Prabhakar * (66) complained of mild fever and severe back pain one month after recovering from Covid-19. He was initially treated conservatively with muscle relaxants and non-steroidal anti-inflammatory drugs, but with no relief.
Magnetic resonance imaging (MRI) scans revealed a severe infection-driven bone injury to the disc cavity called spinal discitis. Bone biopsy and culture resulted in the growth of Aspergillus, a type of mold (fungus).
An invasive fungal infection, medically called Aspergillus osteomyelitis, is very difficult to diagnose because it mimics spinal tuberculosis (TB). Such fungal infections have been detected in the oral cavity of patients who have recovered with Covid, and rarely in the lungs.
“In three months, four patients were diagnosed with Aspergillus-induced purulent osteomyelitis. Prior to this, post-Covid patients in India had no recorded Aspergillus purulent osteomyelitis.” Said Parikshit Prayag, an infectious disease expert at Deenanath Mangeshkar Hospital, to the TOI.
The four common threads were that they had severe Covid and were treated with steroids to overcome the complications associated with Covid-related pneumonia.
“Long-term use of corticosteroids may increase the risk of opportunistic infections, depending on the underlying disease being treated and the other drugs used,” he said.
Fungal Injury Spine Disc Detected in 4 Covid-Recovered Patients, Health News, ET Health World
Source link Fungal Injury Spine Disc Detected in 4 Covid-Recovered Patients, Health News, ET Health World