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Mucormycosis...??

Patient came with c/o left eye pain Civid positive 15day back Chief Complaints L.E.pain History Covid positive 15day back Treated under intensive care(steroids) Hypertensive under rx Non diabetic Vitals Shortness of breath Rest WNL Physical Examination Wheel chair assisted Left eye - Periorbital swelling Black brown discoloration of periorbital skin Mild proptosis Restricted ocular movement. Ant.seg- Chemosis Cornea-clear Iris/pupil-n/RRTL A.C.-quite Post.seg- Retina ON CDR-0.3 Vitreous-n Investigations BP-140/100 BSL(R)-170mg/dl. MRI(BRAIN AND ORBIT) SHOWS:- -B/L Ethmoide,frontal and maxillary sinusitis - no hemorrhage. -left preseptal orbital swelling. -suggestive of agressive fungal sinusitis with left intraorbital extension. Diagnosis Mucormycosis...??? Management Pls suggest further prognosis and manegement.

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रक्तज कृमि म्हणून प्रकरण आलेले आहे आणि त्यातील औषधी , नासा हि शिरसो द्वारं | ह्याद्वारे मेंदु चे शिरोविरेचन - शुद्धिकरण केल्याने आज परएंत 8-12 लोकाना ह्याचा फायदा झालेला आहे .. आणि विद्धकर्म हे खुप उपयोगी पडत आहे विद्ध हे उपनासिका आणि अपांग ह्या भागावर केल्याने लवकर उपशय मिळाला आहे ... कृमिघ्न , नस्य , आणि आजाराने क्षीण अवस्था आलेली असल्याने वसंत कल्प वापरून हां आजार 10-12 दिवसात नियंत्रणात येताना दिसत आहे ...

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Mucormycosis is a potentially life threatening fungal infection. Risk factors include poorly controlled diabetes and immunosuppression Symptoms and signs fever, headache, swelling over affected area visual problems, eye swelling, facial pain, Definitive diagnosis is made by identification of fungi in the patient's tissue. Treatment Surgical debridement of infected tissue, amphotericin B and good control of diabetes. Complications of mucormycosis can be dire: blindness, organ dysfunction, loss of body tissue due to infection and debridement, and death. Prevention of mucormycosis centers on avoidance or control of risk factors such as strict control of diabetes

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MUCORMYCOSOSIS .. IN COVID POSITIVE CASE X 15 DAYS BACK .. SERIOUS COMPLICATIONS OF .. IN COVID POSITIVE PATIENT .. NEED'S .. ANTIFUNGAL MANAGEMENT WITH EXPERTS OPINION.. OPHTHALMIC EXAMINATION WITH EYE SURGEONS OPINION..

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Mucormycosis is the fungal infections... Risk factors for eyes covid 19 symptoms.. Diabetes and immunosuppression Headache.. Eye swelling.. Facial pain.. Vision loss... Control diabetes.. Rx Moxifloxacin+keto+dexamethasone eyes drops QD 5 hours one days continue.. Naphazoline CPM boric acid zinc sulphate menthol camphor eyes drops QD 5 hours continue.. Neosprin eye drops QD 5 hours continue... 7 days continue Covered eyes by googles.. Rest at home Covid 19 cases medication treatment start...

Mucormycosis
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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!

KIND OF FUNGAL INFECTION CAN MANIFEST AS PROOTOSIS CONJUCTIVAL CHEMOSES KERSTITIS EPISCLERITIS IRITS OPTIC NEURITIS

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CT PNS with orbit to decide further management..... Mucormycosis with developing orbital cellulitis..... Lamina papyracia may be eroded.....

SUGGESTIVE. OF MUCORMYCOSIS POST. COVID .IMMUNE SUPPRESSED

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रक्तज कृमि म्हणून प्रकरण आलेले आहे आणि त्यातील औषधी , नासा हि शिरसो द्वारं | ह्याद्वारे मेंदु चे शिरोविरेचन - शुद्धिकरण केल्याने आज परएंत 8-12 लोकाना ह्याचा फायदा झालेला आहे .. आणि विद्धकर्म हे खुप उपयोगी पडत आहे विद्ध हे उपनासिका आणि अपांग ह्या भागावर केल्याने लवकर उपशय मिळाला आहे ... कृमिघ्न , नस्य , आणि आजाराने क्षीण अवस्था आलेली असल्याने वसंत कल्प वापरून हां आजार 10-12 दिवसात नियंत्रणात येताना दिसत आहे ...

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Histo pathology needed before putting pt on antifungal treatment. Adv.ABG study.

Ok sir I will
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Definitely a kind of fungal infection. Adv antifungal treatment

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