This situation is fatal in 50% of cases and may be related to excessive use of steroids or improper use of industrial oxygen cylinders.
When India began to glimpse the peak of the second wave of floods that ravaged the country since April, a new scourge emerged: the mucormycosis called “black fungus,” which affects human tissues and turns black. Nearly 10,000 cases have been confirmed in the recovery from Covid-19. More than a dozen states have classified the infection as an “epidemic”, and the Narendra Modi government has asked them to strengthen prevention, sanitation and sanitation facilities in hospitals.
This rare condition is fatal in 50% of cases, but it is not contagious and affects the sinuses, brain and lungs. If the patient is too late for treatment, the affected organ must be removed, which can lead to amputation. The initial symptoms are headache, facial swelling, fever and dark spots.
Several explanations have been proposed to explain the emergence of mucormycosis: Experts mainly suspect that some patients who are severely affected by Covid-19 abuse steroids, especially those with diabetes, whose immunity may be greatly reduced. This is because steroids can reduce inflammation in the lungs, but can cause a decrease in immunity and an increase in blood sugar levels, which are two aggravating factors for diabetic patients.
Oxygen can also be used. In the face of severe shortages, the government has to allow the use of industrial oxygen, which may be packaged in cylinders that do not have proper hygiene. According to the Indian Medical Research Council, the government agency responsible for research on the new coronavirus, black fungus was not reported in the first round.
There are effective treatments for liposomal amphotericin B, but India regrets the shortage of antifungal antibiotics. The Delhi High Court found on Monday, May 24 that the gap between the demand and supply of amphotericin B was very important and could not be filled due to patient distress. “It seems that the current output and the estimated supply and import volume are not enough to meet the needs of black fungus processing”, The magistrate concluded. There are 475 cases of black fungus infection in New Delhi, and before the second wave, only one to two cases per month were recorded. Three venues have been designated to receive patients.