Acta Med. 2021, 64: 227-231

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 Jawandaa, Ravi Narulab, Sonia Guptac, Vineet Sharmad, Priya Guptae, Manpreet Kaure

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.


20 live references