MUCORMYCOSIS-BLACK FUNGUS

What is Mucormycosis or Black fungus?

Mucormycosis is a fungal infection activated by the coronavirus. It has been a cause of disease and death of critical patients in transplants, ICUs, and patients with immune deficiency.

What causes Mucormycosis?

Mucormycosis or black fungus is a problem caused by a fungal infection. People get affected by mucormycosis when they come in contact with the fungal spores in the environment. It can also spread in the skin after the fungus gets into the skin through a cut, burn, or other types of skin damage.

What are the common symptoms?

  • Pain/redness around eyes/nose
  • Fever
  • Coughing
  • Bloody vomits
  • Headache
  • Altered mental status
  • Breathing problem

Additional Information about symptoms

  • Dryness on the inner walls of the nose.
  • Black and brown crusts inside the nose.
  • Nasal congestion.
  • Upper lips and cheeks begin to numb.
  • Swollen eyes.
  • Reddening of the eyes.
  • Headaches.
  • One-sided facial swelling.

Disease Manifest

Mucormycosis begins to show as skin infection in the air pockets located behind our forehead, nose, cheekbones, and in between the eyes and teeth. It can expand to the eyes, lungs, and brain. It creates a stain or patch over the nose, unfocused or double vision, chest pain, breathing difficulties, and coughing of blood.

Mucormycosis in details

Mucormycosis is a major but rare fungal infection caused by a group of molds called micromycetes. It is also known as zygomycosis. The most common type that causes mucormycosis is Rhizopus species and Mucor species. We can find mucormycosis in many places such as moist soil, decaying organic matter, animal dung, leaves.

This fungus can enter our body through various medium such as –

  • Inhalation
  • Cuts and Injury
  • Gut Mucosa (through food)

Types and Symptoms

Rhinocelebral (sinus and brain) mucormycosisSymptoms – One-sided facial swelling, Headache, Nasal or sinus congestion, Black lesions on nasal bridge or upper inside of the mouth that becomes more severe.
Pulmonary (lung) mucormycosisSymptoms – Fever, Cough, Chest pain, and shortness of breath.
Cutaneous (skin) mucormycosisSymptoms – Infected area may turn black, pain, excessive redness, swelling around the wound.
Gastrointestinal mucormycosisSymptoms – Abdominal pain, Nausea and vomiting, gastrointestinal bleeding.
Disseminated mucormycosisTypically occurs in people who are suffering from other medical conditions, so it can be hard to interpret which symptoms are related to mucormycosis.

How to prevent mucormycosis?

  • Use mask while visiting befoul construction sites.
  • Wear shoes, full trousers, long sleeve shirts/t-shirts, and gloves while gardening.
  • Maintain personal hygiene, including a thorough scrub bath.
  • The disease can be managed by controlling diabetes, discontinuing immunomodulating drugs, reducing steroids, and extensive surgical debridement – to remove all necrotic material according to the advisory.

Do’s

  • Control Hyperglycemia
  • Keep track of blood glucose level after covid-19 discharge and also in diabetics.
  • Use steroids judiciously.
  • Use clean, pure water for evaporation during oxygen therapy.
  • Use antibiotics/antifungals judiciously.

Don’ts

  • Do not miss warning signs and symptoms.
  • Do not inspect all the cases with the clogged nose as cases of bacterial sinusitis, particularly in the context of immunosuppression and/or covid-19 patients on immunomodulators.
  • Do not wait to seek aggressive checking, as appropriate (KOH staining and microscopy, culture, MALDIT-OF), for detecting fungal etiology.
  • Do not lose the pivotal time to begin treatment for mucormycosis.

Categories: Health

Tagged as: