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Mucormycosis of the Middle Ear and Neck Post COVID 19

Kripa Dongol1, Pabina Rayamajhi1, Rabindra Bhakta Pradhananga1

  • 1Department of ENT, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Journal of Nepal Health Research Council
|March 28, 2023
PubMed

Insights

Mucormycosis, a fungal infection, surged during COVID-19, particularly in steroid-treated patients. This case highlights rare concurrent neck and middle ear mucormycosis in a post-COVID-19 diabetic patient.

Area of Science:

  • Infectious Diseases
  • Mycology
  • Otolaryngology

Background:

  • Mucormycosis is an opportunistic fungal infection caused by Mucorales, primarily affecting immunocompromised individuals.
  • The COVID-19 pandemic saw a rise in mucormycosis cases, often linked to steroid use and mechanical ventilation.

Observation:

  • A 40-year-old diabetic female, post-COVID-19, presented with unilateral otalgia, facial paralysis, and neck swelling.
  • Imaging revealed multiple neck abscesses; histopathology confirmed mucormycosis in neck and middle ear tissues.

Findings:

  • This case represents a rare instance of concurrent neck and middle ear mucormycosis.
  • The patient's post-COVID-19 status and diabetes were significant comorbidities.

Implications:

  • Highlights the importance of considering mucormycosis in post-COVID-19 patients with similar symptoms.
  • Underscores the need for prompt diagnosis and management of invasive fungal infections in immunocompromised populations.

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