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Published on: May 22, 2021
3 minute read
By: Dr Rajan Choudhary

COVID Associated Black Fungus: Succumbing To Black Fungus !

COVID associated Black Fungus: What you need to know

As COVID spreads across India, there has been an increase in reports of associated infection with a black fungus occurring in some patients. It affects the nose, mouth, eyes, and lungs, and can be fatal. This is an infection we need to be educated on, and early recognition of it can be life-saving. Today we will talk about Mucormycosis, the black fungus responsible for these infections, and what you should do to prevent or recognize an infection.

If you want to learn how to recognize the infection, go down to the INFECTION section of the article.

FUNGUS

When our body gets infected by a bacteria or virus, the signs and symptoms are often recognized early because bacteria and viruses are aggressive, with toxins and mechanisms designed to cause harm to our body and cause easily recognizable symptoms. Fungi on the other hand are slow-growing, and usually, our bodies can fight usually fight these infections before they become a problem. We breathe in fungal spores all the time, especially when outside, in the garden, or in fields, and they cause no harm.

Mucormycosis, the responsible fungus, is found in soil, and decaying fruits and vegetables. It can enter our body by inhalation, by eating foods infected with it, or by direct contact with an open wound, thereby entering our blood. It can be found inside the nose of healthy people, causing no problems or disease. Before the COVID pandemic, infection by mucormycosis was up to 80 times more prevalent in India than in other developed countries, though still rare.

IMMUNOSUPPRESSION

Looking at case reports of patients infected with mucormycosis shows a common theme. Immunocompromised patients are at much higher risk of infection by the fungus and are more likely to have severe disease. This includes patients with diabetes, poorly controlled diabetes, patients taking steroids, organ transplant patients (who are usually on immunosuppressive medications to prevent rejection), those with blood cancer (leukemia/lymphoma, reducing your blood immunity).

Diabetes (especially poorly controlled diabetes) is a major problem in these cases, as diabetes is fairly common in India, can lay unrecognized, and if not controlled or treated appropriately the rising blood sugar levels can damage your arteries, nerves, and significantly lower your immunity. Any infection in diabetic patients can be more difficult to treat and spread more quickly, and this is made worse by COVID-19.

COVID causes widespread inflammation throughout the body, especially the lungs, and the resulting damage causes difficulty breathing and death by respiratory failure. Steroids are currently our best way to treat COVID, by suppressing the body’s immune system and preventing lung damage. Unfortunately, this also allows mucormycosis spores inhaled by COVID patients to infect the now vulnerable, damaged airway, lungs, and sinuses, and start spreading. The body’s response to the infection is dampened by the steroids, and in those with diabetes, it is hindered further.

INFECTION

The black fungus usually spreads in the nose and sinuses of the skull, as it prefers a warm, humid environment. From here it can spread into the eyes and in rare cases the brain.

Recognize the symptoms of the fungus, and be very suspicious in patients with diabetes or those who have had high doses of steroids.

- Facial swelling on one side

- Nose or sinus congestion

- Pain in the sinuses, around the nose, and eyes

- Black mold growing around the nose or mouth

- Fever, headache

When it infects the lungs it can cause symptoms such as cough, shortness of breath, or chest pain. Unfortunately, this can be difficult to separate from symptoms of COVID infection.

If you suspect you or someone you know has these symptoms, and they have the risk factors of immunosuppression or diabetes, you should visit a doctor early. Mucormycosis has a high mortality rate, and a delay in diagnosis by even a week can double it. Your doctor will take swab samples from your nose and look for signs of the fungus under a microscope. Blood tests and scans are also helpful in identifying the fungal infection.

TREATMENT AND PREVENTION

Treatment of mucormycosis requires IV antifungals such as Amphotericin B and may involve surgery to remove the infected areas and prevent further spread. This can include surgery in and around the nose, sinuses, and in rare cases even the eyes. This all depends on the extent of the fungal infection.

