Acute respiratory distress syndrome is a common complication of severe viral pneumonia, such as influenza and COVID‐19, that requires critical care including ventilatory support, use of corticosteroids and other adjunctive therapies to arrest the attendant massive airways inflammation. Although recommended for the treatment of viral pneumonia, steroid therapy appears to be a double‐edged sword, predisposing patients to secondary bacterial and invasive fungal infections (IFIs) whereby impacting morbidity and mortality. Mucormycosis is a fungal emergency with a highly aggressive tendency for contiguous spread, associated with a poor prognosis if not promptly diagnosed and managed. Classically, uncontrolled diabetes mellitus (DM) and other immunosuppressive conditions including corticosteroid therapy are known risk factors for mucormycosis. Upon the background lung pathology, immune dysfunction and corticosteroid therapy, patients with severe viral pneumonia are likely to develop IFIs like aspergillosis and mucormycosis. Notably, the combination of steroid therapy and DM can augment immunosuppression and hyperglycaemia, increasing the risk of mucormycosis in a susceptible individual. Here, we report a case of sinonasal mucormycosis in a 44‐year‐old woman with hyperglycaemia secondary to poorly controlled diabetes following dexamethasone therapy on a background of influenza pneumonia and review 15 available literatures on reported cases of influenza and COVID‐19 associated mucormycosis.

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The traditional intraoral approach for temporomandibular joint dislocations reduction, although effective, has some disadvantages. Here, a new extraoral approach is described. This study was performed to evaluate this new method's success rate. Patients visiting an emergency room were randomly allocated to 2 groups; one group was reduced with the extraoral approach and the other with the intraoral method. Among 29 attempts with the conventional method, 25 were successful (86.2%; 95% confidence interval: 73-100) and among 29 attempts with the external method, 16 were successful (55.2%; 95% confidence interval: 39-79). This difference was statistically significant. Because of the benefits of the external approach, such as avoiding hand bites and disease transfer, it can be a reasonable choice to reduce a dislocated temporomandibular joint.

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