Amid concerns over black fungus infection in COVID-19 patients, Centre issues management advisory

 Amid concerns over black fungus infection in COVID-19 patients, Centre issues management advisory

Share this article !

Mucormycosis is a fungal infection that mainly affects people who are on medication that reduces their ability to fight environmental pathogens. Advisory on its management has been issued by the govt

NEW DELHI

As reports emerge of the rise in cases of black fungus infections or mucormycosis in survivors of Covid-19, the Centre has released an advisory for screening, diagnosis and management of the disease.

Mucormycosis is a fungal infection that mainly affects people who are on medication that reduces their ability to fight environmental pathogens. The infection if not cared for can turn fatal. It usually infects the sinuses or lungs of such people after fungal spores are inhaled from the air.

The Indian Council of Medical Research and the Union Ministry of Health and Family Welfare have prepared guidelines on the management of Mucormycosis fungal infection in COVID-19 patients.

This can lead to serious disease with warning signs and symptoms such as:

  • Pain and redness around eyes and/or nose
  • Fever
  • Headache
  • Coughing
  • Shortness of breath
  • Bloody vomits
  • Altered mental status

Predisposition

  • Uncontrolled diabetes mellitus
  • Immunosuppression by steroids
  • Prolonged ICU stay
  • Co-morbidities – post transplant/malignancy
  • Voriconazole therapy

DOs

  • Control hyperglycemia
  • Monitor blood glucose level post COVID-19 discharge and also in diabetics
  • Use steroid judiciously – correct timing, correct dose and duration
  • Use clean, sterile water for humidifiers during oxygen therapy
  • Use antibiotics/antifungals judiciously

DON’Ts

  • Do not miss warning signs and symptoms
  • Do not consider all the cases with blocked nose as cases of bacterial sinusitis, particularly in the context of immunosuppression and/or COVID-19 patients on immunomodulators
  • Do not hesitate to seek aggressive investigations, as appropriate (KOH staining & microscopy, culture, MALDITOF), for detecting fungal etiology
  • Do not lose crucial time to initiate treatment for mucormycosis

How to prevent

  • Use masks if you are visiting dusty construction sites
  • Wear shoes, long trousers, long sleeve shirts and gloves while handling soil (gardening), moss or manure
  • Maintain personal hygiene, including thorough scrub bath

Share this article !

0 Reviews

Related post