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Also called  Mucormycosis Caused by the fungus  Mucor.sp  and  Rizopus.sp An opportunistic infection Usually hospital acquired Found in patients on  life support system such as ventilators  for long periods

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Hospitals are unhygienic and over crowded Due large number Covid-19 patients  beyond the capacity  Patients are on ventilators Thus the percentage of cases increased It has been reported before but case  increased after  C ovid-19 pandemic

Nosocomial Infections
- KalgEsh Zunjarrao

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Adding to this, immunity of patients are weakened  due to application of steroids in  Covid  -19 conditions.   the condition become very severe in Diabetic patients

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No man to man transmission The fungi produces the  spores  to propagate  Can withstand unfavorable conditions Spores are present  in air  Reaches the respiratory system very  easily in present situation.

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Usually appears in  COVID-19 patients in  two weeks after recovery Stuffy and bleeding  nose Periorbital  swelling  and pain in the eye. Drooping of eye lids Blurred vision or  loss of vision Black discharge from nose India very rare disease 20 cases per year reported previously

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Fungus grows in the walls of the blood vessels It prevents the flow of blood to tissues leading to ischemia and finally death of the tissues there Tissues in sinus, Mouth Jaw and Eyes  will be  killed  It can enter brain  and kill tissues there

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Manage diabetics Hyper  glycemia - fungus like the sugar and grow well in such condition. Normally white cells will move towards  site of infection In sugary environment it will not be able to move  as it will get dehydrated.

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Proper  use of steroids  Steroids inhibit immune system Hygiene in hospitals  Use sterile  medical devices

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Treatment  Antifungal intravenous injection Everyday up to eight weeks 3500 rupees per dose.

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Thus the combination of unhygienic conditions, Diabetics and the over use of  steroids led to  the present upsurge in Black fungus disease in India.

Black Fungus disease

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