Authors : Kanchan M Shah, Tejal Sanjay Badhan, Jayant S Landge, Parul Goyal
DOI : 10.18231/j.jooo.2023.010
Volume : 9
Issue : 1
Year : 2023
Page No : 50-53
Background: Mucormycosis is a rare fungal infection with high morbidity and mortality rate as compare to its prognosis which is poor. Coronavirus disease 2019 (COVID-19) infection may be associated with a wide range of bacterial and fungal co-infections. We report the case of a patient with COVID-19 infection, which, during the course of the treatment, developed rhino-orbital mucormycosis. Very few cases of mucormycosis of mandible have been reported in literature. In this article, we present three cases of mucormycosis affecting mandible and the surgical management for it given in our institute.
Methods: Extraction of all mobile teeth was done along with mechaincal curettage and sequestrectomy performed.
Results: Patients are kept in regular follow up and referred to Prosthodontics department for rehabilitation.
Conclusions: COVID-19 associated mucormycosis is aggressive and locally invasive, therefore early diagnosis and management is imperative to improve prognosis and help reduce morbidity. Mandible is not affected frequently by mucormycosis but is aggressive. Caution before attempting dental extraction which can worsen ongoing infection will ensure good outcomes, shorter hospital stay and better rehabilitation.
Keywords: SARS- CoV -2 infection, Mucormycosis, Mandible, Diabetes mellitus, Posaconazole, Sequestrectomy.