Pulmonary Mucormycosis secondary to Severe Acute Respiratory Illness due to Covid 19 Infection: A Case Report

Autor: Ashish Karthak, Ashish Shrestha, Naresh Gurung, Yuvaraj Bhusal, Rakesh Lama, Sulav Rayamajhi, Sanjeet Bhattarai, Asim Regmi, Anup Ghimire, Kishor Khanal, Sanjeet K Shrestha
Rok vydání: 2022
Zdroj: Nepalese Respiratory Journal. 1:15-18
ISSN: 2822-2016
2822-1893
DOI: 10.3126/nrj.v1i1.45235
Popis: Patients diagnosed and hospitalized with SARS COV-2 are managed with corticosteroids due to its known benefits for the prevention of airway inflammation secondary to acute respiratory distress syndrome seen commonly in viral pneumonia. However, these patients carry a high risk of developing secondary bacterial and fungal infection. We present a case of 60-year-old male with COVID-19 pneumonia. The patient was diagnosed with pulmonary mucormycosis 18 days following admission. The patient was treated with broad-spectrum antibiotics, remdesivir and corticosteroids along with antifungals including voriconazole and amphotericin B with no significant improvement. However, even after extensive medical management patient was eventually intubated and succumbed to its complications. Mucormycosis although an uncommon infection should be considered due to extensive use of glucocorticoid therapy and concurrent comorbidities present among COVID-19 patients.
Databáze: OpenAIRE