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Post-Coronavirus Disease-2019 Rhino-orbital Mucormycosis: A Case Report
Tina Shrestha1, Sanket Parajuli, Rajani Keshari
1Department of Ophthalmology, Dhulikhel Hospital, Dhulikhel, Kavrepalanchok, Nepal.
Rhino-orbital-cerebral mucormycosis (ROCM) is a fatal fungal infection. Early diagnosis and a multimodal treatment approach, including antifungal drugs and surgery, improve patient outcomes.
Area of Science:
- Infectious Diseases
- Ophthalmology
- Neurology
Background:
- Rhino-orbital-cerebral mucormycosis (ROCM) is a rare, aggressive fungal infection with high mortality.
- Incidence is low globally, but delayed treatment significantly increases fatality rates.
Observation:
- A COVID-19 patient presented with sudden vision loss, ocular pain, and nasal bleeding.
- Microscopy confirmed fungal hyphae, suspecting post-COVID-19 mucormycosis.
Findings:
- Treatment involved intravenous and retrobulbar liposomal amphotericin B.
- Surgical debridement and a multidisciplinary approach were crucial.
Implications:
- Multimodal treatment combining antifungals and surgery improves ROCM outcomes.
- Timely intervention is critical for managing this severe opportunistic infection.
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