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Rarest to rare: Man suffers mucormycosis post dengue

Rohit Shishodia          

Post COVID mucormycosis among diabetic patients is a well known disease but post dengue mucormycosis among non-diabetic patients is something rare. A case of this black fungus has been reported by doctors at Delhi’s Indraprastha Apollo Hospitals.

Mohammad Talib, 49-year-old, resident of Greater Noida, UP, came to the hospital complaining of a sudden loss of vision from one eye after 15 days of recovery from dengue.

Dr Suresh Singh Naruka, Senior Consultant ENT, Indraprastha Apollo Hospitals, who is leading the treatment of this patient said, “A rare case of black fungus (mucormycosis) came into our view when Mr. Talib came to the hospital reporting sudden loss of vision from one eye post dengue fever.

“It is rare to see mucormycosis as a post recovery complication in a dengue patient, as this condition is generally seen in people who have a history of diabetes, compromised immunity and various other infections,” he added.

“A deadly infection caused by a group of fungus called Mucor. This fungus invades the healthy tissues of the nose, sinuses, eye and brain so rapidly that any delay in diagnosis and management can lead to adverse long term complications,” explained Dr Naruka.  

Dr Atul Ahuja, Senior Consultant ENT and Head and Neck Surgery, Indraprastha Apollo Hospitals, New said, “Diagnosing and managing a case of rhino-orbital (involving nose and eye) mucormycosis in a patient who has just recovered from dengue fever is very important, as even after best treatment, patients of mucormycosis can lose their eyesight permanently and in a state of an aggressive infection, removal of eye becomes necessary for preventing any further spread of infection.”

Dr Nishant Rana, Registrar, Indraprastha Apollo Hospitals, New Delhi said, “Before coming to the hospital the patient had an episode of Nasal Bleeding as a complication owing to dengue 15 days prior to his recovery, wherein he noted low count of platelets with no transfusion history. Mucormycosis in his case is a resultant factor of compromised immunity owing to dengue.”

 Recently during the second wave of COVID-19, a large number of cases of black fungus have been noticed throughout the country after COVID-19 infection in patients suffering with chronic diabetes. Mucormycosis post dengue is a new observation and hence patients having a recent history of dengue should remain actively updated about their health and consult a healthcare expert immediately after noticing any new symptoms. 


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