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Intratemporal mucormycosis: a rare COVID-19 sequelae
Sanchit Bajpai1, Sweekritha Bhat1, Vijendra Shenoy S2
1ENT and Head & Neck Surgery, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Mangalore, Karnataka, India.
BMJ Case Reports
|April 12, 2023
Summary
A rare case of ear mucormycosis complicated by facial palsy occurred in a COVID-19 patient. This study highlights the unusual otological symptoms and management challenges in post-COVID-19 patients.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Neurosurgery
Background:
- Mucormycosis is a rare but serious fungal infection.
- COVID-19 has been associated with various opportunistic infections.
- Otological manifestations of mucormycosis are uncommon.
Observation:
- A male patient in his 50s presented with left ear discharge, hearing loss, and facial nerve palsy.
- Symptoms began two months after treatment for COVID-19 pneumonia.
- Clinical examination revealed middle ear granulations and lower motor neuron facial palsy.
Findings:
- Biopsy confirmed mucormycosis of the left ear.
- This represents a rare instance of otological mucormycosis with facial palsy in a COVID-19 survivor.
- Sudden sensorineural hearing loss was also noted.
Implications:
- This case underscores the potential for unusual fungal infections post-COVID-19.
- Early diagnosis and management are crucial for favorable outcomes.
- Further research is needed to understand the link between COVID-19 and mucormycosis.
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