Mucormycosis patients returning to hospital with new symptoms: The Tribune India
Tribune press service
Ludhiana, August 6
Doctors are now seeing patients who complain of pain and numbness in the cheeks, toothache, swelling around the eyes, headaches, etc.
Need follow-up for one year
The disease requires follow-up for up to a year. Usually, patients have a CT scan or MRI scan to confirm there was no fungus present after a few months of treatment. But both of these tests are faulty in detecting mucormycosis. – Dr Manish Munjal, DMCH, Ludhiana
During the surgery, the doctors discover a hidden mucor, the treatment of which had been left halfway by the patients. Patients return to see doctors after a year and such cases are reported in Punjab, Haryana, Jammu and Kashmir and Himachal Pradesh.
Dayanand Medical College and Hospital (DMCH), Ludhiana, sees one to two of these patients every day. Mucormycosis was a real challenge in the second wave of Covid and 599 patients from Punjab were diagnosed with the fungal infection, but patients who do not have regular follow-up and who drop out of treatment halfway are now facing after-effects.
“The disease requires a long follow-up of up to a year and patients who left treatment halfway are now
in trouble. Usually, patients have a CT scan or MRI scan to confirm there was no fungus present after a few months of treatment. But both of these tests are faulty in detecting mucormycosis and only a nasal examination by an ENT expert can confirm this, ”said Dr Manish Munjal, Head of Otolaryngology at DMCH.
He said most of the patients with “sequelae” of mucormycosis were those who went to private hospitals and did not complete treatment due to the high cost or the incompetence of the doctor. “Many cases have been referred by private hospitals to DMCH, PGI and other public hospitals because mucormycosis is a complex disease and requires regular follow-up,” said Dr Munjal.
A dentist in the area said he recently had a patient who complained of toothache. So the tooth was taken out, but after that it turned out that it was infected.
“People don’t know that treatment for mucormycosis is free in public hospitals and that all medicines are also given free. The government is providing antifungal drugs to the most remote health centers and surgery to all tertiary care facilities, ”added Dr Munjal.