Prevention is key in these cases. Simple measures such as wearing a mask to reduce inhalation of spores can minimize infection, especially in the vulnerable, though it may not prevent it if they already had spores present in their nose and sinuses. Glucose tests to look for diabetes, and strict control of diabetes will improve your chances significantly. Keeping your blood sugar levels within the normal range is very important, so if you are diabetic now is the time to stick to your diabetic diet and medications.

Finally, we need to be careful when using immunosuppressive medications to treat COVID, and determining which patients should receive steroids (dexamethasone, prednisolone) and other drugs such as tocilizumab. If you are young and healthy, or you have a milder infection of COVID-19, it may be better for you to not take steroids early. Those with more serious COVID-19 infections may need steroids to survive, and in these cases frequent checks for mucormycosis infection is advisable.

The rise in this rare fungal disease in patients with COVID-19 presents a problem, as we do not have much literature to base our recommendations on, the disease is slow-growing and can be difficult to treat. But as always, understanding the disease process for black fungus and knowing its symptoms is important, as is informing your family and friends about this disease.

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Digital Healthcare Automation India: Enabling Smart Workflows, Faster Care, and a Modern Clinical Ecosystem

Digital healthcare automation is redefining how India delivers medical services, manages clinical operations, and coordinates patient journeys. As hospitals, clinics, and digital health platforms move toward technology-driven processes, automation has become essential for ensuring efficiency, reducing manual work, minimizing delays, and improving care accuracy. In a healthcare system where patient volumes are high and specialist availability is uneven, automation empowers organizations to deliver faster, smarter, and more consistent care.

India’s healthcare automation growth aligns with national initiatives like ABDM (Ayushman Bharat Digital Mission), growing telemedicine adoption, rising digital literacy, and the increased use of AI-based medical tools. SecondMedic integrates automation into every stage of digital care-appointments, reporting, monitoring, follow-ups, and preventive health-allowing users and clinicians to experience a seamless, intelligent healthcare ecosystem.

Digital healthcare automation India is not simply about digitizing manual tasks; it is about augmenting healthcare with intelligent workflows that respond to real-time needs. By reducing repetitive workloads, automation allows clinicians to focus on what matters most: patient care.

Why Automation Matters in Indian Healthcare

India faces significant challenges: overloaded outpatient departments, resource shortages, manual data entry errors, delayed reports, and administrative inefficiencies. Automation addresses these issues by introducing structured, rule-based processes supported by AI and digital tools.

Key systemic challenges automation helps solve:

High patient-to-doctor ratios
Slow movement of information across departments
Inconsistent follow-up and monitoring
Manual errors in documentation and reporting
Unpredictable appointment flow
Inadequate time for patient–doctor interaction

Digital automation supports a more organized, reliable, and high-performance healthcare environment.

What Is Digital Healthcare Automation?

Digital healthcare automation refers to the use of AI, software systems, connected devices, and workflow engines to automate medical and administrative procedures. These tools reduce manual intervention wherever possible and ensure accuracy, repeatability, and continuity.

Core areas of automation include:

Appointment management and scheduling
Electronic medical record updates
Auto-generation of diagnostic summaries
Automated clinical reminders
Medication and health-plan notifications
Remote monitoring and alert systems
Digital report formatting
Workflow optimization for hospital operations

SecondMedic incorporates automation across its telemedicine, diagnostics, monitoring, and preventive-care systems.

Automated Appointment Scheduling and Coordination

Appointment automation is one of the most practical innovations in India’s digital health landscape. Without automation, patients often encounter long queues, missed follow-ups, and scheduling conflicts.

Automated scheduling helps by:

Matching patients to the right doctor
Reducing wait times
Preventing double bookings
Prioritizing urgent cases
Coordinating virtual and in-person consults
Helping doctors manage daily workloads efficiently

SecondMedic’s automated scheduling engine analyzes doctor availability, user urgency, and specialty requirements to optimize appointment flow.

Automation in Diagnostics and Reporting

Medical diagnostics often involve multiple steps that traditionally require human intervention-uploading reports, comparing past results, formatting summaries, highlighting abnormalities, and generating clear interpretations.

