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Title of the Article: Paranasal Mucormycosis in COVID-19 Patient

Marina Saldanha1, Rashmitha Reddy1, Mark Jittu Vincent1

  • 1Department of Otorhinolaryngology and Head and Neck Surgery, K.S.Hegde Medical Academy, NITTE University, Mangalore, Karnataka 575018 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|April 27, 2021
PubMed

Insights

A rare complication of COVID-19 infection is mucormycosis, affecting the nose and sinuses. This case highlights orbital apex syndrome in a COVID-19 patient, managed with emergency endoscopic sinus surgery.

Area of Science:

  • Otorhinolaryngology
  • Infectious Diseases
  • Ophthalmology

Background:

  • COVID-19 infection is associated with various complications.
  • An increase in paranasal sinus mucormycosis cases among COVID-19 patients has been observed.
  • Mucormycosis can lead to severe conditions like orbital apex syndrome.

Purpose of the Study:

  • To report a case of orbital apex syndrome secondary to paranasal sinus mucormycosis in a COVID-19 patient.
  • To emphasize the importance of prompt diagnosis and surgical intervention.
  • To highlight the role of personal protective equipment in preventing viral transmission during procedures.

Main Methods:

  • Case report of a COVID-19 patient with suspected mucormycosis.
  • Diagnostic evaluation including nasal endoscopy and imaging.
  • Emergency endoscopic sinus surgery for debridement and decompression.
  • Implementation of strict infection control measures.

Main Results:

  • The patient presented with orbital apex syndrome.
  • Mucormycosis of the nose and paranasal sinuses was confirmed.
  • Successful surgical management via endoscopic sinus surgery.
  • No intraoperative or postoperative viral transmission to healthcare workers.

Conclusions:

  • Paranasal sinus mucormycosis is a serious, albeit rare, complication in COVID-19 patients.
  • Orbital apex syndrome requires urgent surgical intervention.
  • Effective use of personal protective equipment is crucial for healthcare worker safety during procedures on infectious patients.
Keywords:
COVID-19MucormycosisOrbital apex syndrome

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