Increasing cases of Black Fungus amid the second wave of Covid-19 have raised concerns. In many parts of the country, many people have died due to this and in Maharashtra only 90 people have died due to this. In such a day, the Central Government has requested the states to declare it an epidemic under the Pandemic Act 1897. Black fungus (mucarmycosis) is a rare type of disease, that is, it happens to very few people, one in a million people, but 50 percent of those who die. It can be understood how dangerous it is. There have been some such cases that eyes have to be removed to save patients. Most cases of black fungus are coming in diabetic people, in such a situation, they need to be cautious and keep checking their sugar level regularly.
Corona is wreaking havoc all over the world, but why is black fungus spreading in India?
These patients have the highest risk
- In diabetic people who are being given steroids.
- In people undergoing treatment for cancer.
- People who take an overdose of steroids
- Corona infected who are on oxygen support via oxygen masks or ventilators.
- Whose resistance is low.
- In which the organ is transplanted.
These symptoms can be caused by black fungus
Dr. Shweta Budayal, Senior Consultant Endocrinologist at Fortis Hospital in Mulund, told the Indian Express that black fungus usually affects the sinuses, brain and lungs. Although according to Budyal, oral cavity or black fungus of the brain is most likely to be affected, in many cases it can also affect other parts of the body such as the gastrointestinal tract, skin and other organ systems of the body. According to Dr. Budyal, if any of these symptoms are there, then black fungus should be examined.
- Nasal congestion or bleeding from the nose or something black.
- Pain in cheek bones, face pain, numbness or swelling on one side.
- Blackening of the upper surface of the nose.
- Teeth being loose.
- Eye pain, blurred or double vision. Swelling around the eyes
- Thrombosis, necrotic skin lesions
- Chest pain or difficulty in breathing.
Cases of black fungus increasing in corona infections
Cases of corona infection have increased rapidly in many parts of the country and in the meantime cases of black fungus have also started increasing. Speaking to Financial Express Online, Dr. Uday Phadke, Director (Department of Endocrinology and Diabetes) and Endocrinologist and Diabetologist of Pune-based Sahyadri Hospitals said that usually one or two cases of black fungus used to come up earlier in the year but now the Sahyadri Hospitals chain in Pune I am getting 30-35 cases in just one month, that is, one case every day.
Declare black fungus as state epidemic, report every case to Ministry of Health: Center
Cases of black fungus are increasing due to these reasons
- According to Dr. Shweta, steroids are being used in the treatment of corona, due to which the sugar level is increasing. The possibility of black fungus increases if the sugar level increases and physical activity is not there.
- The use of steroids reduces the body’s immunity, causing the body’s immune system to function effectively against black fungus.
- According to Dr. V Mohan, Chief Consultant and Chairman of a Diabetes Specialties Center based in Chennai, cases of black fungus are increasing due to diabetes besides hygiene and contaminated equipment. Dr. Mohan says that corona cases are coming up so much that sanitation is not being given much attention in hospitals, due to which there is a possibility of fungus accumulating on equipment.
Caution needed in the treatment of black fungus
- According to Dr. Shweta, it is very important to find out in the early stages of black fungus in diabetic patients. However, they believe that if powerful treatment is given to diabetic people, it can severely affect other organs such as the kidney.
- According to Dr. Shweta, Corona infected people having black fungus should be given proper dose of steroids at the time of treatment and after recovery.
- According to Dr. Phadke, black fungus should be treated in three stages. In the first phase only the cause should be found out and sugar level and acidosis should be checked. After this, dead tissue should be removed aggressively through surgery to prevent the fungus from spreading. After this, appropriate medicines should be administered.
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