Background: Mucormycosis is an opportunistic fungal infection with a high fatality rate and is the third most common fungal infection that is invasive in nature, next to candidiasis and aspergillosis. It is attributed to the poor socio-economic status and triggered by the local trauma due to unhygienic setup or poor health care. The pathway of pathogenesis is not clearly understood in immunocompetent patients and therefore becomes a matter of great concern.Aim& Objective: To explore the pathway of mucormycosis in a case of post SARS-CoV-2 infection Settings and Design: Tertiary Care hospital of Jabalpur DistrictMethods and Material: Interview with the case and care taker and case file review.Results: We could conclude this as a case of rhino- orbital mucormycosis attributed to uncontrolled blood sugar during treatment of SARS-CoV-2 infection, three delays that have occurred during the disease progression like ignorance from health service provider, late diagnosis, non compliance to the advice given by health facility, poor oral and nasal hygiene and no use of distilled water in humidifier. Conclusions: The early diagnosis, prompt Treatment , surgical intervention , proper blood sugar monitoring and rational use of steroids are important steps of successful outcome of the disease.
Introduction: COVID-19 is an infectious disease caused by the most recently discovered coronavirus. This new virus and disease were unknown before the outbreak began in Wuhan, China, in December 2019. One target during this pandemic is to control infection by promoting the use of Masks, hand sanitizations and maintaining the social distance. And the key spreaders as well most vulnerable for Covid-19 are Medical care staff (Doctors, Nurses, paramedical workers, ward boy etc). Objectives: To assess what factors were responsible for spread the disease and to understand the pattern of spread of COVID-19 among these workers. Methodology: An exploratory study design conducted among the COVID-19 positive Doctors, Nurses, and paramedical staff working in Govt. or private set up. Through Telephonic conversation, data was collected. Result: 75% of a positive health professional was from NSCB medical college which has been designated as COVID Health Centre. The staffs are providing Critical care to Covid patients, Anaesthetics, Surgeons, Nurses, ward boys are at high risk for acquiring the disease. Out of 40 positive cases, only two had history of travel. Even people who wore PPE were also got infected. Maximum 38% were those who were wearing a mask but not all the time gloves. 20% were those who neither wearing masks nor gloves during exposure with contacts. Among those who were symptomatic most of them had fever followed by Fever with cough and cold, Fever with weaknesses and coughing, sore throat, body ache, etc. Conclusion: efforts are needed to reduce lapses in compliance with masking, use of gloves or the practice of hand hygiene and maintaining the social distancing in non-patient care areas, wards and OPDs.
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