COVID Associated Invasive Aspergillosis

• Published in: Indian journal of otolaryngology, and head, and neck surgery Vol. 75; no. 2; pp. 557 - 562
• Main Authors: Bhandari, Sudhir, Gupta, Shubhangi, Bhargava, Shruti, Samdani, Sunil, Singh, Shashank Nath, Sharma, Bharat Bhushan, Malhotra, Bharti, Bargrhatta, Meenu, Sharma, Srikant, Vyas, Aruna, Sharma, Vishnu, Grover, Mohnish
• Format: Journal Article
• Language: English
• Published: New Delhi Springer India 01-06-2023; Springer Nature B.V
• Subjects: Aspergillosis; COVID-19; Diabetes; Fungal infections; Head and Neck Surgery; Medicine; Medicine & Public Health; Original; Original Article; Otorhinolaryngology; Sinusitis; COVID-19; Steroid; COVID associated aspergillosis; Diabetes mellitus; Paranasal sinuses; Aspergillosis
• ISSN: 2231-3796; 0973-7707
• DOI: 10.1007/s12070-022-03367-9

To study the possible association between invasive fungal sinusitis (aspergillosis) and coronavirus disease. An observational study was conducted at a tertiary care centre over 6 months, involving all patients with aspergillosis of the paranasal sinuses suffering from or having a history of COVID-19 infection. 92 patients presented with aspergillosis, all had an association with COVID-19 disease. Maxillary sinus (100%) was the most common sinus affected. Intraorbital extension was seen in 34 cases, while intracranial extension was seen in 5 cases. Diabetes mellitus was present in 75 of 92 cases. All had a history of steroid use during their coronavirus treatment. New manifestations of COVID-19 are appearing over time. The association between coronavirus and aspergillosis of the paranasal sinuses must be given serious consideration. Uncontrolled diabetes and overzealous use of steroids are two main factors aggravating the illness, and both of these must be properly checked.