329870

A parallel epidemic of sino-nasal mucormycosis post-COVID pneumonia, and its anesthetic implications: a case report

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Last updated: 05 Jan 2025

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Abstract

Background
There has been a rise in cases of sino-nasal mucormycosis in patients who contracted the COVID-19 virus and were on steroids. Population at risk includes diabetics and on immunosuppressant therapy and/or immunocompromised state. Perioperative management becomes challenging due to residual pulmonary disease secondary to COVID pneumonia and complication following systemic antifungal therapy. Such patients often have other associated illnesses like hypertension, obesity, and deranged renal functions, either as a part of metabolic syndrome or post-systemic antifungal therapy.
Case presentation
We report a case of a 64-year-old female, a poorly controlled hypertensive, with class 1 obesity, and diabetic on oral hypoglycemic agents, hypothyroid on oral medications, and post-COVID pneumonia with recently diagnosed sino-nasal mucormycosis who was posted for debridement of the sino-nasal fungal mass. The gamut of co-morbid conditions along with post-COVID pneumonia status presents an anesthetic challenge apropos the optimization of the clinical conditions and timing of the surgery considering the emergent nature of the surgery.
Conclusions
The timing of operative intervention for such patients is imperative and the treating team of anesthesiologist and the otorhinolaryngologist should aim to strike a balance between timely intervention to negate the spread of the infection to the orbit and brain causing potential irreparable damage and optimizing the cardio-respiratory and renal functions.

DOI

10.1186/s42077-023-00327-5

Keywords

mucormycosis, SARS-CoV-2, COVID pneumonia

Authors

First Name

Prateek

Last Name

Arora

MiddleName

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Email

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City

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Orcid

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First Name

Abhishek

Last Name

Bharadwaj

MiddleName

-

Affiliation

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Email

bharadwaj.abhishek@gmail.com

City

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Orcid

0000-0002-6283-9691

First Name

Omer Mohammed

Last Name

Mujahid

MiddleName

-

Affiliation

-

Email

omermohd1992@gmail.com

City

-

Orcid

0000-0002-7560-6862

First Name

Monica

Last Name

Khetarpal

MiddleName

-

Affiliation

-

Email

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City

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Orcid

-

Volume

15

Article Issue

1

Related Issue

44743

Issue Date

2023-01-01

Receive Date

2023-05-08

Publish Date

2023-05-16

Print ISSN

1687-7934

Online ISSN

2090-925X

Link

https://asja.journals.ekb.eg/article_329870.html

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https://asja.journals.ekb.eg/service?article_code=329870

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329,870

Publication Type

Journal

Publication Title

Ain-Shams Journal of Anesthesiology

Publication Link

https://asja.journals.ekb.eg/

MainTitle

A parallel epidemic of sino-nasal mucormycosis post-COVID pneumonia, and its anesthetic implications: a case report

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Article

Created At

20 Dec 2024