De novo diabetes poses new problem to deal with black fungs | Hyderabad Information

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Hyderabad: De novo diabetes (emerging diabetes) post Covid-19 makes treating mucormycosis a challenging task, say doctors treating patients at node centers across the state. So far, 350 patients have been operated on in the state ENT hospital in Koti, and another 150 in Gandhi hospital. The two centers together have treated over 800 patients to date.
As these cases increased, endocrinologists and nephrologists were seconded from Osmania Hospital to treat complications. “Postoperative patients receive amphotericin and posaconazole. It’s a challenging situation as most of the post-Covid patients had de novo diabetes and impaired lung function. In addition, the use of antifungal drugs leads to kidney problems, ”said Dr. T. Shankar, Superintendent of the State ENT Hospital.
The problem with de novo diabetes cases is that the outbreak has occurred recently and the patient’s response to medication is unknown. “We are finding new cases of patients with blood glucose levels between 400 and 500 points, which complicates drug use and treatment options,” said a doctor at Gandhi Hospital.
With 350 operations performed in the last 10 days alone, the operating theaters of the ENT clinic ran at full speed between 8 a.m. and 10 p.m. and the staff was without vacation for the last 15 days. The situation is similar in Gandhi Hospital, as more patients with mucormycosis (black fungus) are admitted than Covid-19 patients.
After the surgery, the patients were moved from the ENT hospital to the SD Eye Hospital so that more patients could be accommodated for the surgery. “Nurses, lab technicians, and plumbing staff have been dispatched to the hospital from other healthcare facilities and outsourcing agencies. The necessary equipment and the prioritized supply of antimycotics to the node centers are ensured. We brought in ophthalmologists, maxillofacial surgeons, nephrologists, endocrinologists and anesthesiologists from other hospitals to ensure that the patients are treated, ”said a public health officer.