• January 23, 2022

Medical doctors, Well being Information, ET HealthWorld

Nov 13, 2021

A “uncommon” case of mucormycosis has been reported in a 49-year-old male affected person at a number one non-public hospital publish his restoration from dengue, medical doctors mentioned on Saturday.

The case reported on the Apollo hospital in south Delhi comes amid an enormous spike within the variety of dengue circumstances within the nationwide capital.

Based on a civic report on vector-borne illnesses launched on Monday, 9 deaths and a complete of two,708 dengue circumstances have been recorded this season until November 6, which is the very best depend since 2017 for a similar interval.

Over 1,170 circumstances have been logged within the first week of November.

In an announcement issued on Saturday, the Apollo hospital mentioned, “A 49-year-old male has been reported to be one the uncommon circumstances of post-dengue mucormycosis by a crew of medical doctors on the hospital.”

The affected person had come to the hospital, complaining a couple of sudden lack of imaginative and prescient in a single eye, 15 days after his restoration from the vector-borne illness.

Throughout the second wave of the COVID-19 pandemic earlier this 12 months, a lot of circumstances of the “black fungus” have been reported all through the nation after the coronavirus an infection was detected in sufferers struggling with continual diabetes.

Mucormycosis or the “black fungus” is extra widespread amongst individuals whose immunity has acquired lowered as a result of COVID-19, diabetes, kidney illness, liver or cardiac issues, age-related points or these on treatment for auto-immune illnesses like rheumatoid arthritis.

Mucormycosis publish dengue is a brand new remark and therefore, sufferers with a current historical past of dengue ought to stay actively up to date about their well being and seek the advice of a healthcare professional instantly after noticing any new signs, medical doctors on the Apollo hospital mentioned.

Dr Suresh Singh Naruka, senior advisor (ENT), Indraprastha Apollo Hospitals, who’s main the therapy of the affected person, mentioned, “A uncommon case of black fungus (mucormycosis) got here into our view when the affected person got here to the hospital, reporting a sudden lack of imaginative and prescient in a single eye publish dengue fever. It’s rarest of the uncommon to see mucormycosis as a post-recovery complication in a dengue affected person as this situation is usually seen in individuals who have a historical past of diabetes, compromised immunity and varied different infections.”

“It’s a lethal an infection attributable to a gaggle of fungus referred to as mucor. This fungus invades into the wholesome tissues of the nostril, sinuses, eyes and mind so quickly that any delay in analysis and administration can result in antagonistic long-term issues,” he added.

Dengue is accompanied with excessive fever and due to this fact, medical doctors really feel that individuals may suspect that they’ve contracted COVID-19.

The dengue mosquito larvae breed in clear, standing water, whereas these of malaria thrive even in soiled water.

Dr Atul Ahuja, senior advisor (ENT and head and neck surgical procedure) on the hospital, mentioned, “Diagnosing and managing a case of rhino-orbital (involving nostril and eye) mucormycosis in a affected person who has simply recovered from dengue fever is essential, as even after finest therapy, sufferers of mucormycosis can lose their eyesight completely and in a state of an aggressive an infection, removing of eye turns into crucial for stopping any additional unfold of an infection.”

Dr Nishant Rana, registrar on the facility, mentioned, “Earlier than coming to the hospital, the affected person had an episode of nasal bleeding as a complication owing to dengue 15 days previous to his restoration, whereby he famous a low depend of platelets with no transfusion historical past. Mucormycosis in his case is a resultant issue of compromised immunity owing to dengue.”

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