Program on Management and Treatment of Mucormycosis in COVID-19

A virtual program on “Case Based Teachings” on Covid Associated Mucormycosis was organized on 27th May 2021 with experts from SGPGI, Lucknow and KGMU, Lucknow which was shared with 52 medical colleges of UP. 422 participants attended it from various Medical colleges of UP.

Prof. R K Dhiman, Director, SGPGI welcomed the participants and speakers. Addressing the participants, he emphasized on identification of at risk cases and clinical setting and host factors which leads to Mucormycosis. In depth discussion on correct dosage of steroids for Covid pneumonia was discussed for judicious use of steroids.

Lt General (Dr) Bipin Puri, Vice Chancellor, KGMU highlighted on medical therapy and proper control of underlying host factors along with irrigation of surgical cavity with Amphotericin B and early diagnosis and aggressive management.

Dr Amit Keshri, Additional Professor, Neuro-otology, SGPGI, presented the 2 cases of Mucormycosis, which were managed by Multidisciplinary team at SGPGI. All aspect of case including the History, Examination, radiological finding, microbiology reports and antifungal therapy including the Surgery was discussed in details.

Prof Hardeep Malhotra, Department of Neurology, KGMU highlighted the radiological findings in various stages of Mucormycosis and involvement of orbit and brain in Mucormycosis and nuances in the management of these lesions.

Dr R K Singh, Professor and Head, Emergency Medicine, SGPGI elaborated on various Antifungal drugs and their dosage and side effects and use in clinical setting and duration of therapy and does and don’ts in Antifungal treatment duration.

Prof Himanshu, Department of Medicine, KGMU presented a case managed by KGMU Mucormycosis unit of KGMU and esteemed panelist discussed it extensively.

Dr Alok Nath, Professor and Head Dept of Pulmonology, SGPGI elaborated on the involvement of lungs in fungal infections and on Various Antifungal and Antimicrobial therapy for Mucormycosis. She said that vision loss should be documented and examination of pupils and ocular movements should be done.

Dr Rungmai S Marak, Professor, Microbiology, SGPGI, explained the various findings in mycology on the specimen she processed in the lab on theses patients with Mucormycosis, sampling technique and tissue processing and culture.

Dr Apjit Kaur, Professor and Head, Ophthalmology, KGMU spoke on management of orbital lesions in Mucormycosis and elaborated on intra-orbital Amphoterecin B protocol for saving the eye from exentration.

To summarize, the “Case based Teachings” gave participants an insight management of Mucormycosis in clinical setting and highlighted the use of Multidisciplinary team in management of this complex diseases by medical and surgical therapy.

The session was attended by 422 participants and more than 90 questions were asked by them, with many of them appreciated the case based discussion session. Prof R K Dhiman stressed on case presentation from various medical colleges in next session on Wednesday and to discuss the problem faced if any and take opinion of experts in a complex case at hand.