scholarly journals Black fungus due to covid-19: audiological assessment of middle ear functioning

Author(s):  
Prajwal Kumar ◽  
Swati Goyal ◽  
Prashanth Prabhu

Background and Aim: A rare fungal infection, mucormycosis, has become more common in patients recovering from COVID in its second wave in India. The proximity and easy access to the middle ear through the Eustachian tube from paranasal sinuses alarms the need for early detec­tion of middle ear involvement. Hence, the study was carried out to determine the influence of mucormycosis on Immittance and otoacoustic emissions. Methods: eleven rhino orbital mucormycosis patients aged 40-60 years participated in the study. Middle ear evaluation was carried out with the help of Immittance and otoacoustic emissi­ons. Results: It was found that 4/11 (36.36%) parti­cipants had abnormal Immittance and absent oto­acoustic emissions, indicating middle ear dys­function. 3/4 participants had middle ear dys­function in the ear ipsilateral to the side of the infection. Conclusion: The study results reveal a rare cha­nce of middle ear involvement in mucormycosis patients, which calls for the crucial role of the audiologist in the early detection of middle ear dysfunction. Keywords: Mucormycosis; immittance; otoacoustic emissions

2021 ◽  
Vol 8 (4) ◽  
pp. 207-213
Author(s):  
Himanshi Narang ◽  
Amit Patil

The COVID-19 pandemic, which originated from Wuhan, China, has rapidly spread worldwide, including India. As India grappled with the second wave, COVID-triggered fungal infection has suddenly risen tremendously, raising a sense of panic in the country. The fungal infection in COVID-19 includes Mucormycosis and Aspergillosis, as common fungal infections primarily affecting rhino-orbital structures. Many research papers have published postmortem findings in autopsies conducted on COVID-19 decedents, thereby helping to understand this contagious disease's pathogenesis. But, with the arrival of COVID-triggered fungal infection, which is a crucial invasive disease responsible for fatality, very few research papers have commented on the postmortem findings of invasive fungal infections affecting the rhino-orbital and craniocerebral structures in COVID-19 deaths. Therefore, the role of invasive fungal infection due to COVID-19 illness must be established in the causation of deaths in COVID-19 patients. This review research deals with autopsy dissection techniques and possible postmortem findings of invasive fungal infections involving the nasal and paranasal sinuses and orbital structures in COVID-19 deaths. The findings of fungal infection affecting nasal and paranasal systems may not differ in live patients and in a deceased; however, it is essential that correct interpretation of the postmortem findings aided by pre-or post-autopsy investigations is necessary to establish the role of covid triggered fungal infection in such deaths.


2021 ◽  
Vol 6 (2) ◽  
pp. 137-140
Author(s):  
Sankalp Yadav ◽  
Novelesh Bachchan ◽  
Gautam Rawal ◽  
Pallawi Rai

Mucormycosis (MCR) involving paranasal sinuses is a rare life-threatening opportunistic infection in immunocompromised individuals. In humans, MCR is considered as one of the most rapidly progressive lethal forms of fungal infection with a high mortality rate of 70–100%. During the second wave of COVID-19 in India, the cases of MCR have increased rapidly. We herein report a case of a 70-year-old Indian male with an uncontrolled diabetes diagnosed as maxillary and ethmoid sinus MCR.


Teisė ◽  
2012 ◽  
Vol 83 ◽  
pp. 220-233
Author(s):  
Donatas Murauskas

Straipsnyje yra pateikiamos Lietuvoje plačiai neanalizuotos ekonominės teisės analizės paradigmos ištakos ir pirmieji žingsniai. Konstatuojamas lemiamas utilitarizmo vaidmuo besiformuojančiai paradigmai. Pateikiamos ekonominei teisės analizei susiformuoti aktualios teisės mąstytojų įžvalgos. Taip pat analizuojami svarbesni paradigmos susikūrimo žingsniai nuo nesėkmingo pirmojo etapo XIX a. – XX a. pr. iki revoliucinių darbų XX a. vid., kai Čikagos teisės mokykloje aktyvūs ginčai dėl konkurencijos teisės turinio tapo atskaitos tašku ekonominiu mąstymu pagrįstoms idėjoms iš konkurencijos teisės plisti ir į kitas teisės sritis. The article provides insights on origins and first steps of the foundation of Economic Analysis of Law – paradigm which has not been observed sufficiently in Lithuanian legal doctrine. Crucial role of utiliarianism in the emerging paradigm is stated. Other fundamental ideas towards relation between law and economics of classic scholars are provided. More important steps of the foundation of the paradigm are discussed: from the failure of institutionalism movement (first period from nineteenth century to the twentieth century) to the revolutionary works of Chicago Law School and other scholars of a second wave (twentieth century).


2016 ◽  
Vol 20 (3) ◽  
Author(s):  
Sajid Hameed Dar ◽  
Sarfraz Ahmed ◽  
Muhammad Afzal Sheikh

The role of ultrasound in the diagnosis of Infantile Hypertrophic Pyloric Stenosis (IHPS) can not be over emphasized. The easy availability of this reliable imaging modality may contribute to prompter diagnosis and early treatment. The author wishes to present comparison of two series, of 52 patients each, conducted in the same department, but five years apart. Spread over more than a decade our experience with IHPS patients has undergone dramatic changes, especially the diagnostic part of it. Salient features of the two studies will be highlighted. In addition the study will examine whether the easy access to ultrasound has affected the care of infants with pyloric stenosis.


2001 ◽  
Vol 11 (PR11) ◽  
pp. Pr11-47-Pr11-52
Author(s):  
V. M. Pan ◽  
V. S. Flis ◽  
V. A. Komashko ◽  
O. G. Plys ◽  
C. G. Tretiatchenko ◽  
...  

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