Amphotericin-b-induced chronic kidney disease in a post-covid-19 patient with widespread rhinocerebral mucormycosis and pneumonia: A CASE REPORT

医学 毛霉病 两性霉素B 肺炎 重症监护医学 不利影响 传染病(医学专业) 疾病 肾脏疾病 大流行 慢性阻塞性肺病 2019年冠状病毒病(COVID-19) 儿科 外科 内科学 皮肤病科 抗真菌
作者
Nishant Johri,Ambika Choudhary,Ujjawal Rawat,Maheshwari Vengat
出处
期刊:Current Drug Safety [Bentham Science Publishers]
卷期号:18 被引量:1
标识
DOI:10.2174/1574886318666230804101539
摘要

The COVID-19 pandemic has posed a unique challenge to the medical community due to potential co-infections with bacteria and fungi. We report a case of Rhino cerebral mucormycosis infection in a 67-year-old patient after recovery from COVID-19.To report a case of Rhino cerebral mucormycosis in a 67-year-old patient with pre-existing health conditions after recovering from COVID-19 and to highlight the importance of early detection and treatment of co-infections in patients with pre-existing health conditions.The patient had pre-existing health conditions, including uncontrolled diabetes, hypertension, and Chronic obstructive pulmonary disease (COPD), which made him more vulnerable to complications after COVID-19. He was admitted to the hospital after experiencing a dark discharge from his left eye, later confirmed to be due to mucormycosis. Histopathological examination revealed invasive mucormycosis, highlighting the importance of early detection and treatment. However, the patient experienced Acute kidney injury (AKI) after only 5 days of treatment with conventional amphotericin B, underscoring the need for careful monitoring and adjustment of treatment regimens.The case underscores the need for early detection and treatment of co-infections in vulnerable patients. The patient's pre-existing conditions and immunocompromised state made him more susceptible to the infection. The case also highlights the importance of careful monitoring and adjustment of treatment regimens to minimize the risk of adverse effects.While COVID-19 has presented challenges and uncertainties, it has also provided valuable insights into the interactions between infectious agents and the human body. Continued research and vigilance are necessary to mitigate the impact of co-infections and improve outcomes for patients.
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