Hansa Banjara, Ankur Chandrakar, Durgesh Gajendra, Jyoti Verma

AFRS IN A TERTIARY CARE HOSPITAL: OUR EXPERIENCE

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Introduction: The incidence of acute fungal rhinosinusitis has dramatically increased after Covid pandemic. Extensive use of steroids in Covid-19 management, associated diabetes mallitus or comorbidities can also suppress immunity of the patient thus allowing opportunistic fungal infections to colonise. Mucor, Rhizopus and Absidia are the main types of fungal infection affecting nose, paranasal sinuses, orbits or brain leading to life threatening outcomes or morbidities. A Retrospective study of 53 patients with s Materials and methods: uspected invasive fungal infection who presented to the ENT department, were included and evaluated clinically, radiologically, and endoscopically. Tissue samples from suspected sites were taken for KOH mounting and microscopy for conrmation of fungus. A total of 53 patient Result: s were included. Out of 53 patients 75.47% were male with average of 50 Years. Total 34 patients were in covid positive status. Major symptoms were Facial, orbital, nasal and Intracranial. Main risk factors for disease were DM, oxygen and steroid therapy and comorbidities. Total 79.25% were found positive for fungus on direct microscopy after KOH mounting. Conclusion: In our study maximum patients presented with combined ENT, Orbital & Neurological manifestations. Diabetes was most common co-morbidity found in almost all patients. Uncontrolled diabetes and over-zealous use of steroids are the main factors found to be aggravating the illness. Early and proper diagnosis, required surgical interventions and anti-fungal treatment should be sought for management.

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