A Case of Bilateral Central Retinal Artery Occlusion in a Post-COVID Rhino-Orbital-Cerebral Mucormycosis Patient
| Autor: | Bharti Sharma, Abhijit Kumar, Minakshi Gupta, Abhishek Patnaik, Riti Chitrotpala, Reyaz Ahmad |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry General Engineering Infectious Disease post covid medicine.disease mucormycosis Surgery Rhino orbital cerebral mucormycosis Ophthalmology Otolaryngology immunocompromised Medicine Central retinal artery occlusion rhino orbital cerebral mucormycosis business central retinal artery occlusion |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Central retinal artery occlusion (CRAO) is a multifactorial disease, where inflammation and hypercoagulability are the major risk factors. It is a rare occurrence in this geographical area in patients diagnosed with sinus mucormycosis infection, which has emerged as one of the most fulminant, opportunistic secondary infection during post-COVID era. We report a case of a bilateral CRAO, in a 66-year-old, post-COVID, diabetic patient. A complete eye examination followed by radiological imaging of brain, orbit, and paranasal sinuses were done. Multidisciplinary approach was contemplated to reach a diagnosis of bilateral rhino-orbital-cerebral mucormycosis (ROCM). Intravenous liposomal amphotericin-B injection was started as a part of systemic management and an aggressive sinus debridement of both sides with amphotericin-B wash was also done. Despite an early diagnosis and intervention, the patient succumbed to her illness. All post-COVID patients presenting with the complaints of blurring of vision should be meticulously examined for the presence of any retinal abnormality in both the eyes as this may be a manifestation of an underlying secondary fungal infection. Early diagnosis of ROCM and management will help in reducing complications. |
| Databáze: | OpenAIRE |
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