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Volume 28, Number 1—January 2022

Outbreak of Mucormycosis in Coronavirus Disease Patients, Pune, India

Samir Joshi, Rahul Telang, Muralidhar Tambe, Rajesh HavaldarComments to Author , Manasi Sane, Afshan Shaikh, Cherry Roy, Kireet Yathati, Sanjaykumar Sonawale, Rupalee Borkar, Rahul Magar, Harshal Bhitkar, Satish Shitole, Leena Nakate, Jyoti Kudrimoti, and Vidya Mave
Author affiliations: Byramjee-Jeejeebhoy Government Medical College and Sassoon General Hospitals, Pune, India (S. Joshi, R. Telang, M. Tambe, R. Havaldar, A. Shaikh, C. Roy, K. Yathati, S. Sonawale, R. Borkar, R. Magar, H. Bhitkar, S. Shitole, L. Nakate, J. Kudrimoti); Byramjee-Jeejeebhoy Government Medical College—Johns Hopkins University Clinical Research Site, Pune (S. Joshi, M. Sane, V. Mave)

Main Article

Table 2

Laboratory, histopathologic, and radiologic findings in patients at time of hospital admission for intensive rhino-sino-orbital and cerebral mucormycosis after undergoing treatment for COVID-19, India*

Characteristic Result
Laboratory findings within 48 h of admission
Hemoglobin level 10.3 (9.3–11.7)
MCV, fL 82.25 (77.75–86)
MCH, pg 27.6 (26–29)
MCHC, g/dL
32.4 (29.2–33.3)
Lymphocyte counts
Total cells/mm3 8,470 (6,020–12,000)
Lymphocyte, % 18.2 (11.9–24.7)
>10,000 cells/mm3 67 (38)
<4,000 cells/mm3
15 (8)
Absolute neutrophil count
<500 0
500–1,000 0
1,000–1,500 4 (2)
1,500–8,000 114 (64)
60 (34)
Chemistry parameters
AST >40 U/L 17 (10)
ALT >40U/L 34 (21)
Platelets, × 103/μL 266.5 (204–336)
Serum creatinine, mg/dL 1 (0.9–1.3)
Potassium, mEq/L 3.54 (2.96–4.05)
Sodium, mEq/L 136 (132–142)
Serum calcium, mg/dL
8.65 (7.95–9.2)
Location(s) involved
Nose and paranasal sinus 171 (96)
Pterygopalatine fossa 52 (29)
Orbital region 86 (48)
Intracranial soft tissue 22 (12)
Alveolar and palate soft tissue 25 (14)

*Values are no. (%) or median (IQR) except as indicated. ALT, alanine aminotransferase; ANC, absolute neutrophil count; AST, aspartate aminotransferase; COVID-19, coronavirus disease; IQR, interquartile range; MCH, mean corpuscular hemoglobin; MCHC, mean corpuscular hemoglobin concentration; MCV, mean corpuscular volume.

Main Article

Page created: September 24, 2021
Page updated: December 20, 2021
Page reviewed: December 20, 2021
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