August 2021
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Bajaj Auto July sales jumps 44 pc in Jul        Pegasus issue: SC to hear on Aug 5 pleas seeking probe into snooping allegations        Dutee finishes last in her 200m heat race, fails to qualify for semifinals at Olympics        Pakistan reports spike in new COVID-19 cases        Mexico's referendum on trying ex-presidents falls short        Berlin protesters decry coronavirus measures; 600 detained        Brave Indian women create history, enter maiden Olympic hockey semifinals        Tokyo Olympics: Badminton star P V Sindhu scripts history on Super Sunday        India beat South Africa 4-3 to keep QF hopes alive in Olympic women's hockey        World No.1 Panghal's Olympic campaign ends with shocking loss to Colombian Martinez        COVID-19: India records 41,649 fresh cases, 593 more fatalities        TREMOR        Das knocks out Olympic champion in Tokyo, joins wife Deepika in last-16        Air India sold its 115 properties for Rs 738 crore since 2015: Govt        Researchers Develop Variants Of More Potent, Stable Nanobodies To Fight SARS-CoV-2        Assam, Mizoram trade barbs over deployment of security forces at interstate border        HC rejects plea to reassess minority status of Christians, Muslims in Kerala        Govt hiding on Pegasus issue, responsible for Parliament logjam: Congress        True legend of Indian badminton: tributes pour in after legendary Nandu Natekar dies        Tendulkar helps farmer's daughter to pursue dream of becoming doctor        
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Health News
Mucormycosis: The most frequently asked questions
1.What is mucormycosis?
Also known as Black fungus. Is an opportunistic infection (infection happens when the immune system is weak due to various reasons). Came to public attention after many cases were reported in the post covid scenario.
2. Is it a new disease?
No. It’s not.
3. Does it happen only in covid patients?
No. Currently covid is the main reason. Also happens in uncontrolled diabetes, after prolonged steroid use, patients using immuno suppressant medications, patients of organ transplants, patients of cancer etc.
4. Are all covid patients at risk of mucormycosis?
No. Covid with uncontrolled diabetes, Covid with prolonged and high dose steroid use, those using contaminated equipments, damp masks, living in unhygienic and crowded places are at particularly increased risk.
5. Is it a mild infection?
No, its rapidly progressive, severely destructive; organ or life-threatening disease. Mortality (death rate) is in the order of 40 to 80%.
6. What are the symptoms of mucormycosis?
Facial pain, swelling, headache, running nose, sinus tenderness, blood stained nasal discharge, black

discolouration around the eyes, inside nasal cavity, palate, tooth pain, loosening/falling of teeth, double vision, blurring of vision, loss of vision, blood stained or black sputum can all in various combination can be the presenting symptom.
7. What are the tests to detect the presence of mucor mycosis?
In a predisposed patient with symptoms suggestive of mucor mycosis; immediate medical intervention is necessary. Tests conducted are nasal endoscopy, biopsy of suspicious tissues, fungal stain with special stains; MRI of nose, sinuses, orbits, brain is also informative.
8.What are the treatments available?
Surgical treatment is the mainstay.
9.Are there any drugs available?
Yes. Amphotericin B is the drug of choice, but drugs alone does not cure the disease, drugs along with surgery has the best chance of survival. Other drugs are Posaconazole and isavuconazole, but less effective compared to amphotericin.
Can be used for those not tolerating amphotericin.
10.What are the forms of mucormycosis seen?
Rhino orbito cerebral mucormycosis is the most common form affecting the nose, sinuses, orbits, eyes, brain. Other forms are pulmonary, gastrointestinal etc.
What is the major side effect of amphotericin?
Nephrotoxicity (can damage the kidneys). So this is given in centers with experience in dealing with such health conditions.
12. Is there any other fungal infection the covid patients are more susceptible?
Yes. Covid associated aspergillosis is one such systemic fungal infection.

Dr Wilson AP
Consultant- Internal Medicine

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