White fungus in covid-19 | 4 times more dengerous than black fungus | sign , symptoms , treatment and prevention

Table of contents : 

1. Introduction
2. Causative agent
3. Sign & symptoms
4. Investigation tests
5. Treatment
6. High risk patients for white Fungus
7. Prevention from white Fungus in covid-19
8. Prognosis

Dr.Mayuri 

White Fungus In Covid-19 

White fungus is Candida, when it involves vital organs like lungs, heart, kidney and brain then it becomes deadlier than black fungus, which is Mucormycosis. 

Covid-19 Outbreak 

Introduction :

White Fungus microscopic view
 

sars covi 2 ( coronavirus)

White  Fungus in covid-19 is  Systemic candidiasis that means white fungus comes in bloodstream and goes into different body organs like lungs , heart, brain, eyes , vagina and bones . 

White fungus in bloodstream is called candidemia. It is the serious infection.

This White fungus is 4 times more dengerous than black fungus.

● If you want to know about Black Fungus in covid-19 please refer to this quora link of my answer:

1.  https://qr.ae/pGyks

2.  https://www.quora.com/Is-black-fungus-due-to-covid-found-only-in-India/answer/Mayuri-Verma-28?ch=10&share=29cb8171&srid=MaZj2

3. https://www.quora.com/Does-black-fungus-spread-like-Covid-19/answer/Mayuri-Verma-28?ch=10&share=e59d1b76&srid=MaZj2

4. https://www.quora.com/What-is-the-white-fungus-infection-after-Covid-19/answer/Mayuri-Verma-28?ch=10&share=77b5fad1&srid=MaZj2

Causative Agent :

Candida is the causative agent of white Fungus in covid-19.

 White Fungus In Covid-19 is  yeast infection caused by different types of Candida ( Yeast).  There are over 200 species of Candida but Five different species of Candida are main causative agents responsible for white Fungus In Covid-19 . 90% of systemic candidiasis caused by these 5 species .

Signs & symptoms :

Singns & Symptoms  of white fungus in covid-19 depend on the organ or system which is infected. 

When it involves lungs: 

When Candida (White Fungus) involves lungs,  called invasive candidiasis, presents as low oxygen saturation,  fever and dyspnea ( breathlessness). These symptoms are just like symptoms of covid-19.

When it involves the skin ( cutaneous candidiasis) :

1. Itching
2. Rash 
3. Warm

When it involves eyes: 

Candida eye infection

When Candida infects the eye, symptoms may include blurred vision with photophobia (the eye is overly senstive to light) and diplopia ( double vision).

When it involves mouth and vagina :

Oral thrush

Oral thrush i.e. white curdy lesions on tongue and inner cheeks.

Inflammation, intense itch and thick white discharge from the vagina.

https://www.quora.com/How-do-you-tell-if-balanitis-is-fungal-or-bacterial/answer/Dr-Mayuri?ch=10&share=07f07c26&srid=MaZj2

When it is in bloodstream ( candidemia) :

 Common symptoms of candidemia (Candida infection of the bloodstream) include fever and chills . Not improve with antibiotics. 

Candidemia can cause septic shock. therefore may cause symptoms such as low blood pressure, fast heart rate ( palpitations)  and rapid breathing.

When it involves heart ( endocarditis) :

endocarditis (Candida infection of the inner lining of the heart):

 fever, shortness of breath, fluid buildup in the arms or legs ( swelling or edema) , tiny red spots on the skin, and weight loss.

Investigation tests :

Candida culture media plate

Diagnosis can be difficult when the Candida is not found in the bloodstream.

Taking the blood sample or take sample of cerebrospinal fluid from the body and sending  into laboratory for culture of Candida( growing of Candida into laboratory).

In 40-50% of cases when systemic candidiasis affects another part of the body, the blood culture may be negative. 

Treatment of white Fungus in covid-19:

Injection Amphotericin B

Oral or intravenous (IV) antifungal medications are given in systemic candidiasis.

1. echinocandin (caspofungin, micafungin, or anidulafungin) 
2. fluconazole 
3. amphotericin B.

 The specific type of medication and duration of treatment will depend on many factors, including the age and health of the patient , the location and severity of the infection, and the specific species of Candida causing the infection.

https://www.quora.com/Is-white-fungus-curable/answer/Mayuri-Verma-28?ch=10&share=c9700561&srid=MaZj2

High risk patients for white Fungus In Covid-19:

Intensive care unit (ICU)

1. Patients are on intravenous steroids for very long duration.
2. Patients with uncontrolled diabetes.
3. Patients with immunodeficiency state : HIV, CANCER and ORGAN TRANSPLANT.
4. patients residing on damp and moist places.
5. ICU patients.
6. https://www.quora.com/Who-are-affected-by-white-fungus/answer/Mayuri-Verma-28?ch=10&share=2daf1061&srid=MaZj2

Prevention of white Fungus in covid-19:

Clean the hands properly.

Decrease the hospital stay if possible.

Clean the urinary catheter everyday.

Improve immunity by taking healthy diet.

Prognosis ( chances of survival):

Prognosis of white Fungus in  depends on severity and location of the white fungus infection and also on the general health of the infected person, and the timing of diagnosis and treatment. Patients who develop systemic candidiasis are usually already  critically ill . 

Mortality rate (percentage of people who die) in Patients who develop systemic candidiasis is estimated to be between 45-50%. Estimates of the mortality rate for candidemia (Candida infection on the blood) range from 19-30%.

Dr.Mayuri