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Table 1 Clinical profile of COVID-associated mucormycosis patients

From: Clinical profile of COVID-19-associated mucormycosis patients and the clinical suspects: a descriptive audit

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

  1. Ampho Inj. liposomal amphotericin B, Posa Posconazole, DKA Diabetic keto acidosis, HT Hypertension, CKD Chronic kidney disease, CAD Coronary artery disease