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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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How Remote Patient Monitoring is Enhancing Chronic Disease Management

Managing chronic diseases like diabetes, hypertension, heart conditions, and asthma is a daily challenge for millions of people worldwide. These conditions require continuous care, regular monitoring, and timely medical interventions. In recent years, one innovation has been transforming this space dramatically — Remote Patient Monitoring (RPM).

This modern healthcare solution is reshaping how patients and doctors manage long-term health issues, offering more convenience, better health outcomes, and cost-effective care. In this blog, we will explore how remote patient monitoring is enhancing chronic disease management, and why it’s becoming essential for modern healthcare.

What is Remote Patient Monitoring (RPM)?

Remote Patient Monitoring is a system where patients use digital technologies to collect their health data and send it to healthcare providers in real-time or at scheduled intervals. This can include data like:

Blood pressure
Blood sugar levels
Oxygen saturation
Heart rate
Weight
Medication usage
Physical activity levels

These devices may be as simple as a smartwatch or a connected glucose monitor. Healthcare professionals review this data remotely and take necessary action if any red flags appear.

The Growing Need for RPM in Chronic Disease Care

Chronic diseases are not just long-term; they are often unpredictable and require personalized care. Traditional healthcare models — where patients visit the doctor every few months — don’t always provide timely insights.

RPM fills this gap by:

Offering real-time monitoring
Reducing the need for frequent in-person visits
Helping doctors intervene before conditions worsen

In essence, it brings the doctor’s care to the patient’s home.

Benefits of RPM in Managing Chronic Diseases

Let’s look at the many ways RPM is helping both patients and healthcare providers manage chronic conditions more effectively.

1. Early Detection of Complications

RPM allows for continuous health monitoring, which makes it easier to spot issues early. For instance, if a patient's blood pressure readings are consistently high, a doctor can be alerted immediately and adjust medication or recommend lifestyle changes.

2. Better Patient Engagement

Patients become more aware and involved in their own care when they can track their health data daily. This awareness often leads to better compliance with medication, diet, and exercise.

3. Reduced Hospital Visits and Readmissions

With RPM, many flare-ups or emergencies can be avoided. This reduces the number of emergency room visits and prevents unnecessary hospital readmissions, which also saves healthcare costs.

4. Personalized and Data-Driven Care

Doctors get detailed and continuous insights into each patient’s health trends. This helps them tailor treatment plans based on real-time data, not just occasional checkups.

5. Improved Access to Care

RPM is a game-changer for people living in rural or underserved areas where regular visits to specialists are not possible. It ensures they receive the same level of care without having to travel.

RPM in Action: Real-Life Applications

Remote Patient Monitoring is already being used effectively in many chronic diseases:

Diabetes Management: Smart glucose monitors send daily sugar readings to doctors who can adjust insulin doses as needed.
Heart Disease: Patients use connected ECG devices or wearable heart monitors. Any irregular heart rhythm alerts the doctor in real-time.
COPD and Asthma: Oxygen levels and respiratory rates are tracked remotely. Doctors can act before a patient suffers a severe attack.
Hypertension: Blood pressure monitors transmit data daily, making it easier to control and manage high BP without delay.

Technology Behind RPM

Modern RPM systems rely on:

Wearable Devices: Smartwatches, fitness trackers, glucose monitors, etc.
Mobile Health Apps: These apps collect and transmit data securely to doctors.
Cloud-Based Platforms: All patient data is stored and analyzed in the cloud, which doctors can access instantly.
AI and Predictive Analytics: Advanced systems use AI to detect patterns and even predict potential health risks before they happen.

The combination of these technologies creates a smooth, integrated care experience for the patient and a more effective way for healthcare providers to manage diseases.

Challenges in RPM — And How They’re Being Solved

Like any innovation, RPM has some challenges:

Data Privacy: Patients worry about how their health data is handled. The solution? Encrypted data storage and strict compliance with privacy laws like HIPAA.
Technology Access: Not everyone has access to smart devices or reliable internet. Governments and private companies are working to improve access in rural and low-income areas.
Digital Literacy: Elderly or less tech-savvy patients may find RPM devices hard to use. To solve this, devices are being made simpler, and training programs are often offered.

The Future of Chronic Disease Management with RPM

The future looks promising. With the rise of 5G, AI, and Internet of Things (IoT), RPM is becoming more efficient and accessible. Hospitals and clinics are now integrating RPM into their primary care models, insurance companies are beginning to cover it, and patients are demanding more home-based care options.

As this technology continues to evolve, we can expect:

Faster interventions
Better long-term health outcomes
Lower healthcare costs
More empowered patients

Conclusion: Transforming Care, One Device at a Time

Remote Patient Monitoring is not just a trend — it’s a vital solution to one of healthcare’s biggest challenges: managing chronic diseases. It empowers patients, supports doctors, and makes continuous, personalized care possible without needing to be physically present at a hospital or clinic.

If you're living with a chronic condition or caring for someone who is, consider asking your doctor about RPM options. It's an investment in better health, peace of mind, and independence.

Ready to experience better chronic care? Learn more about how remote patient monitoring is enhancing chronic disease management and take a step toward healthier living today