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首页> 外文期刊>Journal of Clinical and Diagnostic Research >A black intruder into the Pandemic: Rhino-Orbital Mucormycosis Complicating COVID-19
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A black intruder into the Pandemic: Rhino-Orbital Mucormycosis Complicating COVID-19

机译：黑人入侵者进入大流行：rhino-orbital粘膜肌病复杂性covid-19

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There is an increased incidence of rhino orbital mucormycosis during the Coronavirus Disease-2019 (COVID-19) pandemic attributed to Diabetes Mellitus, corticosteroid usage and immunocompromise caused by COVID-19. In this series, seven biopsy-proven cases of mucormycosis (six male patients and 1 female patients) are presented from a tertiary center in eastern India from (May 2021 to June 2021). Empirical systemic liposomal amphotericin B, radical sinus surgery with orbital decompression and irrigation of sinus and orbit with amphotericin B was performed. The mean age of the patients was 42.71±7.34 years with a male preponderance (85.7%). Five patients had orbital involvement (71.42%), and two had cerebral involvement (28.6%). All of them had elevated blood glucose levels, though only three (42.85%) were known cases of type 2 diabetes. The most common manifestations were sinus tenderness (100%), paresthesia (100%), facial swelling (71.42%) and nasal discharge (28.57%). Follow-up at two months showed zero mortality. Timely diagnosis, appropriate management with intravenous amphotericin B and endoscopic radical sinus surgery, debridement of the necrotic tissue proved to be necessary for a good outcome in rhino-orbito-cerebral mucormycosis.
机译：在冠状病毒疾病 - 2019（Covid-19）大流行患者归因于糖尿病，皮质类固醇使用和由Covid-19引起的免疫动脉瘤的发生率增加。在本系列中，来自印度东部（5月2021日至6月2021年6月）的高级中心提出了七种活组织检查证明的粘膜病进行经验全身性脂质体两性霉素B，具有轨道减压和窦和轨道灌溉的基团窦手术和用两性霉素B灌溉。患者的平均年龄为42.71±7.34岁，男性优势（85.7％）。五名患者有轨道参与（71.42％），两种脑卒中有两种脑卒中（28.6％）。所有这些血糖水平升高，但只有三种（42.85％）已知2型糖尿病病例。最常见的表现是鼻腔压痛（100％），感觉（100％），面部肿胀（71.42％）和鼻涕（28.57％）。两个月后续随访显示零死亡率。及时诊断，用静脉内两性霉素B和内窥镜自由基窦手术进行适当的管理，被证明是rhino-oritbo-脑粘膜粘性菌病的良好结果所必需的。

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