Abstract
In the recent past, rhino-orbital mucormycosis in people with COVID-19, were reported from many parts of the world. Diabetes mellitus, though, happens to be an independent risk factor both for severe COVID-19 and mucormycosis, administration steroids is attributed as a precipitating factor for acquiring this comorbid condition. Fungal agents causing mucormycosis are highly angioinvasive in nature, as a result of which, clinical outcome of infection is invariably poor, especially with rhinocerebral or rhinoorbitocerebral variety. Effective management depends upon timely and accurate diagnosis, and parenteral administration of amphotericin B. Judicious use of steroids is always recommended. Glycemic control in those who are severely diabetic is advocated. Surgical debridement of the paranasal sinuses and orbital cavities and removal of dead tissue is an essential part of management in order to facilitate faster healing and better penetration of antifungal drugs. Exenteration of eye ball may be indicated, if cavernous sinus and intracranial spread are anticipated.
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