontrolled and unknown Diabetes 3- Unhygienic wards and hospital 4-Industrial oxygen and blind madication 5-Immunocompromised Medical condition 6-Untrained paramedics working in hospital 7-Carelessness during Covid 19 treatment Thanks
NICE ILLUSTRATION ONCE A PATIENT OF COVID HAD D M AND MUCORMYCOSIS IT IS A KIND OF SEVERE COMORBITY D M HAS TO BE CONTRLLLED IN CASE OF MUCORMYCOSIS NASAL IMMUNITY HAS TO BE GOOD BECAUSE MUCORMYCOSIS STATS WITH SINUSITIS.MAY BE MAXILLARY FRONTAL OR ETHEMIODAL THEN ORBIT IS INVOLVED AND ONE GETS PERIORBITAL ECHMOSES AND PROPTOSIS AND EVEN DESTRUCTION OF GLOBE CNS AND BRAIN INVOKVEMENT LUNG INVOLEMENT
Agree with lethal triad of COVID-19, diabetes & mucormycosis as explained by u nicely. Glycemic control in known diabetic or COVID-19 & Steroids induced hyperglycemia is the 1st thing to protect from Black fungus infection then comes restricted Zinc & Iron supplements in diet , O2 inhalation in hygienic manner & to avoid damp places. Preventive measures as directed by u shud be followed.
A etiology of mucormycosis it due to steroid use that derreeses immunity and use of antibiotic a making super infection due to useful baceria are killed by antibiotic treatment is control blood sugar minimum use of steroides
Stress levels should be nullified... boosting up mental health through light talks...to reduce diabetes...karel.a...methidana soaked overnight chia seeds soaked overnight.. orange juice.. sweet potato beetroot coriander juice pineapple with black pepper sprouts kalijeeri alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages... cold pressed coconut oil massage and in naval lime juice... diabetes under control... ginger carrots pomegranates apricots lemongrass decoction... steam inhalation... Covid 19 under control... aeroplane mudra.... oxygen levels increased....no mucormycosis.
COVID. 19 PLUS D M PLUS IMMUNO SUPPRESSION INDUCED MUCORMYCOSIS... NICELY DISCUSSED. IN. DETAILS...
Death due to heart attack in covid is due to penetration of. Virus in heat muscle and causing inflamation that leads to heart attack
Yes these are lethal especially if mucormycosis associated.So precautions for getting infected are better than cure.
Very informative and useful updates regarding COVID -19, Diabetes & MUCORMYCOSIS. Thanks for sharing useful information Sir
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the black fungal infection has also intrigued people. Also known as ‘black fungus’ or ‘mucormycosis’, it is a rare kind of fungal infection affecting 1 in 10,00,000 people, but with an overall mortality rate of 50 per cent. The disease is often characterised by hyphae growing in and around blood vessels and can be potentially life-threatening in diabetic or severely immunocompromised individuals.mucormycosis frequently infects the sinuses, brain, or lungs. “While infection of the oral cavity or brain are the most common forms of mucormycosis, the fungus can also infect other areas of the body such as the gastrointestinal tract, skin, and other organ systems,” SUSPECTED :infection with mucormycosis should be suspected when there is: * Sinusitis — nasal blockage or congestion, nasal discharge (blackish/bloody) * Local pain on the cheekbone, one-sided facial pain, numbness or swelling * Blackish discolouration over the bridge of nose/palate * Loosening of teeth, jaw involvement * Blurred or double vision with pain * Thrombosis, necrotic skin lesion * Chest pain, pleural effusion, worsening of respiratory symptoms “People in an extreme immune-compromised state are likely to contract this infection. Diabetologists across the country raise caution against the increased prevalence of mucormycosis during COVID-19, urging people to keep their sugar levels under check to reduce the risk.“What is more worrying is that the use of steroids for treating certain cases of COVID-19 would shoot up sugar levels; this coupled with lack of physical activity puts diabetic people at a higher risk of catching the black fungal infection,” the doctor warns.steroids reduce inflammation in the lungs due to COVID-19 and appear to help curb some of the damage that can happen when the body’s immune system fights against the virus. But, they also reduce immunity and push up blood sugar levels in both diabetics and non-diabetic COVID-19 patients. “For diabetes patients, this is life-threatening. A person affected with mucormycosis may need early detection and powerful diagnosis for treatment, which may, in turn, affect other organs such as the kidneys. Prevention is extremely crucial,”Dr. Sachin Bhardwaj6 Likes13 Answers
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DIABETIC NEUROPATHIES. Diabetic neuropathies are a family of nerve disorders caused by diabetes. WHAT CAUSES DIABETIC NEUROPATHY. Nerve damage is likely due to a combination of factors. 1.METABOLIC FACTORS. : hyperglycemia, long duration of diabetes, abnormal blood fat levels and low levels of insulin. 2.NEUROVASCULAR FACTORS : Neurovascular factors leading to damage of blood vessels that carry oxygen and nutrients to nerves. 3.AUTOIMMUNE FACTORS : Causes inflammation of nerves. 4.MECHANICAL FACTORS : Injury to nerves as in carpel tunnel syndrome. 5.INHERITED TRAITS : That increase susceptibility to nerve disease. 6.LIFESTYLE FACTORS : Smoking, alcohol. SYMPTOMS. Symptoms depends on the type of neuropathy and which nerves are affected.Symptoms involve sensory,motor and autonomic nervous system. 1.Tingling, numbness or pain in the toes,feet,legs,hands,arms and fingers. 2.Wasting of muscles of hand or feet. 3.Indigestion, nausea, vomiting, diarrhea,c constipation. 4. Dizziness or fainting due to a drop in blood pressure after standing or sitting up. 5.Problems with urination. 6.Erectile dysfunction. 