Clinical Spectrum of Mucormycosis among COVID -19 Patients Attending Tertiary Health Care Facility: Hospital based Descriptive Study

Abstract

Diabetes Mellitus predisposes patients to invasive fungal infections. There has been a recent surge of Mucormycosiswith COVID 19 infection particularly in patients with diabetes. This study aims to study the clinical spectrum ofCAM (COVID -associated Mucormycosis) with diabetes and subsequent outcomes.Material and methods: Descriptive study was conducted among the patients attending Ophthalmology OPD in aTertiary Care Centre in Telangana with COVID Associated Mucormycosis(CAM) from March 2021 to June 2021.Results: Among 200 patients who attended OPD with CAM, Diabetes Mellitus was the most common comorbidity.The majority of the patients had poor glycaemic control with a mean HbA1c of 9.06%. Pre-existingdiabetes mellitus (DM) was present in 84% of cases. Out of the total study population, 89% had prior exposure tohigh dose corticosteroids.Conclusion: The disease has surged in COVID 19 pandemic due to uncontrolled diabetes and impropercorticosteroid use.