Hematological Indices in COVID-19 Patients with Rhinosinusitis Mucormycosis
Publish place: Iranian Journal of Otorhinolaryngology، Vol: 36، Issue: 2
Publish Year: 1403
Type: Journal paper
Language: English
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JR_IJOTO-36-2_003
Index date: 9 March 2024
Hematological Indices in COVID-19 Patients with Rhinosinusitis Mucormycosis abstract
Introduction: Rhinosinusitis mucormycosis (RM) is an invasive opportunistic fungal infection, especially among COVID-19 patients. The current study aimed to assess the peripheral blood hematological disorders of COVID-19 patients-associated RM. Materials and Methods: During ten month, in two COVID-19 centers in Mashhad, Iran, from June 2021 to March 2022, eighty-three patients suspected of COVID-19 with rhinosinusitis or rhino-orbital mucormycosis participated in this study. The hematological indices of these patients were measured by independent sample T‐test or Mann-Whitney test for quantitative data, and the qualitative variables were analyzed using Chi-square or Fisher’s exact test in SPSS version 20 at a significance level of 0.05. Results: Of the COVID-19 patients, 40 (48.2%) were affected by RM, and leukocytosis due to neutrophilia was observed in 30% of them. Leukocyte counts were normal in 10 (25%) patients, but 1 (2.5%) and 3 (7.5%) had leukopenia and lymphopenia, respectively. Leukocytosis plus lymphopenia was observed in 7 (17.5%) patients. Also, the synchronicity of leukopenia and lymphopenia was seen in 5 (12.5%) patients. Leukopenia, lymphopenia, and neutropenia have occurred concurrently in 2 (5%) patients. The complete blood count (CBC) showed that RBCs, hemoglobin (Hb), hematocrit (HCT), MCH, MCHC, platelet (PLT), and lymphocytes decreased while neutrophils increased. Conclusion: Among the hematological parameters, leukocytosis due to neutrophilia and reduction in Hb, HCT, and PLT are more dominant factors in COVID-19 patients-associated RM.
Hematological Indices in COVID-19 Patients with Rhinosinusitis Mucormycosis Keywords:
Hematological Indices in COVID-19 Patients with Rhinosinusitis Mucormycosis authors
Seyedeh Sabereh Mojtahedi
Department of Parasitology and Mycology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Hossein Zarrinfar
Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Mehdi Bakhshaee
Sinus and Surgical Endoscopic Research Center, Mashhad University of Medical Sciences Mashhad Iran.
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