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Rhino-Orbito-Cerebral Mycosis and COVID-19: From Bad to Worse? by Rahul Kulkarni; Shripad Pujari; Dulari Gupta; Sikandar Advani; Anand Soni; Dhananjay Duberkar; Pramod Dhonde; Dhruv Batra; Saurabh Bilala; Preetesh Agrawal; Koustubh Aurangabadkar; Neeraj Jain; Kishorekumar Shetty; Megha Dhamne; Vyankatesh Bolegave; Yogesh Patidar; Aniruddha More; Satish Nirhale; Prajwal Rao; Amitkumar Pande; Suyog Doshi; Aradhana Chauvhan; Nilesh Palasdeokar; Priyanka Valzade; Sujit Jagtap; Rushikesh Deshpande; Sampada Patwardhan; Bharat Purandare; Parikshit Prayag is a Medicine article available to read on EtoBox.

What is Rhino-Orbito-Cerebral Mycosis and COVID-19: From Bad to Worse? about?

## Background: There has been an increase an alarming rise in invasive mycoses during COVID-19 pandemic, especially during the second wave. ## Aims: Compare the incidence of invasive mycoses in the last three years and study the risk factors, manifestations and outcomes of mycoses in the COVID era. ## Methodology: Multicentric study was conducted across 21 centres in a state of western India over 12-months. The clinico-radiological, laboratory and microbiological features, treatment and outcomes of patients were studied. We also analysed yearly incidence of rhino-orbito-cerebral mycosis. ## Results: There was more than five-times rise in the incidence of invasive mycoses compared to previous two-years. Of the 122 patients analysed, mucor, aspergillus and dual infection were seen in 86.9%, 4.1%, and 7.4% respectively. Fifty-nine percent had simultaneous mycosis and COVID-19 while rest had sequential infection. Common presenting features were headache (91%), facial pain (78.7%), diplopia (66.4%) and vison loss (56.6%). Rhino-orbito-sinusitis was present in 96.7%, meningitis in 6.6%, intracranial mass lesions in 15.6% and strokes in 14.8%. A total of 91.8% patients were diabetic, whil

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Author

Rahul Kulkarni; Shripad Pujari; Dulari Gupta; Sikandar Advani; Anand Soni; Dhananjay Duberkar; Pramod Dhonde; Dhruv Batra; Saurabh Bilala; Preetesh Agrawal; Koustubh Aurangabadkar; Neeraj Jain; Kishorekumar Shetty; Megha Dhamne; Vyankatesh Bolegave; Yogesh Patidar; Aniruddha More; Satish Nirhale; Prajwal Rao; Amitkumar Pande; Suyog Doshi; Aradhana Chauvhan; Nilesh Palasdeokar; Priyanka Valzade; Sujit Jagtap; Rushikesh Deshpande; Sampada Patwardhan; Bharat Purandare; Parikshit Prayag

Published

2021

Language

EN

Field

Medicine (Health Sciences)