Finegoldia magna and Mucorales molds co-infection in a severe case of SARS-CoV-2 disease

Introduction: Rhino-orbito-cerebral mucormycosis has been reported as a sequela after coronavirus disease in immunocompromised patients with poorly controlled diabetes mellitus. Most cases have been identified in India, with only 19 reported elsewhere. Methodology: We herein report the results of...

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Main Authors: Rozaliya Hristova, Alexandrina Vlahova, Maria Christova, Konstantin Stamatov, Pavel Stanimirov
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2023-09-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/17647
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author Rozaliya Hristova
Alexandrina Vlahova
Maria Christova
Konstantin Stamatov
Pavel Stanimirov
author_facet Rozaliya Hristova
Alexandrina Vlahova
Maria Christova
Konstantin Stamatov
Pavel Stanimirov
author_sort Rozaliya Hristova
collection DOAJ
description Introduction: Rhino-orbito-cerebral mucormycosis has been reported as a sequela after coronavirus disease in immunocompromised patients with poorly controlled diabetes mellitus. Most cases have been identified in India, with only 19 reported elsewhere. Methodology: We herein report the results of clinical, imaging, microbiological, and histopathological studies in an immunocompetent 67-year-old male with rhino-orbital infection by Finegoldia magna and Mucorales molds following severe SARS-CoV-2 disease associated with new-onset decompensated diabetes mellitus. Results: Microbiological and histological studies confirmed the presence of both Mucorales molds and Finegoldia magna, which was successfully treated with antibiotics and a specific anti-fungal agent (Posaconazole). Conclusions: Careful multidisciplinary follow-up of patients treated for severe SARS-CoV-2 disease is necessary for the timely diagnosis of complications such as uncontrolled diabetes mellitus and opportunistic infections.
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publishDate 2023-09-01
publisher The Journal of Infection in Developing Countries
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series Journal of Infection in Developing Countries
spelling doaj-art-cb7134f57aed4eabbc5d161cf7b7df092025-08-20T02:57:21ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802023-09-01170910.3855/jidc.17647Finegoldia magna and Mucorales molds co-infection in a severe case of SARS-CoV-2 diseaseRozaliya Hristova0Alexandrina Vlahova1Maria Christova2Konstantin Stamatov3Pavel Stanimirov4Department of Ophthalmology, Medical University Sofia, University Hospital Alexandrovska, Sofia, BulgariaDepartment of General and Clinical Pathology, Medical University Sofia, University Hospital Alexandrovska, Sofia, BulgariaDepartment of Nephrology, University Hospital St. Ivan Rilski, Department of Internal Medicine, Medical University Sofia, Sofia, BulgariaDepartment of Dental, Oral and Maxillofacial Surgery, Medical University Sofia, University Hospital Alexandrovska, Sofia, BulgariaDepartment of Dental, Oral and Maxillofacial Surgery, Medical University Sofia, University Hospital Alexandrovska, Sofia, Bulgaria Introduction: Rhino-orbito-cerebral mucormycosis has been reported as a sequela after coronavirus disease in immunocompromised patients with poorly controlled diabetes mellitus. Most cases have been identified in India, with only 19 reported elsewhere. Methodology: We herein report the results of clinical, imaging, microbiological, and histopathological studies in an immunocompetent 67-year-old male with rhino-orbital infection by Finegoldia magna and Mucorales molds following severe SARS-CoV-2 disease associated with new-onset decompensated diabetes mellitus. Results: Microbiological and histological studies confirmed the presence of both Mucorales molds and Finegoldia magna, which was successfully treated with antibiotics and a specific anti-fungal agent (Posaconazole). Conclusions: Careful multidisciplinary follow-up of patients treated for severe SARS-CoV-2 disease is necessary for the timely diagnosis of complications such as uncontrolled diabetes mellitus and opportunistic infections. https://jidc.org/index.php/journal/article/view/17647COVID-19SARS-CoV-2mucomycosisrhino-orbital infection
spellingShingle Rozaliya Hristova
Alexandrina Vlahova
Maria Christova
Konstantin Stamatov
Pavel Stanimirov
Finegoldia magna and Mucorales molds co-infection in a severe case of SARS-CoV-2 disease
Journal of Infection in Developing Countries
COVID-19
SARS-CoV-2
mucomycosis
rhino-orbital infection
title Finegoldia magna and Mucorales molds co-infection in a severe case of SARS-CoV-2 disease
title_full Finegoldia magna and Mucorales molds co-infection in a severe case of SARS-CoV-2 disease
title_fullStr Finegoldia magna and Mucorales molds co-infection in a severe case of SARS-CoV-2 disease
title_full_unstemmed Finegoldia magna and Mucorales molds co-infection in a severe case of SARS-CoV-2 disease
title_short Finegoldia magna and Mucorales molds co-infection in a severe case of SARS-CoV-2 disease
title_sort finegoldia magna and mucorales molds co infection in a severe case of sars cov 2 disease
topic COVID-19
SARS-CoV-2
mucomycosis
rhino-orbital infection
url https://jidc.org/index.php/journal/article/view/17647
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