Table 1.

Demographic and clinical details of a case series of seven COVID-19 patients who developed invasive fungal infection after unnecessarily using corticosteroids for managing early mild symptoms of COVID-19 at home.

Patient’s ID	1	2	3	4	5	6	7
Age (years)	44	65	68	48	54	55	38
Sex	Female	Female	Male	Female	Male	Male	Male
Comorbidities	DM	DM, HTN, IHD	DM, HTN, CKD	HTN, ESRD	DM	DM	Asthma
COVID-19 Severity	Mild	Moderate	Moderate	Severe	Mild	Mild	Moderate
Used steroids for COVID-19	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Supplementary O2 requirement at admission	No	No	No	Yes	No	No	No
Presenting symptoms of mucormycosis	Headache, facial, eye pain, and swelling	Facial, eye pain, swelling, nasal blockage, loss of vision in left eye, black coloration around eyes, palate, and oral mucosa	Painful loss of vision in left eye, facial pain, ptosis, black coloration around eyes, palate, and oral mucosa	Facial pain and swelling, black coloration around eyes, palate, and oral mucosa	Facial pain and ptosis, black coloration around eyes, palate, and oral mucosa	Fever, eye facial pain, and swelling, black coloration around eyes, palate, and oral mucosa	Facial pain and nasal blockage
HPE and fungal smear	Yes Mucormycosis + Aspergillosis	Yes Mucormycosis	Yes Mucormycosis	Yes Mucormycosis	Yes Mucormycosis + Aspergillosis	Yes Mucormycosis	Yes Mucormycosis
Radiological evidence	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Treatment	Local debridement (lateral rhinotomy), Amphotericin and Posaconazole	Local debridement and Amphotericin + Posaconazole	Local debridement, FESS and Amphotericin + Posaconazole	Local debridement and Amphotericin	Local debridement, FESS + Septoplasty and Amphotericin	Local debridement and Amphotericin	Local debridement and Amphotericin
Clinical outcome	Improved	Improved	Improved	Died	Improved	Improved	Improved

CKD, chronic kidney disease; DM, diabetes mellitus; ESRD, end-stage renal disease; FESS, functional endoscopic sinus surgery; HPE, histopathology examination; HTN, hypertension; IHD, ischemic heart disease.