European Journal of Biomedical and Pharmaceutical Sciences

A CASE SERIES STUDY OF POST COVID ASSOCIATED SINONASAL MUCORMYCOSIS WITH HARD PALATE INVOLVEMENT ATTENDING GGH, KAKINADA

Dr. V.CH.V.Siva Kumar, Dr. A.Janani, Dr. Tadi Jyothsna Priya Bhavani

ABSTRACT

Background: Mucormycosis is an opportunistic, fulminating fungal infection caused by fungi of the order Mucorales of subphylum mucormycotina (formerly known as the class zygomycetes). Mucormycosis being a rare disease, it causes highly invasive and progressive diseases in immunocompromised patients. Early diagnosis and intervention play an important role in the outcome. Rhino cerebral mucormycosis is common while palatal involvement is a rare occurrence. Mucormycosis of the hard palate is an ominous sign due to POSTCOVID-19 association and other predisposing factors that made it AN EPIDEMIC WITHIN THIS PANDEMIC. Materials and Methods: In this study, A total of 25 patients who presented with hard palate involvement and had a history of covid infection in the past and who filled the inclusion criteria, were chosen for the study. For all the cases a detailed history was collected and necessary evaluations were done. Results: On observation in this study, males are more commonly affected (80%), more common in DE Novo diabetic patients (80%), with the average window period being 56.2 days. The most common sinus involvement associated with hard palate involvement is the maxillary sinus (100%) according to the MRI and CT scan. The most common symptoms are palatal swelling (100%) followed by numbness in the upper jaw and upper lip (80%). We have observed recurrence in 12% of patients and 20% of patients had post-operative squeals like fistula (20%) and post-operative numbness in 40%. Others 28% of patients recovered without any complications. Conclusion: With proper suspicion in post covid patients with hard palate swelling and associated symptoms along with early diagnosis and adequate resection of the tumor, the disease can be conquered.

Keywords: MRI- Magnetic Resonance Imaging; CT- Computed Tomography; HARD PALATE; PALATAL MUCORMYCOSIS; POST COVID.