Management of Chronic Osteomyelitis in Post Covid Cases – A Case Report

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Anil Managutti
Ujjaval Bhavsar
Nirav Patel
Bansari Ajagia
Parth Suthar
Dharmik Parmar


Fungal osteomyelitis, an emerging angioinvading infection caused by ubiquitous filamentous fungi of the order Mucorales. Fungal osteomyelitis has emerged as the third most common invasive mycosis and is important in hematologic and allogeneic stem cell transplantation, following candidiasis and aspergillosis. Fungal osteomyelitis continues to be a problem in diabetes (DM) in Western countries. Similarly, in developed countries such as India, this condition has received less and less attention, especially in patients with uncontrolled diabetes and trauma. Recently, during this Covid-19 period, there has been a surge in disease in the post-Covid stage in immunocompromised cases requiring long-term treatment with corticosteroids and ventilators. The purpose of this case report is to highlight the feasibility of a bona fide surgical intervention. Surgery offers predictable options through proper case selection and surgeon expertise. We present the case of a 65-year-old man with extensive maxillary osteomyelitis and later diagnosed as maxillary fungal osteomyelitis. 

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Anil Managutti, Ujjaval Bhavsar, Nirav Patel, Bansari Ajagia, Parth Suthar, & Dharmik Parmar. (2023). Management of Chronic Osteomyelitis in Post Covid Cases – A Case Report. Journal of Coastal Life Medicine, 11(2), 911–915. Retrieved from


Kumar N, Singh AK, Pandey S, Agrawal S, Singh S. Rhinomaxillary osteomyelitis due to fungal osteomyelitis in an immunocompromised geriatric patient: a case report with review of treatment options. Egyptian Journal of Oral & Maxillofacial Surgery. 2015 May 1;6(2):66-70..

Jagdish C, Reetika S, Pallavi S, Jayanthi S, Divya P, Balasubramanya A. Fungal osteomyelitis of the paranasal sinus with gas forming maxillary osteomyelitis – a case report. Internet J Microbiol 2012; 10:1..

Kontoyiannis DP, Lewis RE. Agents of fungal osteomyelitis and entomophthoramycosis. In: Mandell GL, Bennett JE, Dolin R, editors. Principles and practice of infectious diseases, 7th ed. Philadelphia, PA: Churchill Livingstone/Elsevier; 2009.

Hibbett DS, Binder M, Bischoff JF, Blackwell M, Cannon PF, Eriksson OE, et al. A higher-level phylogenetic classification of the Fungi. Mycol Res 2007; 111:509–547.

Chakrabarti A, Das A, Sharma A, Panda N, Das S, Gupta KL, Sakhuja V. Ten years’ experience in zygomycosis at a tertiary care centre in India. J Infect 2001; 42:261–266.

Greenberg MS. Ulcerative vesicular and bullous lesions. In: Greenberg MS, Glick M, editors. Burket’s oral medicine diagnosis and treatment. BC Decker, Philadelphia: Elsevier; 2003. p. 79.

Bouza M, Mun˜oz P, Guinea J. Fungal osteomyelitis: an emerging disease. Clin Microbiol Infect 2006; 12:7–23.

Aggarwal P, Saxena S, Bansal V. Fungal osteomyelitis of maxillary sinus. J Oral Maxillofac Pathol 2012; 11:66–69

Brown OE, Finn R. Fungal osteomyelitis of the mandible. J Oral Maxillofac Surg 1986; 44:132–136

Spellberg B, Edwards J Jr, Ibrahim A. Novel perspectives on fungal osteomyelitis: pathophysiology, presentation, and management. Clin Microbiol Rev 2005; 18:556–569.

Lee FY, Mossad SB, Adal KA. Pulmonary fungal osteomyelitis: the last 30 years. Arch Intern Med 1999; 159:1301–1309

Prasad K, Lalitha RM, Reddy EK, Ranganath K, Srinivas DR, Singh J. Role of early diagnosis and multimodal treatment in rhinocerebral fungal osteomyelitis: experience of 4 cases. J Oral Maxillofac Surg 2012; 70:354–362.

Shetty SR, Punya VA. Palatal fungal osteomyelitis: a rare clinical dilemma. Oral Surg 2008; 1:145–148