PDF(Pubmed)
Abstract：
Aim of our study was to report unusual presentation of mucormycosis in patients, who were recovered from COVID-19 infection. This was a prospective observational study, undertaken at Ravindra Nath Tagore Medical College, Udaipur, India, over a period of last 3 months (April-June 2021). All patients with maxillofacial and dental mucormycosis were included in the study. All patients either have COVID-19 infection or recovered from it. Eight (40%) patients had history of use of corticosteroids for COVID1-19 infection, fifteen patients had either known case of diabetes or newly diagnosed diabetes with uncontrolled blood sugar at the time of presentation, three (15%) patients were in pre-diabetic state with HbA1c between 6.0 and 6.5% and two patients had no diabetes. None of patients had diabetic ketoacidosis and only one patient reported complete loss of vision with dental symptoms. There was unusual presentation of mucormycosis in form of loosening of teeth in uncontrolled diabetes. Injudicious use of steroids and uncontrolled diabetes are two main risk factors, so eyes should be kept on both of these.
摘要：
我们研究的目的是报告患者的毛霉菌病的异常表现，他们从COVID-19感染中恢复过来。这是一项前瞻性观察研究，在拉文德拉·纳特·泰戈尔医学院进行，乌代布尔,印度,过去3个月（2021年4月至6月）。所有颌面部和牙齿毛霉菌病患者均纳入研究。所有患者要么患有COVID-19感染，要么从中康复。8例（40%）患者有使用皮质类固醇治疗COVID1-19感染的病史，15名患者有已知的糖尿病病例或新诊断的糖尿病患者在就诊时血糖不受控制，3例(15%)患者处于糖尿病前期状态,HbA1c在6.0%~6.5%之间,2例患者无糖尿病.没有患者患有糖尿病酮症酸中毒，只有一名患者报告视力完全丧失并伴有牙齿症状。在不受控制的糖尿病中，毛霉菌病以牙齿松动的形式出现。不当使用类固醇和不受控制的糖尿病是两个主要的危险因素,所以眼睛应该保持在这两个。
