scholarly journals Facial Ulcer: A Harbinger of Post-COVID-19 Mucormycosis, a Case Report

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Vasudha Abhijit Belgaumkar ◽  
Ravindranath Brahmadeo Chavan ◽  
Neelam Bhatt ◽  
Jheel Shriniwas Ambike
Keyword(s):  
Case Report ◽  
Independent Risk Factor ◽  
Fungal Spores ◽  
Multidisciplinary Management ◽  
Uncontrolled Diabetes ◽  
Life Saving ◽  
Nasal Ala ◽  
Nose And Paranasal Sinuses ◽  
Saving Measure ◽  
Second Wave

: Facial ulcers may be the manifestation of a wide variety of disorders with infective, inflammatory, granulomatous, or malignant etiopathogenesis, leading to challenges in differential diagnosis and management. Mucormycosis is an angio-invasive, rapidly spreading, and potentially fatal fungal infection beginning from the nose and paranasal sinuses after the inhalation of fungal spores, manifesting with cutaneous necrotic eschar. The rhinomaxillary region is the commonest site involved, particularly in immunocompromised individuals. Mucormycosis incidence in people with coronavirus disease 2019 (COVID-19) is on the rise, especially in India during the second wave. Diabetes mellitus is an independent risk factor for severe COVID-19 infection, as well as for mucormycosis. We report an elderly gentleman with uncontrolled diabetes, treated for the COVID-19 infection, who presented with an ulcer over the left nasal ala. This case report highlights the importance of high-index suspicion and prompt and aggressive multidisciplinary management of mucormycosis, as a life-saving measure.

scholarly journals Rhino-orbital COVID-19 associated mucormycosis- A case report

2021 ◽  
Vol 7 (4) ◽  
pp. 304-307
Author(s):  
Shanmuga Vadivoo Natarajan ◽  
B Usha
Keyword(s):  
Diabetes Mellitus ◽  
Infectious Disease ◽  
Case Report ◽  
Tertiary Care ◽  
Notifiable Disease ◽  
Health Ministry ◽  
First Case ◽  
Uncontrolled Diabetes ◽  
History Of ◽  
Second Wave

COVID-19 Associated Mucormycosis (CAM) is an emerging infectious disease that has caused increased mortality & morbidity in India during this second wave of the pandemic. The country has reported more than 30,000 cases and over 2,000 deaths by Mucormycosis so far, according to sources from Union Health Ministry. CAM is now a notifiable disease. At our Tertiary care teaching hospital, which caters for COVID 19 management, we are reporting the first case of Rhino orbital CAM, which was caused by Rhizopus spp. Our patient had a history of contact with a suspected COVID 19 patient and was recently diagnosed with uncontrolled diabetes mellitus. A direct KOH microscopic examination of purulent material aspirated from the sinonasal polyp of the patient revealed fungal elements, and Rhizopus spp was isolated. Due to a shortage of Amphotericin B, the patient was referred to a government higher speciality centre for further management. The patient was followed up & was noted that he was treated with antifungal and discharged following recovery.

scholarly journals Hysterectomy of a 15 Years Old Girl: A Rare Case Report

2015 ◽  
Vol 9 (3) ◽  
pp. 331-334
Author(s):  
Tapasi Pati ◽  
Sibananda Nayak ◽  
Sanjukata Mohapatra ◽  
Mahesh Chandra Sahu ◽  
Rabindra Nath Padhy
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Vesicovaginal Fistula ◽  
Obstet Gynecol ◽  
Exploratory Laparotomy ◽  
Unsuccessful Attempt ◽  
Life Saving ◽  
Rare Case Report ◽  
History Of ◽  
Saving Measure

ABSTRACT A 12 years old girl reported with a history of unsuccessful attempt at vaginoplasty. During admission, she was found to be in septic shock and detected to have pyoperitoneum as well as, involuntary leakage of urine. Exploratory laparotomy was carried out as the life saving measure. After 1 year, she was taken up for the repair of vesicovaginal fistula (VVF). She presented again with complaints of mass in lower abdomen after 8 months. When evaluated the mass was diagnosed as hematometra and blood was drained out, by syringing the uterus in a surgical procedure. Further she developed severe pain along with recurrence of the mass, which was progressively increasing in size. The repeat vaginoplasty was attempted but found unsuccessful, resulting in hysterectomy at 15 years. How to cite this article Pati T, Nayak S, Mohapatra S, Sahu MC, Padhy RN. Hysterectomy of a 15 Years Old Girl: A Rare Case Report. Donald School J Ultrasound Obstet Gynecol 2015;9(3):331-334.

scholarly journals Post COVID 19- mucormycosis and osteomyelitis of the mandible- A rare case report

2022 ◽  
Vol 7 (4) ◽  
pp. 230-234
Author(s):  
Bhavana Valvi ◽  
Kanchan Shah ◽  
Prashant Pandilwar ◽  
Suraj Parmar ◽  
Wahah Shaikh
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Virus Disease ◽  
Antifungal Drugs ◽  
Prosthetic Rehabilitation ◽  
Fatal Complication ◽  
Uncontrolled Diabetes ◽  
Rare Case Report ◽  
Antibacterial And Antifungal ◽  
Second Wave

