AIIMS has released new guidelines regarding detection and care for cases of black fungus or mucormycosis which has claimed several lives across the country.
The AIIMS Covid ward says that individuals with uncontrolled diabetes, who were on a high dose of steroid were susceptible to black fungus infection.
Black Fungus claimed the life of a 27-year-old youth in Assam on Wednesday.
As per AIIMS, patients or people who suffer from uncontrolled diabetes, diabetic ketoacidosis are more prone to black fungus. The list also includes diabetics on steroids or tocilizumab and are at high risk to contract mucormycosis.
Patients on immunosuppressants or anticancer treatment, chronic debilitating illness are also at high risk.
Patients on high-dose steroids or on the long duration of steroids, tocilizumab can also be contracted by the black fungus.
Serious Covid patients, those who are on oxygen support through nasal prongs or mask, ventilators are also prone to the disease.
Patients on immunosuppressants or anticancer treatment, chronic debilitating illness are also at high risk. Patients on high dose steroids or on the long duration of steroids, tocilizumab.AIIMS has advised doctors and especially ophthalmologists to advise patients with a risk of black fungus infections to do regular check-ups with doctors even after discharge.
The various symptoms that can help in the detection of black fungus infection are abnormal black discharge or crust or blood from the nose, nasal blockage, headache or eye pain, swelling around the eyes, double vision, redness of eyes, inability to open the eyes, prominence of the eyes, facial numbness or tingling sensation, difficulty in chewing or opening mouth.
Regular self-examination can be done at home by taking a full face examination in daylight in order to check the facial swelling, especially the nose, cheeks, around the eyes) or black discoloration, hardening and pain on the touch.
If a person tends to lose their teeth or there is any kind of swelling or darkening inside the mouth, palate or nose, immediate medical attention should be given.
If the person shows such symptoms, it is advised to reach out to an ENT specialist and an ophthalmologist or any doctor who is treating patients with the same abnormal findings.
Regular treatment and follow-ups should be done along with strict monitoring of blood sugar levels and keeping it normal. No self-medication with steroids or antibiotics or antifungal drugs should be done.
An MRI or a CT-Scan with contrast-paranasal sinuses and orbit should be done if suggested by the designated doctor.