A deadly black mushroom is silently attacking Indians, especially Covid-19 patients, making the current crisis even worse.
Another worrying trend has appeared in the middle of the Indian health system struggling with the pandemic, when many patients re-admissioned with many different symptoms, including sinusitis, blurred eyes, black nose water
Western Maharashtra, where Mumbai Financial Center, recorded up to 300 cases of black mushrooms.
Although the number of existing cases is relatively low, the risk of death and the increasing incidence of this black mushroom is pushing the medical system into a high alarm status between overloads for Covid-19.
"Mucormycosis mortality rate is 50%. While the mortality rate for Covid is only 2.5%," Amarinder Singh Malhi, who works at the Indian Health Science Institute, a public hospital in the capital
The house stood by the victim of Covid-19 at a cremator in New Delhi on May 11.
Malhi said his hospital did not saw the number of black mushrooms rising, but last week, a woman had lost eyesight on one side and was at the same risk as the other eye.
"I transferred that disease to the emergency room," he said in doubt the woman with black fungus.
Unless early treated, the only way to prevent black mushrooms has thrive in the body is surgery to remove all dead tissues and infections.
Akshay Nair, an eye surgeon in Mumbai said 40 cases of mucormycosis were only in the previous month and 11 cases had to remove their eyes.
"I will have to cut your eyes to save her life," Nair said just before the surgery for a 25-year-old woman infected with black fungus, who had just restored for Covid-19 three weeks ago.
"I met 24 shifts in just two weeks. It's scary," said this doctor on Twitter.
Nair said that mid-December 2020 and February this year, his 6-year-old colleagues in 5 Indian cities reported 58 cases, most of them were infected with a period of 12-15 days after Covid-
P Suresh, Head of Ophthalmology at Fortis Hospital in Mulund, near Mumbai City, said his hospital had treated at least 10 patients with black mushrooms in the past two weeks, doubling compared to the previous year.
"The cases of mucormycosis are in Covid-19 patients after recovering nearly 4 to 5 times compared to the pre-pandemic", Atul Patel, the expert of infectious diseases in the city of Ahmedabad, Gujarat, said.
India has not announced data on the number of black mushrooms nationwide, but officials say this country has not yet recorded a large outbreak.
Doctors say black mushroom spores can be found in soil, stool or air but often do not affect healthy people.
"They are families who often enter the sinuses and accumulate there. They can also penetrate other spaces in your head," Collignon said.
"Before Covid-19 appeared, this fungus usually appears only in immunocompromised patients, heavy diabetics, leukemia, lymphoma and other immunodeficiency diseases," Malhi
He said that the cases of black mushrooms increased recently due to the abuse of steroids to prevent pandemic.
WHO's Professor Peter Collignon also agreed with this comment.
"We are currently using high-dose steroids for Covid-19 patients if they have to take special care, because steroids help treat inflammation. But at the same time, steroids also inhibit your immune system"
Overloaded health systems in India, with a crowded and cramped environment make black mushrooms with many opportunities to develop and cause disease.
Special care room at a hospital in Moradabad, Uttar Pradesh State last week.
Prince Surana, doctor and executive director of a private hospital system in Mumbai, said reports on the number of black fungal infections in some local hospitals that made his facilities tighten the use regulations
"We do not use steroids for all Covid-19 patients, especially if the patient is prone to cross-infection or has a diabetic disease," he said.
Surana added that doctors should note with Covid-19 patients to monitor symptoms of black fungal infections, such as sinusitis, swelling or vision loss, after discharge.
However, he also said that the handling of the number of Covid-19 is too large in India, which also makes many hospitals difficult to closely monitor the discharge patients, at the same time the current hospital disinfection is also very very
"In normal, we will disinfect the special care room every 14 days. But now, in the Covid-19 stage attack, the complete disinfection is impossible," Surana said.