After mucormycosis (black fungus), one other fungal an infection has been detected in 4 Covid-recovered sufferers in Pune within the final three months, elevating considerations among the many well being fraternity. Prabhakar* (66) complained of gentle fever and extreme decrease again ache a month after recovering from Covid-19. He was initially handled conservatively with muscle relaxants and nonsteroidal anti-inflammatory medication with out reduction.
A magnetic resonance imaging (MRI) scan revealed extreme infection-led bone harm to the spinal-discs areas referred to as spondylodiscitis. A bone biopsy and tradition grew aspergillus species — a kind of mould (fungus).
Medically termed aspergillus osteomyelitis, the invasive fungal an infection could be very tough to diagnose because it mimics spinal tuberculosis. Such fungal an infection has been detected in mouth cavities of Covid-recovered sufferers, and, in uncommon instances, in lungs. “We recognized vertebral osteomyelitis brought on by aspergillus fungi species in 4 sufferers in three months. Previous to this, aspergillus vertebral osteomyelitis had not been documented in post-Covid sufferers in India,” Deenanath Mangeshkar hospital infectious illnesses skilled Parikshit Prayag informed TOI.
The widespread thread within the 4 was that they’d extreme Covid and have been handled steroids to recover from Covid-linked pneumonia and associated issues. “Lengthy-term use of corticosteroids could enhance the chance of opportunistic infections, relying on the underlying illness being handled and what different medication are getting used,” he mentioned.
Prayag had recognized the primary affected person with aspergillus vertebral osteomyelitis three months in the past. “We picked up the fourth case this month. All 4 sufferers are present process therapy,” Prayag mentioned.
(*Identify modified on request)