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  <front>
    <journal-meta id="journal-meta-00430af4a6fc41fc91decd706d08730c">
      <journal-id journal-id-type="nlm-ta">Prathima Institute of Medical Sciences</journal-id>
      <journal-id journal-id-type="publisher-id">Prathima Institute of Medical Sciences</journal-id>
      <journal-id journal-id-type="journal_submission_guidelines">https://www.pimr.org.in/instructions.php</journal-id>
      <journal-title-group>
        <journal-title>Perspectives in Medical Research</journal-title>
      </journal-title-group>
      <issn publication-format="electronic">2348-229X</issn>
      <issn publication-format="print">2348-1447</issn>
    </journal-meta>
    <article-meta id="article-meta-3c9cf007b58d4df7b1f4dade90eef5e8">
      <article-id pub-id-type="publisher-id">09</article-id>
      <article-id pub-id-type="doi">10.47799/pimr.1101.09</article-id>
      <article-categories>
        <subj-group>
          <subject>Original Article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title id="article-title-2cac56b8ff374437b13a920a5fbca302">
          <bold id="strong-2b6213b8e1c1425a98ea61f66309fd67">Imaging in Covid-19 associated mucormycosis: a case series</bold>
        </article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name id="name-24c110b1d5384b55abc8138b7fe99038">
            <surname>Prashanth</surname>
            <given-names>Shailaja</given-names>
          </name>
          <xref id="x-05e88b92493a" rid="a-2a1db6a75e7a" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <name id="name-9303ee5094cf4425b2e0d9d338c0aa1d">
            <surname>Handi</surname>
            <given-names>Prakash</given-names>
          </name>
          <email>drprakash.2007@gmail.com</email>
          <xref id="x-2ef231bf269f" rid="a-c28896e118b1" ref-type="aff">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <name id="name-14ca41b752744a02a348fa21cfee0fcc">
            <surname>Prathap</surname>
            <given-names>Nisha</given-names>
          </name>
          <xref id="x-46199096b92f" rid="a-8ed96e624a5a" ref-type="aff">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <name id="name-fec6acc818e14ac7ae06180de3ba8d70">
            <surname>Shoorshetty Manohar</surname>
            <given-names>Rudresh</given-names>
          </name>
          <email>rudreshsm@gmail.com</email>
          <xref id="x-ee801480f086" rid="a-4213f7a3fba8" ref-type="aff">4</xref>
        </contrib>
        <contrib contrib-type="author">
          <name id="name-2dd5888919b94c6bb30bb470a6c16cb9">
            <surname>Bhaskarn</surname>
            <given-names>Karthik</given-names>
          </name>
          <xref id="x-5bce7bc19ef8" rid="a-315e3d6ee24a" ref-type="aff">5</xref>
        </contrib>
        <aff id="a-2a1db6a75e7a">
          <institution>Associate Professor, Department of Radiology, ESIC Medical College and PGIMSR</institution>
          <addr-line>Bengaluru</addr-line>
        </aff>
        <aff id="a-c28896e118b1">
          <institution>Associate Professor, Department of ENT, ESIC Medical College and PGIMSR</institution>
          <addr-line>Bengaluru </addr-line>
        </aff>
        <aff id="a-8ed96e624a5a">
          <institution>Assistant Professor, Department of Radiology, ESIC Medical College and PGIMSR</institution>
          <addr-line>Bengaluru </addr-line>
        </aff>
        <aff id="a-4213f7a3fba8">
          <institution>Associate Professor, Department of Microbiology, ESIC Medical College and PGIMSR</institution>
          <addr-line>Bengaluru </addr-line>
        </aff>
        <aff id="a-315e3d6ee24a">
          <institution>Junior Resident, Department of Microbiology, ESIC Medical College and PGIMSR</institution>
          <addr-line>Bengaluru </addr-line>
        </aff>
      </contrib-group>
      <pub-date date-type="pub">
        <day>30</day>
        <month>5</month>
        <year>2023</year>
      </pub-date>
      <volume>11</volume>
      <issue>1</issue>
      <fpage>55</fpage>
      <lpage>62</lpage>
      <history>
        <date date-type="received">
          <day>22</day>
          <month>5</month>
          <year>2022</year>
        </date>
        <date date-type="accepted">
          <day>12</day>
          <month>7</month>
          <year>2022</year>
        </date>
        <date date-type="rev-recd">
          <day>25</day>
          <month>6</month>
          <year>2022</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Perspectives in Medical Research is committed to keeping research articles Open Access. Journal permits any users to read, download, copy, print, search, or link to the full texts of these articles, or use them for any other lawful purpose, without financial, legal, or technical barriers subject to proper attribution and ownership of the rights.</copyright-statement>
        <copyright-year>2023</copyright-year>
      </permissions>
      <abstract id="abstract-abstract-title-6b97db6943134e038fb38749104b218e">
        <title id="abstract-title-6b97db6943134e038fb38749104b218e">Abstract</title>
        <p id="paragraph-df0198464c26435398ed5f141d593fbb">Introduction: Mucormycosis is a very rare saprophytic, opportunistic fungal infection with high morbidity and mortality. With the Covid-19 pandemic, there is a sudden increase in the incidence of this disease due to causes not clearly known. </p>
        <p id="paragraph-ab003acda6fd4f22b10a45be68bc4e5b">Methods: Retrospective clinic-radiological analysis of a series of seven microbiologically confirmed cases of Covid-19 associated mucormycosis (CAM) treated at our tertiary care center in 2021 was done. </p>
        <p id="paragraph-0a267c53b476420cbae3a831fc51e8de">Results: All patients were middle-aged with a mean age of 47 years. All patients had poor glycemic control. Three patients were on oxygen support and were given steroids during Covid-19 treatment. Symptoms were facial pain, swelling, headache, eyelid swelling, and nasal block. All patients underwent contrast MRI to study the extent of tissue involvement. MRI helped in complete surgical debridement with minimal deformity. </p>
        <p id="paragraph-0109d35b36a04ef2b559b19ee0a6dfa7">Conclusion: Judicious use of immunosuppressants and strict glycemic control vital during covid-19 treatment. Contrast MRI is the investigation of choice to identify the extent of involvement in surgical planning.</p>
      </abstract>
      <kwd-group id="kwd-group-5fe6e97e49514050859af781658178e5">
        <title>Keywords</title>
        <kwd>Imaging</kwd>
        <kwd>Covid-19</kwd>
        <kwd>Mucormycosis</kwd>
        <kwd>Amphotericine</kwd>
      </kwd-group>
      <funding-group>
        <funding-statement>Nil</funding-statement>
      </funding-group>
    </article-meta>
  </front>
</article>
