Want to know why #Mucormycosis is more common post #COVID19 and not so common after leukemia's or other illnesses treated with steroids ?
Read on !!
Read on !!
These are the major reasons in my opinion:
1. The NUMBER of #COVID19 pts is far GREATER than the number of leukemia pts we treat in a year. Thus a lot more people are getting steroids at this point in time and thus a lot more are at risk of steroid related complications.
1. The NUMBER of #COVID19 pts is far GREATER than the number of leukemia pts we treat in a year. Thus a lot more people are getting steroids at this point in time and thus a lot more are at risk of steroid related complications.
Let's say 1/5k steroid treated pts get mucor, now if we treat 500k pts with steroids we will definitely have 100 mucor cases. SIMPLE MATH !!
Not convinced, read on.
2. A great number of #COVID19 pts have underlying CO-MORBIDITIES like diabetes which are WORSENED by steroids
Not convinced, read on.
2. A great number of #COVID19 pts have underlying CO-MORBIDITIES like diabetes which are WORSENED by steroids
3. A greater number of #COVID19 pts are being treated by physicians not so familiar with using steroids. It's an art to use these magic pills as @SChellapuram rightly said a few days back. If used WRONG there is potential for HARM as proven even in the RECOVERY trial.
4. The paranoia/ fear created by #COVID19 and the lack of established guidelines makes for PROLONGED STEROID COURSES in covid. I have personally seen pts treated with MPS for as long as 28days 🤷♂️ that's like a leukemia induction therapy.
This makes pts prone to all sorts of secondary infections, eg mucor !!
5. It's not just the duration, the DOSE is also a big problem. There is absolutely NO JUSTIFICATION for giving 250mg MPS (6mg dexa = 30mg MPS)
One can understand a 125 mg "pulse" but NOT a 1gm MPS pulse !
5. It's not just the duration, the DOSE is also a big problem. There is absolutely NO JUSTIFICATION for giving 250mg MPS (6mg dexa = 30mg MPS)
One can understand a 125 mg "pulse" but NOT a 1gm MPS pulse !
6. If doctors err so do the patients. OVER THE COUNTER use of steroids must be STRICTLY PROHIBITED. Please trust your treating doctor, if they are NOT prescribing you steroids it's because you DON'T NEED THEM !!
Reading about #Mucormycosis on SM and worrying won't help. We must nip the problem in the bud, stop using unnecessary meds, not just steroids. All meds have side effects. It's all about RISK vs BENEFIT in medicine.
The COMPLICATIONS are often more DIFFICULT to treat than the primary disease. #COVID19 is mild/ asymptomatic in >70% pts and your body is adept at controlling it. Trust your body. It doesn't need immunity boosters. It knows what to do. Please don't disturb the HOMEOSTASIS 🙏🏻
#BlackFungus #Mucormycosis #COVID19 #CoronaSecondWave #coronavirus #steroids @PanktiMehta24 @pankti4299 @DrHarish139 @HaryaxPathak @hard_dil @AlishaAkhani @satya_yadav @faheema_hasan @Amitasdesai @drabbyphilips @doctorboletoh @ProfSomashekhar
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