Black fungus / Mucormycosis – in post Covid patients

Black Fungus: 

Black fungus / Mucormycosis – in post-Covid patients,  Early detection and treatment of mucormycosis are very important.

Sinuses or lungs of such individuals get affected after they inhale fungal spores from the air. It affects the sinuses, eyes, and orbit through which it can progress to the brain.

Mucormycosis, also known as black fungus, are being seen among Covid patients who were administered steroids to treat symptoms, and particularly among those who are suffering from diabetes and cancer.

There is a strong link between diabetes and infection.

The “high risk” Covid patients physicians have been asked to identify are:

a) Patients with uncontrolled diabetes, diabetic ketoacidosis, and diabetics on steroids or tocilizumab

b) Patients on immunosuppressants or anticancer treatment, and patients with a chronic debilitating illness

c) Patients on high dose steroids and or long duration of steroids or tocilizumab

d) Severe Covid cases

e) Patients on oxygen support—nasal prongs, by mask, or on a ventilator

What do patients and their caretakers need to look out for?

The danger signs they should be aware of are:

  • Abnormal black discharge or crust, or bleeding from the nose
  • Nasal blockage
  • Headache or eye pain
  • Swelling around the eyes, double vision, redness of eye, loss of vision, difficulty in the closing eye, inability to open the eye, prominence of the eye
  • Facial numbness or tingling sensation, difficulty in chewing or opening the mouth

They have also been advised to conduct regular self-examinations. These include a full face examination in daylight for facial swelling—especially of the nose, cheeks, around the eyes—or black discoloration, hardening, and pain on touch; as well as oral and nasal examinations using a torch to check for blackening and swelling inside the mouth or nose.

If a patient identifies any of these signs, they must immediately consult an Ophthalmologist or ENT Specialist for their treatment, and not self-medicate with steroids, antibiotics, or antifungal drugs.

Dr Ashis Ghosh
Eye Surgeon

Dr Agarwals Eye Hospital, Pune

 

Dr Ashis Ghosh

Dr Ashis Ghosh

Phaco & Cornea Refractive(LASIK) Eye Surgeon
Dr Agarwals Eye Hospital, Pune

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  • He is talented teacher and was actively involved in various academic activities of department like teaching post graduates , junior fellows and paramedics , participating in symposia , seminars and journal clubs.
  • Dr. Ashis Ghosh is an excellent and skillful Cataract and Cornea Refractive Surgeon. He has performed more than 20000 cataract surgeries including 12000 Phacoemulsification procedures and more than thousands of LASIK and FEMTO LASIK. He is an Expert in all types of Keratoplasty , DALK , DSAEK surgeries. He is an outstanding Refractive Surgeon. 
  • Dr Ashis Ghosh was surgical trainer of many post graduates, fellows, and junior consultants and overseas trainees for SICS , PHACO & CORNEA surgeries.
  • Dr Ashis Ghosh is a responsible , energetic , young ophthalmologist who has a keen interest in clinical and academic activities. 
  • Fellowships
    Completed 2 long term fellowships
    1.Cataract and Comprehensive fellowship long term ( 2 years ) from Aravind Eye Hospital, Tamilnadu
    2.Cornea Refractive &Microsurgery fellowship– long term (1 year) from Aravind Eye Hospital, Madurai
  • Previous experience
    He was in Aravind Eye Hospital, Madurai last 6 years (2012. – 2018). In that He completed 2 fellowships and was worked in Madurai and Theni as Senior Consultant and Eye Surgeon.
  • Achievement
    • AIOS PEPER Presentations, AIOS POSTER Presentation
    • Cornea Poster presentation, CRAO Poster presentation
    • Finest Anterior Segment And Cataract Refractive Surgeon
  • He is talented teacher and was actively involved in various academic activities of department like teaching post graduates , junior fellows and paramedics , participating in symposia , seminars and journal clubs.
  • Dr Ashis Ghosh was surgical trainer of many post graduates, fellows, and junior consultants and overseas trainees for SICS , PHACO & CORNEA surgeries.
  • Dr. Ashis Ghosh is an excellent and skillful Cataract and Cornea Refractive Surgeon. He has performed more than 20000 cataract surgeries including 12000 Phacoemulsification procedures and more than thousands of LASIK and FEMTO LASIK. He is an Expert in all types of Keratoplasty , DALK , DSAEK surgeries. He is an outstanding Refractive Surgeon.
  • Dr Ashis Ghosh is a responsible , energetic , young ophthalmologist who has a keen interest in clinical and academic activities.