7.Weakness. TYPES OF NEUROPATHY. Diabetic neuropathy can be classified as 1.Peripheral neuropathy. 2.Autonomic neuropathy. 3.Proximal neuropathy. 4.Focal neuropathy. PERIPHERAL NEUROPATHY. Peripheral neuropathy,also called distal symmetric neuropathy or sensorimotor neuropathy ,is nerve damage in arms and legs.Symptoms are *Numbness or insensitivity to pain or temperature. *A tingling,burning or prickling sensation. *Sharp pains or cramps. *Extreme Sensitivity to touch. *Loss of balance and coordination. Peripheral neuropathy also causes muscle weakness and loss of refle guyxes.Blisters and sites may appear on the numb areas of the foot because pressure or injury goes unnoticed.I f an infection occurs and is not treated promptly,the infection may spread to the bone and the foot may need amputation.Many amputations can be prevented if minor problems are treated in time. AUTONOMIC NEUROPATHY. Autonomic neuropathy affects the nerves that control the heart,blood pressure and blood glucose levels.Autonomic neuropathy also affects internal organs causing problems with digestion,respiration. urination,sexual response and vision. 1.HYPOGLYCEMIA UNAWARENESS. Normally,symptoms such as shakiness,sweating and palpitations occurs when the blood glucose levels drop below <<70 mg/dl.In people with autonomic neuropathy,symptoms may not occur making hypoglycemia to be recognized. 2.HEART & BLOOD VESSELS. Damage to the nerves in the cardiovascular system interferes with the body's ability to adjust blood pressure and heart rate. Due to this,blood pressuremay drop sharply after standing or sitting,causing a person to feel light headed or faint. Damage to nerves that control heart rate makes the heart rate to stay high , instead of rising and falling in response to normal body functions and physical activity. 3.DIGESTIVE SYSTEM. Nerve damage to the digestive system most commonly causes constipation. Damage can also cause the stomach to empty slowly,a condition called GASTROPARESIS. Gastroparesis can lead to persistent nausea and vomiting,bloating and loss of appetite. Gastroparesis also makes blood glucose levels to fluctuate widely ,due to abnormal food digestion. Nerve damage to the OESOPHAGUS MAKES SWALLOWING DIFFICULT. Nerve damage to bowels can cause constipation alternating with uncontrolled diarrhea, 3.URINARY TRACT & SEX ORGANS. Autonomic neuropathy often affects the organs that control urination and sexual functions. Nerve damage can prevent the bladder from emptying completely , allowing the bacteria to grow in bladder and kidneys causing urinary tract infections. When the nerves of the bladder are damaged,urinary incontinence may result because a person may not be able to sense when the bladder is full or control the muscles that release urine. Autonomic neuropathy also leads to decreased sexual response in men and women. A man may have erectile dysfunction or may reach sexual climax without ejaculating normally. A woman may have difficulty in arousal,lubrication or orgasm. 5.SWEAT GLANDS. Nerve damage may cause improper working of sweat glands.It can also result in profuse sweating at night or while eating. 6.EYES. Due to autonomic neuropathy,pupils become less responsive to changes in light.A s a result,a person may not be able to see well when light is turned on In a dark room or have trouble driving at night. PROXIMAL NEUROPATHY. Proximal neuropathy//lumbosacral plexus neuropathy //femoral neuropathy //diabetic amyotrophy causes pain in the thighs,buttocks,hips or legs,usually on one side of the body. FOCAL NEUROPATHY. Focal neuropathy appears suddenly and affects specific nerves,most often in the head,torso or leg. Focal neuropathy is painful and unpredictable.and occurs most often in older adults with diabetes. However,it tends to improve itself over weeks or months and does not cause long term damage. Focal neuropathy can cause *Inability to focus the eye. *Diplopia. *Aching behind the eye. *Bell's palsy. *Severe pain in the lower back and pelvis. *Pain in the front of the thigh. *Pain in the chest and stomach. *Pain on the outside of the shin or inside of the foot. *Chest pain and abdominal pain is mistaken for heart attack or appendicitis. CAN DIABETIC NEUROPATHIES BE PREVENTED. THE BEST WAY TO PREVENT NEUROPATHY IS TO KEEP BLOOD GLUCOSE LEVELS AS CLOSE TO THE NORMAL RANGE AS POSSIBLE.MAINTAINING SAFE BLOOD GLUCOSE LEVELS PROTECTS NERVES THROUGH OUT THE BODY.Dr. Suvarchala Pratap16 Likes25 Answers
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58 male pt referd from medicine op( admittd with fever chills..)for evaluation of diffuse swelling RT side face...( fbs 350 mg...tlc 23000....esr 100) patient c/o parathesia RT maxillary area. o/e diffuse swelling RT maxillary area with tenderness over RT infra orbital margin RT maxillary area..relative exophthalmos RT eye.. no relevant findings intra oraly. pns inconclusive CT advised see sinuses diagnosis ent consltn advisedDr. Prasanth Sasidharan3 Likes20 Answers
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an uncontrolled diabetic on traditional medicine had nasal discharge head ache on the right side initially rapidly progressed headache, came to us in disoriented state blackish mass in place of the entire nose, gcs 10/15 what are the d.ds and management options.Dr. Siddharth Vanka12 Likes38 Answers
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28 yrs, old, Male patient With positive h/o of Covid-19 virus , gradual devloped Redness & Itching than Blackening of rt eye After 5 days of hospital admission likely to be Mucormycosis..Kindly suggest Investigation & Mx of this patient *History* No family h/o *Chief Complaints* Headache, Conjuctivitis , Blurring of visionDrroopendra Singh47 Likes87 Answers