Dr. Vismay Naik Profile picture
MD, MRCP (London), PG Dip. Diabetes and Endocrinology (UK)
May 21, 2021 4 tweets 3 min read
Everyone's talking about steroids, high Glucose, oxygen, unhygienic conditions etc for #Mucormycosis. But the real talking point should be #coronavirus. Steroids use in India in rampant. During the chikungunya epidemic I saw many patients with high Glucose due to steroids but 1/ None had #mucormycosis. Use of tap water for o2 therapy is common in India but no reports of #mucor before this pandemic!
It's the #coronavirus infection which is causing immune dysfunction, lymphopenia, high ferritin, endothelitis which is favoring #mucor. 2/
May 17, 2021 4 tweets 2 min read
The water used in the flow meters for oxygen therapy is a potential source of fungal growth. What's the rationale for using bubbled oxygen? Is giving dry oxygen better than the humidified o2?
Read on. 1/ Image Rationale for humidified oxygen:
1.O2 therapy has a drying effect on the mucous membranes which when given for a prolonged period can result in airway damage.
2. Secretions can become thick and difficult to clear causing airway obstruction. 2/