Automation enhances diagnostic workflows by:

Auto-organizing digital medical reports
Highlighting abnormal ranges
Identifying missing test values
Summarizing patient history for doctors
Formatting structured reports instantly
Automating comparisons with past results

For AI-based imaging and lab analytics, automation helps radiologists and clinicians detect patterns faster and reduce minor reporting inconsistencies.

Remote Monitoring and Automated Alerts

Remote patient monitoring has grown rapidly in India, especially for chronic diseases. Wearable devices and home-health tools generate continuous data streams. Automation helps turn these raw inputs into actionable insights.

Monitoring automation includes:

Auto-detection of abnormal vitals
Alerts for risky trends
Medication reminders
Follow-up triggers
Predictive alerts using AI
Aggregated health reports for doctors

For chronic care, this ensures timely intervention and reduces emergency visits.

Enhancing Hospital and Clinic Workflows

Healthcare automation in clinical facilities improves operational efficiency and reduces administrative bottlenecks. Hospitals benefit significantly from automated workflows that ensure consistency and speed.

Applications include:

Patient flow management
Automated admission and discharge processes
Digital billing and inventory management
Lab and pharmacy integration
Nursing task automation
Centralized communication dashboards

These improvements reduce patient wait times and improve overall care delivery.

Improving Patient Engagement Through Automation

Automation supports patients by making healthcare more accessible and predictable. Many individuals struggle to remember follow-ups or understand complex medical guidance. Automated systems simplify this journey.

Key patient-facing automation benefits include:

Reminders for medications and appointments
Preventive health notifications
Personalized care tips
AI-driven chat support for common queries
Post-consultation guidance delivery
Automated sharing of doctor notes and reports

SecondMedic uses automation to ensure patients remain engaged throughout their health journey.

Automation and AI: A Powerful Combination

AI enhances healthcare automation by making it adaptive and context-aware. Instead of following fixed rules, AI learns from patterns, outcomes, and user behavior to optimize workflows.

AI strengthens automation through:

Predictive recommendations
Dynamic scheduling adjustments
Automated report summaries
Early detection of errors
Smart escalation of high-risk cases

This combination powers advanced clinical systems that support both providers and patients.

Challenges in Implementing Healthcare Automation in India

Automation requires planning, infrastructure, and careful integration. Key challenges include:

Fragmented patient data across facilities
Infrastructure limitations in rural areas
Varying digital readiness across hospitals
Need for staff training
Ensuring compliance with DPDP and ABDM standards

Despite these challenges, adoption is increasing as digital health becomes mainstream.

The Future of Digital Healthcare Automation in India

India is poised for significant automation growth, driven by advancements in AI, 5G connectivity, cloud platforms, and interoperable health records. Over the next decade, digital healthcare automation will include:

AI-powered hospital command centers
Fully automated radiology and pathology workflows
Robotic process automation (RPA) in administrative processes
Automated care coordination for chronic diseases
Voice-based digital assistants for patient queries
Smart triage algorithms integrated across telemedicine networks
Predictive automation for emergency care

SecondMedic is building a modern digital ecosystem that integrates AI, automation, and predictive healthcare tools, creating a seamless and intelligent healthcare experience for users.

Conclusion

Digital healthcare automation India is unlocking a new era of efficiency, precision, and patient-centered care. By automating clinical workflows, diagnostic tasks, and patient engagement processes, healthcare organizations can deliver faster, more reliable services. Automation supports doctors with real-time insights, reduces administrative burdens, and ensures that patients receive timely interventions.

SecondMedic continues to lead this transformation by integrating automation into virtual care, diagnostics, monitoring, and preventive health solutions, shaping the future of digital healthcare in India.

To access advanced automated digital healthcare tools, visit www.secondmedic.com

References

NITI Aayog – Digital Health India
ABDM – National Digital Health Mission
IMARC – Healthcare Automation Market India
WHO – Digital Health Workflow Automation
FICCI – Hospital Automation India

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