Individuals suffering from diabetes are at high risk of developing severe Covid-19 infection and it’s related complications including mucormycosis (black fungus).
Mucormycosis is an opportunistic fungal infection. It affects individuals with decreased immunity. High blood sugar levels in diabetic patients cause immune dysfunction. Diabetes medications can suppress immune response. In addition medicines used in the treatment of severe Covid-19 such as steroids and IL-6 inhibitors (tocilizumab), suppress immunity.
Presence of uncontrolled diabetes and indiscriminate use of steroids to treat Covid-19 lead to mucormycosis.
Mucormycosis affects eyes, nose, nasal cavities and brain. Symptoms include facial swelling, loose teeth, headache, stuffiness in the nose, black nasal discharge, blurring of vision. Severe infection can lead to blindness, seizures, blood vomitings and altered sensorium.
Maintain hygiene, regularly use povidone-iodine mouth washes, use masks, maintain social distance, avoid crowded places, garbage dumping sites and construction sites. Keep your blood sugars under control.
Avoid indiscriminate use of steroids to treat mild to moderate Covid-19. Use sterile water for humidification while administering oxygen.
Early diagnosis, early surgical debridement and liposomal amphotericin B usage are necessary to control black fungal infection.
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Dr. AMAR VENNAPUSA
Chief Consultant Bariatric & Metabolic Surgeon
Dr. Amar Bariatric & Metabolic Center,