Tandon Shruti, Rana Anju, Kaur Arundeep, Faraz Farrukh, Agarwal Kamal
Department of Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India.
Infez Med. 2023 Mar 1;31(1):86-92. doi: 10.53854/liim-3101-12. eCollection 2022.
Through the evolution of this global pandemic, it became increasingly clear that patients with pre-existing conditions such as diabetes mellitus, chronic kidney diseases (CKD), chronic cardiovascular disease, underlying malignancies, organ transplant recipients, and chronic liver disease are at increased risk for developing severe post COVID-19 complications. One such complication seen after COVID-19 is mucormycosis. Oral mucormycosis is a rare but highly fatal disease. Early diagnosis and timely treatment of rhinomaxillary mucormycosis are necessary to limit the spread of infection, which otherwise can lead to high morbidity and mortality. Dental healthcare practitioners should be familiar with its initial presentation, which if left undiagnosed or ignored can rapidly spread to the orbital and cerebral region leading to death. The case series describes the gingival clinical presentation in its initial stage, relevant basic clinical investigations, treatment, and the importance of an inter-professional team approach in the early management of patients with mucormycosis after post covid-19 infection.
在这场全球大流行的演变过程中,越来越明显的是,患有糖尿病、慢性肾脏病(CKD)、慢性心血管疾病、潜在恶性肿瘤、器官移植受者以及慢性肝病等基础疾病的患者,发生严重的新冠后并发症的风险增加。新冠后出现的一种此类并发症是毛霉菌病。口腔毛霉菌病是一种罕见但致命性很高的疾病。鼻眶脑型毛霉菌病的早期诊断和及时治疗对于限制感染扩散至关重要,否则可能导致高发病率和死亡率。牙科保健从业者应熟悉其初始表现,若未被诊断或忽视,其可迅速扩散至眼眶和脑部区域导致死亡。该病例系列描述了毛霉菌病在感染新冠后患者早期管理中的牙龈初始临床表现、相关基础临床检查、治疗以及跨专业团队方法的重要性。