PATTERN OF COVID-19 ASSOCIATED MAXILLARY MUCORMYCOTIC OSTEOMYELITIS
DOI:
https://doi.org/10.33279/jkcd.v11i03.126Keywords:
Mucormycosis, Osteomyelitis, COVID-19, Associated DiseasesAbstract
Objective:To evaluate the occurrence of mucormycotic osteomyelitis in our area regarding age, gender, side of involvement of maxilla and any associated systemic diseases and treatment modality adopted in our centre.
Materials and Methods:Data of 21 patients presented with the features of mucormycotic osteomyelitis at Oral and Maxillofacial Surgery Unit, Bacha Khan Medical College Mardan from June 2020 to May 2021 was recorded. Non probability, convenience sampling technique was used. History, clinical, radiographic and hsitopathologcal examination was performed for diagnosis.
Treatment included antibiotic, antifungal and serial debridement. Defects were closed by local flaps and by prosthetic obturator. Data regarding the age, gender, side of involvement of maxilla and any associated systemic diseases and treatment modality were evaluated and analyzed by Spss Version 22.
Results:
The mean age was 58.90 ± 21.5 years, with an age range of 35-78 years. Age group 61-70 years were most commonly affected (38.1%).The ratio of male and female was 2.5:1. Left maxilla (62.1%) was commonly affected in both male and female. Diabetes as associated disease (52%) dominated followed by diabetes and hypertension (33.3%). One case (4.9%) has no associated disease. All cases were treated by antibiotic and antifungal therapy and serial debridement. Defects were closed in 14 cases (66.6%) by local flaps and 7 cases (33.4%) by prosthetic obturators
Conclusion:
COVID-19 is associated with significant incidence of secondary opportunistic infections due to immune dysregulation. The treatment of COVID-19 itself pre-disposes the patients to development of fungal diseases.
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Copyright (c) 2021 Ahmad Khan, Atta Ur Rehman, Sertaj Khan, Muhammad Sohail, Muhammad Tariq Khan, Syed Ayaz Ali, Syed Asad Shah, Muhammad Hussain
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