Rhinocerebral Mucormycosis in a COVID-19 Patient from Nepal: A Case Report

Authors

  • Sanjay Kumar Gupta Department of General Practice and Emergency Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
  • Pallawi Jyotsana Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
  • Avilasha Singh Kathmandu Medical College, Sinamangal, Kathmandu, Nepal
  • Diwakar Phuyal Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal
  • Parbej Allam Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal

DOI:

https://doi.org/10.31729/jnma.6904

Keywords:

case report, COVID-19, mucormycosis, Nepal

Abstract

With the surge of cases during the second wave of COVID-19 in Nepal, a number of mucormycosis coinfection cases have also come to our attention. We present a case of a 65-year-old female who was admitted to our emergency department with complaints of pain, swelling, and tingling sensation of the left side of the face along with blood-tinged nasal discharge for 20 days. She had been tested positive for COVID-19 a month back and managed with oxygen support and corticosteroids. Magnetic Resonance Imaging showed invasive fungal sinusitis, with the positive black turbinate sign and mild extension along with the dura mater of the left temporal lobe, and left cavernous sinus. She was diagnosed with rhinocerebral mucormycosis and managed with systemic antifungal therapy and insulin. As per the treatment modality, surgical debridement could not be done because the patient did not give consent.

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Published

2021-07-30

How to Cite

Kumar Gupta, S. ., Jyotsana, P., Singh, A., Phuyal, D. ., & Allam, P. (2021). Rhinocerebral Mucormycosis in a COVID-19 Patient from Nepal: A Case Report. Journal of Nepal Medical Association, 59(239), 703–705. https://doi.org/10.31729/jnma.6904

Issue

Vol. 59 No. 239 (2021): JNMA: Published Monthly

Section

Case Reports

License

Copyright (c) 2021 Sanjay Kumar Gupta, Pallawi Jyotsana, Avilasha Singh, Diwakar Phuyal, MD Parbej Allam

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