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Acute Invasive Rhino-Orbital Mucormycosis in a Patient With COVID-19-Associated Acute Respiratory Distress Syndrome

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/IOP.0000000000001889

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  1. UCSF Vision Shared Resource Core Grant (NIH/NEI) [P30 EY002162]
  2. Research to Prevent Blindness

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Acute invasive fungal rhinosinusitis is a rare and dangerous infection primarily affecting immunosuppressed individuals, with COVID-19 patients being particularly susceptible to fungal coinfections. Prompt recognition and treatment of fungal infections are crucial for improving patient survival.
Acute invasive fungal rhinosinusitis is a rare, although highly morbid, infection primarily affecting immunosuppressed individuals. The same population is at particularly high risk of complications and mortality in the setting of SARS-CoV-2 infection and coronavirus disease 2019 (COVID-19)-related acute respiratory distress syndrome. The authors present a case of acute invasive fungal rhino-orbital mucormycosis in a patient with COVID-19 and discuss the prevalence, diagnosis, and treatment of fungal coinfections in COVID-19. Prompt recognition, initiation of therapy, and consideration of the challenges of rapidly evolving COVID-19 therapy guidelines are important for improving patient survival.

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