Corona virus disease was declared as pandemic in 2020. The second wave of covid 19 in India was completely influenced by the fatal complication of covid 19 called Mucormycosis. It was declared as an epidemic in India after 2 wave. The use of Corticosteroids in the management of covid 19 and uncontrolled diabetes mellitus with other systemic illness has shown tremendous immunosuppression which has ultimately caused Mucormycosis. Mucormycosis is rare in mandible. We are presenting a case report with brief discussion of 9 patients having post covid Mucormycosis along with osteomyelitis of the mandible, the rarest form of the post covid infection, which was managed surgically as well as with adjuvant antibacterial and antifungal drugs followed by post-operative prosthetic rehabilitation. This fatal infection has to be kept in mind in covid 19 active cases as well as in recovered patients, especially in those having comorbidities and judicious use of cortico-steroids should be recommended.

scholarly journals COVID-19-associated rhino-orbital mucormycosis (CAROM)—a case report

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Humsheer Singh Sethi ◽  
Kamal Kumar Sen ◽  
Sudhansu Sekhar Mohanty ◽  
Sangram Panda ◽  
Kolluru Radha Krishna ◽  
...  
Keyword(s):  
Case Report ◽  
Health Care Professionals ◽  
Opportunistic Infections ◽  
Fungal Spores ◽  
Nasal Discharge ◽  
Contributing Factors ◽  
Post Discharge ◽  
Pulmonary Mucormycosis ◽  
The Right

Abstract Background There has been a rapid rise in the number of COVID-19-associated rhino-orbital mucormycosis (CAROM) cases especially in South Asian countries, to an extent that it has been considered an epidemic among the COVID-19 patients in India. As of May 13, 2021, 101 CAROM cases have been reported, of which 82 cases were from India and 19 from the rest of the world. On the other hand, pulmonary mucormycosis associated with COVID-19 has a much lesser reported incidence of only 7% of the total COVID-19-associated mucormycosis cases (Singh AK, Singh R, Joshi SR, Misra A, Diab Metab Syndr: Clin Res Rev, 2021). This case report attempts to familiarize the health care professionals and radiologists with the imaging findings that should alarm for follow-up and treatment in the lines of CAROM. Case presentation Rhino-orbital mucormycosis (ROM) is a manifestation of mucormycosis that is thought to be acquired by inhalation of fungal spores into the paranasal sinuses. Here, we describe a 55-year-old male, post COVID-19 status with long standing diabetes who received steroids and ventilator therapy for the management of the viral infection. Post discharge from the COVID-19 isolation ICU, the patient complained of grayish discharge from the right nostril and was readmitted to the hospital for the nasal discharge. After thorough radiological and pathological investigation, the patient was diagnosed with CAROM and managed. Conclusion Uncontrolled diabetes and imprudent use of steroids are both contributing factors in the increased number of CAROM cases. Our report emphasizes on the radiological aspect of CAROM and reinforces the importance of follow-up imaging in post COVID-19 infection cases with a strong suspicion of opportunistic infections.

Subglottic tracheal stenosis complicating pregnancy: A case report

2021 ◽  
pp. 1753495X2199022
Author(s):  
Edward J Miller ◽  
Emily YS Huning
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Tracheal Stenosis ◽  
Multidisciplinary Management ◽  
Shortness Of Breath ◽  
Uncommon Case ◽  
In Pregnancy

The case presented details an uncommon case of subglottic tracheal stenosis exacerbated by pregnancy. We outine the multidisciplinary management involved and the outcomes for the pregnancy. The case serves as a reminder that shortness of breath in pregnancy has a broad differential diagnosis, and stridor is always abnormal.

scholarly journals Transoral approach in facial penetrating trauma - importance of multidisciplinary management and nutritional support a case report

2021 ◽  
Vol 32 ◽  
pp. 100421
Author(s):  
David A. Cardenas ◽  
Cristian G. García ◽  
Cristhian García ◽  
Jose L. Moreno ◽  
Milton O. Sandoval ◽  
...  
Keyword(s):  
Case Report ◽  
Nutritional Support ◽  
Penetrating Trauma ◽  
Transoral Approach ◽  
Multidisciplinary Management

Life-saving with a vaginal condom catheter in postpartum haemorrhage due to vaginal lacerations in a low-resource setting

2021 ◽  
Vol 14 (9) ◽  
pp. e245199
Author(s):  
Indunil Piyadigama ◽  
Chinthaka Banagala ◽  
Lakshman Kariyawasam ◽  
Madura Jayawardane
Keyword(s):  
Postpartum Haemorrhage ◽  
Foley Catheter ◽  
Labia Minora ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Life Saving ◽  
Saving Measure ◽  
Vaginal Introitus ◽  
Condom Catheter

Postpartum haemorrhage (PPH) due to multiple vaginal lacerations is difficult to manage and tamponade is used as a life-saving measure. Condom catheter with stay sutures at the vaginal introitus for this purpose has not been reported. We describe successfully managing PPH due to multiple vaginal lacerations following a forceps delivery using a condom tied to an 18 FG Foley catheter. The device was introduced to the vagina, inflated with 700 mL of normal saline and was held in situ by sealing the vaginal introitus with interrupted nylon stitches running between the labia minora. Condom catheter is cheap and freely available in low-resource settings. The preparation and application can be done by a less experienced operator.

ACUTE STROKE MULTIDISCIPLINARY MANAGEMENT (CASE REPORT)

2019 ◽  
Vol 14 (3) ◽  
pp. 145-147
Author(s):  
I.S. Chernyakov ◽  
S.G. Vinckovskij ◽  
K.M. Vahitov ◽  
I.G. Shacman
Keyword(s):  
Case Report ◽  
Acute Stroke ◽  
Multidisciplinary Management
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