Mucormycosis – resurgence of a deadly opportunist during COVID-19 pandemic: Four case reports

BACKGROUND Coronavirus disease 2019(COVID-19)patients who suffer severe infection or comorbidities have an increased risk of developing fungal infections.There is a possibility that such infections are missed or misdiagnosed,in which case patients may suffer higher morbidity and mortality.COVID-19 infection,aggressive management strategies and comorbidities like diabetes render patients prone to opportunistic fungal infections.Mucormycosis is one of the opportunistic fungal infections that may affect treated COVID patients.CASE SUMMARY We present a case series of four adult males who were diagnosed with mucormycosis post-COVID-19 recovery.All the patients had diabetes and a history of systemic corticosteroids for treatment of COVID-19.The mean duration between diagnosis of COVID-19 and development of symptoms of mucor was 15.5±14.5(7–30)d.All patients underwent debridement and were started on antifungal therapy.One patient was referred to a higher center for further management,but the others responded well to treatment and showed signs of improvement at the last follow-up.CONCLUSION Early diagnosis and management of mucormycosis with appropriate and aggressive antifungals and surgical debridement can improve survival.

Non-odontogenic hard palate cysts with special reference to globulomaxillary cyst

Palatal cysts are always confusing by defining their exact nomenclature or conclusive diagnosis.One of these presentations is globulomaxillary cyst which requires to be categorized under appropriate head for the management point of view.Though this entity appears to be of odontogenic in origin but because of its anatomical relation and histo-pathological background this is placed in non odontogenic group.Though the mechanism of its formation remains the same but this cyst cannot be mixed up with nasopalatine cyst as per their location.Globulomaxillary cyst appears as inverted pear shaped radiolucency in all radiological procedures.This remains asymptomatic for a long time and rarely gets infected.We present a 29-year-old male who reported with one year history of asymptomatic right side hard palate swelling.He was subsequently diagnosed as globulomaxillary cyst with the help of radiological modalities like computerized tomography and magnetic resonance imaging.This article will highlight mainly the clinical and radiological features of these cysts with particular reference to globulomaxillary cyst which is our presenting case.

Morel-Lavallee lesion-radiological spectrum

Morel-Lavallee lesion(MLL)entity represents as a haemolymph mass as a result of closed degloving injury following focal trauma.The swelling can be mistaken as a tumor or simple hematoma formation,and it can be of concern as it gradually increases in size.It is important to diagnose the entity promptly as proper management can avoid skin necrosis and further complications.We present a 20-year-old female nursing student who fell down from a scooter and developed painful massive right thigh swelling over a 3-week course following trauma.She underwent plain radiography which was unremarkable.Ultrasound and magnetic resonance imaging revealed the diagnosis of MLL and she was treated accordingly.

Aneurysmal bone cyst of the maxilla rare presentation with radiological and pathological correlation

The incidence of aneurysmal bone cyst in the maxillofacial region is rare and may remain undiagnosed for a long period prior to becoming symptomatic.This may cause associated issues secondary to compression by extending to the surrounding vital anatomical areas.An aggressive course can lead to bony destruction with intracranial extension.We present a case of a 23-year-old man who presented with bilateral exorbitism with nasal obstruction.