250 Ch 250. Mucormycosis

Angio-invasive opportunistic mold; Rhizopus, Mucor, Lichtheimia, Rhizomucor primary; DM ketoacidosis + immunocompromise + iron overload + deferoxamine + COVID-19 = major risk factors; rhinocerebral, pulmonary, GI, cutaneous, disseminated forms; liposomal amphotericin B + surgical debridement + iron chelation reversal = critical; isavuconazole + posaconazole salvage / step-down; India 2021 COVID epidemic outbreak highlighted。