An observational clinical study to evaluate the oral cavity involvement in patients of mucormycosis during covid-19 pandemic in cims hospital, bilaspur, chhattisgarh

Author: 
Sandeep Prakash., Ketaki Kinikar., Chandrahas Dhruw., Prakash Khare and Sonal Patel

Background: Mucormycosis is an angio-invasive fungal infection due to fungi of the order Mucorales. This is known to occur in patients with uncontrolled diabetes, post transplant and cancer. Most individuals are exposed to these fungi on a daily basis, but people with weakened immune systems are more susceptible to infection. The infection begins in the nose and para nasal sinuses due to inhalation of fungal spores. The infection can spread to orbital and intracranial structures either by direct invasion or through the blood vessels. The fungus invades the arteries leading to thrombosis that subsequently causes necrosis of hard and soft tissues. Early diagnosis and prompt treatment can reduce the mortality and morbidity of this lethal fungal infection. The first case in Bilaspur was reported on 19th May 2021 during the peak of second wave of covid-19 in Bilaspur division. Objective: To evaluate the involvement of oral cavity in patients of mucormycosis during Covid-19 pandemic in CIMS hospital, Bilaspur, Chhattisgarh. Method: This prospective observational clinical study is conducted in CIMS hospital Bilaspur, Chhattisgarh. The clinical data from mucormycosis (Black Fungus) ward during the covid-19 pandemic is collected, analyzed and studied. Result: The total IPD registered in CIMS hospital, mucormycosis ward is 36 till 15 June 2021. 10 out of 36 patients belonged to 18-45 years age group and 72.22% in >45 year age group. 63.88% patients were male whereas female patients were 13. 25 out of 36(65.44%) patients of lower socioeconomic status were registered in IPD, 16 out of 36 patients were admitted with the chief complains of swelling over face out of these 27.77% patients had swelling over right side of face and rest were having that on left. Swelling over face was accompanied by dull pain which was seen in 21 patients. Maxilla was predominantly involved in 9 patients, 6 were having disease lateralized to right side and 3 were having maxillary involvement on left. Hard palate and Buccal Mucosa was involved in 2 patients each, 1 patient had disease over right lower alveolus. Conclusion: Majority of patients admitted in mucormycosis ward were old aged low SES male having multiple co-morbid conditions and with positive history of covid-19 infection. Painful swelling over face and eyes were seen predominately in most of the patients

Page: 
5843-5845
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DOI: 
http://dx.doi.org/10.24327/23956429.ijcmpr20211027
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