{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:40:07Z","timestamp":1756280407349,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,4,1]]},"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:p>A man in his 50s presented with a 2-month history of left ear discharge associated with hearing loss and weakness of left half of face since 15 days. The patient had no comorbidities, but he gave history of being treated for COVID-19 pneumonia 2 months ago post which he started experiencing left-sided aural symptoms. Clinical examination of ear revealed a subtotal perforation with multiple granulations in middle ear. Facial nerve examination revealed grade 3 lower motor neuron palsy. The biopsy of the granulations was sent to aid in diagnosis which later confirmed left ear mucormycosis. Otological involvement with facial palsy and sudden sensorineural loss in a patient with prior history of COVID-19 has not been reported until in literature. We try to communicate our experience to bridge the gap in understanding and managing this extremely rare occurrence of mucormycosis in the ear of a patient diagnosed with COVID-19 infection.<\/jats:p>","DOI":"10.1136\/bcr-2022-250533","type":"journal-article","created":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T13:05:40Z","timestamp":1681304740000},"page":"e250533","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Intratemporal mucormycosis: a rare COVID-19 sequelae"],"prefix":"10.1136","volume":"16","author":[{"given":"Sanchit","family":"Bajpai","sequence":"first","affiliation":[{"name":"ENT and Head & Neck Surgery, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sweekritha","family":"Bhat","sequence":"additional","affiliation":[{"name":"ENT and Head & Neck Surgery, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vijendra","family":"Shenoy S","sequence":"additional","affiliation":[{"name":"ENT and Head & Neck Surgery, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Praneetha","family":"Puvvula","sequence":"additional","affiliation":[{"name":"ENT and Head & Neck Surgery, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Mangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,4,12]]},"reference":[{"key":"2025082700153874000_16.4.e250533.1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-018-1293-8"},{"key":"2025082700153874000_16.4.e250533.2","doi-asserted-by":"crossref","first-page":"1640","DOI":"10.1038\/s41433-019-0733-3","article-title":"Orbital mycoses in an adult subtropical population","volume":"34","author":"Lee","year":"2020","journal-title":"Eye (Lond)"},{"key":"2025082700153874000_16.4.e250533.3","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/j.ajem.2020.09.032","article-title":"Mucormycosis with orbital compartment syndrome in a patient with COVID-19","volume":"42","author":"Werthman-Ehrenreich","year":"2021","journal-title":"Am J Emerg Med"},{"key":"2025082700153874000_16.4.e250533.4","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1111\/j.1470-9465.2004.00843.x","article-title":"Mucormycosis and entomophthoramycosis: A review of the clinical manifestations, diagnosis and treatment","volume":"10 Suppl 1","author":"Prabhu","year":"2004","journal-title":"Clin Microbiol Infect"},{"key":"2025082700153874000_16.4.e250533.5","article-title":"Rhino-Orbital mucormycosis associated with COVID-19","volume":"12","author":"Mehta","year":"2020","journal-title":"Cureus"},{"key":"2025082700153874000_16.4.e250533.6","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.18.3.556-569.2005"},{"key":"2025082700153874000_16.4.e250533.7","doi-asserted-by":"crossref","first-page":"273127","DOI":"10.1155\/2010\/273127","article-title":"A case of successfully treated rhinocerebral mucormycosis: dental implications","volume":"2010","author":"Papadogeorgakis","year":"2010","journal-title":"Int J Dent"},{"key":"2025082700153874000_16.4.e250533.8","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1016\/j.cmi.2019.11.021","article-title":"A multicentre observational study on the epidemiology, risk factors, management and outcomes of mucormycosis in india","volume":"26","author":"Patel","year":"2020","journal-title":"Clin Microbiol Infect"},{"key":"2025082700153874000_16.4.e250533.9","doi-asserted-by":"crossref","first-page":"e529","DOI":"10.1016\/j.bjoms.2021.08.009","article-title":"COVID-associated mucormycosis (CAM): is the delta variant a cause?","volume":"60","author":"Arakeri","year":"2022","journal-title":"Br J Oral Maxillofac Surg"},{"key":"2025082700153874000_16.4.e250533.10","doi-asserted-by":"crossref","first-page":"e533","DOI":"10.1016\/j.bjoms.2021.10.018","article-title":"Pathogenesis of covid-19-associated mucormycosis (CAM) in india: probing the triggering factors","volume":"60","author":"Arakeri","year":"2022","journal-title":"Br J Oral Maxillofac Surg"},{"key":"2025082700153874000_16.4.e250533.11","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-011-0156-3"},{"key":"2025082700153874000_16.4.e250533.12","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.13.2.236"},{"key":"2025082700153874000_16.4.e250533.13","doi-asserted-by":"crossref","first-page":"e405","DOI":"10.1016\/S1473-3099(19)30312-3","article-title":"Global guideline for the diagnosis and management of mucormycosis: an initiative of the European Confederation of medical mycology in cooperation with the mycoses Study Group education and research Consortium","volume":"19","author":"Cornely","year":"2019","journal-title":"The Lancet Infectious Diseases"},{"key":"2025082700153874000_16.4.e250533.14","article-title":"Facial nerve palsy in COVID-19-associated mucormycosis patients: A case series","volume":"13","author":"Mehta","year":"2021","journal-title":"Cureus"},{"key":"2025082700153874000_16.4.e250533.15","doi-asserted-by":"publisher","DOI":"10.1086\/589857"},{"key":"2025082700153874000_16.4.e250533.16","doi-asserted-by":"crossref","first-page":"2965","DOI":"10.1007\/s00405-021-07106-8","article-title":"Mucormycosis in COVID-19 pandemic and its neurovascular spread","volume":"279","author":"Pal","year":"2022","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"Suppl 2","key":"2025082700153874000_16.4.e250533.17","doi-asserted-by":"crossref","first-page":"3521","DOI":"10.1007\/s12070-021-03015-8","article-title":"Intraoperative scoring assessment as A prognostic tool in covid-19 associated mucormycosis: A short-term observational study","volume":"74","author":"Shenoy","year":"2022","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"2025082700153874000_16.4.e250533.18","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2020-238419","article-title":"Sudden irreversible hearing loss post COVID-19","volume":"13","author":"Koumpa","year":"2020","journal-title":"BMJ Case Rep"},{"key":"2025082700153874000_16.4.e250533.19","doi-asserted-by":"crossref","unstructured":"Gleeson M . Disorders of the facial nerve. scott-brown\u2019s otorhinolaryngology head and neck surgery. 7th ed. London: Edward Arnold Ltd, 2008: 3883\u20136. doi:10.1201\/b15118","DOI":"10.1201\/b15118"},{"key":"2025082700153874000_16.4.e250533.20","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2020-237357","article-title":"Prolonged viral shedding in an immunocompetent patient with COVID-19","volume":"13","author":"McKie","year":"2020","journal-title":"BMJ Case Rep"},{"key":"2025082700153874000_16.4.e250533.21","doi-asserted-by":"crossref","unstructured":"Wang Y , Jiang W , He Q , et al . Early, low-dose and short-term application of corticosteroid treatment in patients with severe COVID-19 pneumonia: single-center experience from wuhan, china. Infectious Diseases (except HIV\/AIDS) [Preprint] 2020. doi:10.1101\/2020.03.06.20032342","DOI":"10.1101\/2020.03.06.20032342"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-250533","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:15:53Z","timestamp":1756278953000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-250533"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":21,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,4,12]]},"published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1136\/bcr-2022-250533"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-250533","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,4]]}}}