Sl. No | Age/sex | Diabetic status at the time of diagnosis of CAM | COVID severity status | Steroid therapy: IV Dexa 8 mg once daily | Other coexisting risk factors | Symptoms at presentation | Mucor clinical staging | Treatment given (mucor) | Outcome |
---|---|---|---|---|---|---|---|---|---|
1 | 44/F | Uncontrolled/DKA | Moderate | 4 days | Sepsis/acute renal failure | Eyelid and facial swelling, nasal discharge, crusting | Stage 2 Eschar of the facial skin, visual disturbances with complete loss of vision | Nil | Expired cardiac arrest, respiratory failure and multiorgan failure |
2 | 71/M | Uncontrolled/DKA | Moderate | 14 days | Hypertension CKD CAD | Eyelid and facial swelling, facial pain, nasal crusting | Stage 1 Nasal discharge Facial pain | IV ampho + Posa) 40 days Endoscopic sinus debridement | Expired after 1 month of treatment cardiac failure |
3 | 52/M | Uncontrolled | Moderate | 10 days | NIL | Eyelid and facial swelling, facial pain, peri orbital pain, head ache, nasal crusting | Stage 2 Eschar of the facial skin, visual disturbances with complete loss of vision | IV ampho + Tab. Posa 51 days Endoscopic debridement, orbital exenteration with total maxillectomy | Alive |
4 | 63/M | Controlled | Moderate | 10 days | HT | Eyelid and facial swelling, facial pain, nasal crusting | Stage 1 | IV ampho + Tab. Posa 2 weeks ampho and 2 months Posa Endoscopic sinus Debridement | Alive |
5 | 53/M | Uncontrolled/DKA | Mild | 10 days | Sepsis/acute renal failure | Eyelid and facial swelling, pain around the eye with head ache, nasal crusting | Stage 3 Eschar of the facial skin and necrosis of the hard palate, visual disturbances with complete loss of vision | IV amphotericin 1 day | Expired due to sepsis and multiorgan failure |
6 | 55/M | Controlled | Mild | 10 days | NIL | Facial pain, nasal discharge, crusting | Stage 1 | IV ampho + Tab. Posa 28 days 4 doses of Inj Ampho B retro bulbar Endoscopic sinus debridement | Alive |
7 | 35/M | Uncontrolled | Mild | 10 days | NIL | Pain around the eye with headache, nasal crusting | Stage 1 | IV ampho for 5 days Endoscopic debridement | Alive |