WATCH OUT Mucormycosis IN COVID -19 PATIENT

 HIGH suspecious:

- Diabetic melliyus 

- Treatment for covid -19 with corticosteriods.

Treatment with immuno moddulators(Tocilizumb,itolizumb).

- Treatment with Mechanical ventilation.

- long standing oxygen therapy.

- EARLY SIGN ANS SYMPTOMS:

- facial swelling 

- facial skin discoloration

- ptosis

- proptosis's

- ristricted eye movement 

- palate discoloration

- palatal Necrosis

- Brownish dischrage from nose

- facial pain 

- sinus headache

- stuffy nose

- bloody nasal discharge

- blurring of vision 

- dental pain 

- loosening of teeth

EARLY DETECTION AND EARLY INTERVENTION:

- CBC

- blood sugar

- renal function tests (s,creatnine BUN)

- Deep nasal swab-KOH stai<b></b>ning

- nasal endoscopy biopsy

 - MRI-for extent invoved

- CT scan-PNS To determine extent of involvement

BEST OUTCOME:

REDUCE morbidity and mortality

- medical managment

- strict blood sugar

- antifungals

- amphotericin B1.5mg/kg/dayfor 4-6weeks

- posaconzazole loading dose 300mg BD,300mgOD FOR 4-6 weeks

- Early surgical Debridement

maxillofacial surgeon

ENT Reference

Opthamological reference

Neurological reference.