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Diagnostic for mucormycosis
Apart from PNS MRI, are there any other tests to rule out mucormycosis in earliest stages, such as fluid or tissue sample test, if so who to approach for conducting them?
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Yes
Nasal swab cor KOH mount
Nasal endoscopy
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Yes...nasal swab for KOH mount can show fungal elements
But the sample must be taken under endoscopy.
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approach nearest ENT specialist
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Dr. Gladson Guddappa Uchil
Allergist/Immunologist
29 yrs exp
Bangalore
CT or MRI scans will only reveal fungal sinusitis with or without bony erosions and extensions to orbit or cheek soft tissues or brain.
Only after Endoscopic Nasal Surgery can the debris sample be tested in Potassium Hydroxide preparation for the Pathologist/Microbiologist to specifically identify the offending fungus, be it Mucormycosis(Black Fungus) or Aspergillosis or Candidiasis or any other fungus.
Fungal infections are essentially opportunistic! The patient's blood sugar levels are earliest indicators of his/her susceptibility. Reckless administration of systemic steroids by untrained/inexperienced Doctors (in steroid usage) is causing this problem!
Next Steps
Immediate admission and endoscopic nasal surgery is a must to avoid eye or brain invasion. However, many patients disregard these early stage warnings to their own peril later on!
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Dr. Shreya Mahendra
ENT/ Otorhinolaryngologist
8 yrs exp
Hyderabad
The immediate action you can take when you are suspicious of mucor is by visiting and ent specialist for endoscopy , they will further guide you depending on the patient condition if swab or an MRI is required.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.