Dual Fungal Infections (Aspergillosis and Mucormycosis) in a Diabetic Mellitus Patient Leading to Maxillary Sinusitis as a Post-COVID Manifestation: First Case Report

Jawanda, Manveen Kaur; Narula, Ravi; Gupta, Sonia; Sharma, Vineet; Gupta, Priya; Kaur, Manpreet

doi:10.14712/18059694.2022.7

Acta Medica > Archive > 2021, Vol. 64 > Issue 4 > Dual Fungal Infections (Aspergillosis…

Acta Med. 2021, 64: 227-231

https://doi.org/10.14712/18059694.2022.7

Dual Fungal Infections (Aspergillosis and Mucormycosis) in a Diabetic Mellitus Patient Leading to Maxillary Sinusitis as a Post-COVID Manifestation: First Case Report

Manveen Kaur Jawanda^a, Ravi Narula^b, Sonia Gupta^c, Vineet Sharma^d, Priya Gupta^e, Manpreet Kaur^e

^aDepartment of Oral Pathology & Microbiology and Forensic Odontology. Laxmi bai institute of dental sciences and hospital, Patiala, Punjab, India
^bDepartment of Oral and Maxillofacial surgery, Guru Nanak Dev Dental College and Research Institute, Sunam, Punjab, India
^cDepartment of Oral Pathology and Microbiology & Forensic Odontology, Rayat and Bahra dental college and hospital, Mohali, Punjab, India
^dDepartment of Conservative Dentistry, Laxmi bai institute of dental sciences and hospital, Patiala, Punjab, India
^eDepartment of Oral and Maxillofacial Pathology & Microbiology, Laxmi Bai Institute of Dental Sciences and Hospital, Patiala, Punjab, India

Received August 31, 2021
Accepted December 1, 2021

Coronavirus infectious disease-19 caused by Severe acute respiratory distress syndrome-coronavirus-2 has emerged to be an emergency global health crisis for more than a year. And, as the disease has spread, a number of new clinical features have been observed in these patients. Immunosuppression caused by this disease results in an exacerbation of pre-existing infections. While corticosteroids are considered a life-saving therapeutic intervention for this pandemic, they have proved to be a double-edged sword and their indiscriminate use has produced some deleterious results. Recently, in the backdrop of this expression, a notable rise in invasive fungal infections has been identified even in the post-remission phase. Mucormycosis, Aspergillosis, and Candidiasis are the three most common opportunistic fungal infections among those observed. COVID-19 patients with diabetes mellitus are already at a higher risk of developing such secondary infections due to impaired immunity. Here we present a rare case report of a 50-year old male diabetic mellitus patient diagnosed with dual fungal infections (Aspergillosis along with Mucormycosis) leading to maxillary sinusitis as a post-COVID manifestation. To our knowledge, this is the first such case reported till date.