Prevention of mucormycosis in Covid 19

Mucormycosis is emerging as life threatening disease in patients with Covid 19 Covid 19 patients are commonly prescribed steroids and Tocilizumab, both of them cause decrease in immunity Mucor fungus is part of normal flora on skin and mucous membrane. Lowering of immunity caused by steroids give mucor an opportunity to cause life threatening invasive mucormycosis. Treatment of mucormycosis involves mutilating surgical excision and expensive antifungal agents, in spite of treatment, lives may be lost as mucormycosis is rapidly spreading disease Prevention of mucormycosis is the best and only option. Insulin improves immunity and it helps in treatment of Covid 19 by reducing ACE 2 receptors. Insulin can prevent mucormycosis as it improves immunity and decreased immunity is prerequisite for invasive mucormycosis. If insulin is included in treatment protocols of Covid 19 it may help save many lives. Please read my article on role of insulin in treatment of Covid 19 https://jmscr.igmpublication.org/home/index.php/archive/178-volume-08-issue-07-july-2020/9517-use-of-insulin-in-treatment-of-covid-19-a-proposal-to-explore-feasibility

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Important highlight on the current issue. Sir plz comment, is ther role of betadine gargles , intranasally and mouth gargling in preventing local fungal infection, as it's mentioned in guidelines.

Very much important, but real issue is decreased immunity Mucor is a part of normal environment and it can not be eradicated ever Betadine gargles are important but they can not give complete protection Increasing immunity is Vitally important for preventing invasive mucormycosis. Insulin has definate role in achieving the objective of increased immunity.
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ACUTE FUNGAL INFECTION ITS WHEN INFLAMMATORY ON SUPERFICIALLY ON SKIN , THAT'S CALLED ACUTE FUNGAL INFECTION ON SKIN . BUT WHICH REMEDY PREVENT FROM FUNGAL EPIDERMIC!. WE ARE MOST OF HAVING GASTRIC , LIVER ILLNESS , LACK OF VITAMIN , WATER , MINERAL , THAT CAUSE FUNGAL INFECTION ARE OCCUR?. OFTEN WE AWAKE BUT NOT DRINK WATER OCCASIONALLY . FIRST UPON LEMON WITH MILD WATER , 2 TEASPOON HONEY THEN MIXED-UP. SO WE PREVENT FROM MUCORMYCOSIS AND OTHER FUNGAL EPIDERMIC INFECTION.

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I endorse your point but insulin is not being in consideration even metrogyl should also be considered

Thank you doctor
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Mucormycosis is not contagious, and therefore, it cannot transmit between people and animals. Individuals contract this infection by coming in contact with the fungal spores in their environment. If inhaled, the spores can infect the lungs or sinus.

Good update.High blood sugar and diabetes cases especially at risks and they may get Insulin.But Insulin whether used in non diabetic cases and normal blood sugar levels?And what doses?

Decreased immunity resultant from use of steroids, Exactly! Knowing where to focus, what to treat and how to treat.

Very useful article. Thanks for sharing to us Sir.

Thank you doctor
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Need of the hour .

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