Explainer: What is the deadly ‘black fungus’ seen in cod patients in India? | Corona virus

An unusual black fungus that attacks the brain is increasingly seen in vulnerable patients in India, including those with Quaid 19, as the struggle against the health epidemic continues.

The Ministry of Health issued an advisory on treating the infection on Sunday. About 300 cases have been reported in four cities in Gujarat, including Ahmedabad, according to government-run hospitals.

“The fungus, called mycorrhizae, is very serious, it has a very high mortality rate, and you need surgery and a lot of medicine,” said Professor Peter Collinson, who sits on the World Health Organization’s expert committee. On antibiotic resistance and infectious diseases.

What is mucormycosis?

The disease is caused by a group of molds, called mucormycetes, that live throughout the environment, including soil and plants. Mucormycosis is found all over the world, including in the United States and Australia. It can be obtained in hospitals – mostly usually through weak transplant patients – when it occurs in molds. Wear hospital clothes, Travel through Moves to ventilation systems, or adhesives.

“It’s a family of fungi that get into your sinuses and accumulate there, and they can get into the air in your head,” Collingon said. “And when your immune system can’t control them, they attack the base of your brain where it becomes a real problem, and really very serious.”

“You can also get fungal infections in places where there are a lot of buildings moving on the ground, as it causes a lot of dust in the area.”

Fungal veins are usually inhaled, and while most people’s immune systems can block them, people with conditions such as diabetes or leukemia that weaken the immune system, or people who take such medications Are used to reduce the body’s ability to fight germs. Infected eggs

The condition is usually very rare, with an estimated 500 cases of the disease occurring in the United States each year (it is difficult to determine the exact number because there is no national monitoring of the infection). )۔

Why is it appearing in India now?

Colvin said that covid-19 is creating conditions to prevent infection. The human immune system was compromised by the virus, and especially in patients with diabetes, it was found to have mycorrhiza.

“We now give high-dose steroids to people with COVID-19 if they are under extreme care because steroids help treat inflammation, but unfortunately steroids also suppress your immune system.

“That’s why we don’t like to give patients steroids for longer than we need. We’re trying to reduce your inflammation with steroids, but the real meaning is that you have a normal The ability to fight infections, such as fungus, has also been compromised.

The health system in India is under severe pressure, and congestion and tight environments are providing more opportunities to spread it.

How is it diagnosed?

Symptoms include pain and redness around the eyes and nose, fever, headache, cough, vomiting of blood in it, black and bloody discharge from the nose, pain on one side of the face and sinuses, black color on the nose, in the teeth Includes pain, and painful and blurred vision.

Fluid and tissue samples can be taken to confirm a diagnosis.

How is it prevented and treated?

Mycorrhiza is expensive and difficult to treat, and has a mortality rate of more than 50 percent, Collingon said.

“We usually refer to people with a suppressed immune system in what we call positive pressure rooms when they are hospitalized when they reduce the risk of getting an infection like mucormycosis, because the pressure in the room increases. So that the air flows into the corridor, the fungus or other things circulating in the air are less likely to be inhaled by the patient.

“Of course, a positive pressure room is the last place you want to keep a cowardly patient because it can spread the virus,” he said. [mucormycosis] Hard to stop. “

Patients with mucormycosis are given antifungal drugs that can be very toxic.

“You always need surgery to clear the source of the fungus, which is usually a sign of bone, and you place the back of your throat on the back of your nose,” Colin said. ” “You have to get there and get rid of all the fungal material. This surgery can be done in very delicate places like the base of your brain.

The Indian Council of Medical Research and the Union Ministry of Health have issued an advisory urging people to wear shoes, long pants, long-sleeved shirts and gloves when dealing with soil, moss or fertilizer. The ministry said people should also maintain personal hygiene, make sure they have diabetes if it is controlled, and medical professionals should be able to prescribe effective immune-suppressing steroids such as Stop them as soon as you can.


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