Work

Multifaceted Challenges in Recurrent Rhino-Orbital Mucormycosis: Concomitant Oronasal Myiasis and Lichtheimia Co-Infection in a Post-COVID-19 Patient

Year: 2025

Type: article

Abstract: Post-COVID-19 rhino-orbital mucormycosis poses significant challenges, particularly when complicated by coinfections.We present the case of a 60-years-old male with Type II diabetes, who developed recurrent rhino-orbital mucormycosis with concomitant oronasal myiasis and Lichtheimia co-infection.The patient presented with facial swelling, vision loss, and oral maggots.Imaging revealed necrotic bone exposure and residual mucormycosis in the paranasal sinuses.Fungal culture confirmed Lichtheimia species.Multidisciplinary management included manual maggot removal, necrotic tissue debridement, retrobulbar Liposomal Amphotericin B injections, and glycemic control.A total of 72 maggots were extracted from the maxillary antrum.

Source: Advances In Clinical And Medical Research

DOI: 10.52793/acmr.2025.6(2)-101

Authors: Frijo Xavier, Santhosh Rao, Niveda Jith, Rakhi MR, Kavita Chandrasekaran

Institutions: All India Institute of Medical Sciences Bibinagar, All India Institute of Medical Sciences Raipur, All India Institute of Medical Sciences, Nagpur

Language: English

Topic: Antifungal resistance and susceptibility

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Funder: All-India Institute of Medical Sciences