DR. SONAM GILL

DR. ASHOK RATHI, DR. RAJENDRA SINGH CHAUHAN, DR. NIDHI SINGH

Abstract

A 60 year old male presented to ophthalmology emergency with history of fever 20 days back followed by swelling of right cheek and eye and decreased vision(6/18).Patient’s RTPCR was found to be negative but had high antibody titre for Covid-19 antigen suggestive of recent recovery from Covid-19(no history of Covid vaccination).Patient was misdiagnosed as Typhoid positive at his village for which inadvertent unknown intravenous injections were given by a local quack most probably steroids only before Mucor was declared as an epidemic.On CECT Paranasal sinuses,patient had bilateral maxillary sinusitis for which patient was planned for FESS.The causal organism was proved to be Mucor on HPE.Due to the dearth of liposomal Ampho B,patient was given lyophilised Ampho B.Patient’s vision deteriorated progressively over the following week but was saved from exenteration.

Conclusion- Misdiagnosis of RTPCR Covid negative patients and inadvertent use of steroids led to the upsurge of mucormycosis.