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A new health complication being seen in patients in the post-Covid recovery phase has left the medical fraternity baffled after three confirmed cases of avascular necrosis (AVN) or death of bone tissues have been scientifically reported from Mumbai.
AVN has emerged as yet another debilitating condition after mucormycosis or black fungus affected many post-Covid patients. According to a Times of India report, doctors are worried that more cases of bone death are likely to appear in the next few months.
The common factor between mucormycosis and avascular necrosis was found to be the use of steroids, the only drug proven to help Covid-19 patients.
Three young patients under the age of 40 developed avascular necrosis two months after being treated for Covid in Hinduja Hospital, Mahim.
Doctors say, these patients developed pain in their femur bone that is the thigh bone, and, symptoms were detected early and rushed for treatment.
What is avascular necrosis?Avascular necrosis or AVN is a condition can affect anyone irrespective of Covid-19. It is caused due to temporary or permanent loss of blood supply to the bone, according to Johns Hopkins Medicine. When the blood supply is cut, the bone tissue dies and the bone collapses. If avascular necrosis occurs near a joint, the joint surface may collapse. 
Patients may not show any symptoms in the early stages of the disease, but as the condition worsens there could be pain in joints. The pain can be mild or severe which develops slowly.
Why is avascular necrosis being seen in Covid patients?Corticosteroids are life-saving in the management of Covid-19. Patients who had infection are more susceptible to avascular necrosis (AVN). Doctors say the condition can develop due to a a lower threshold dose to steroids and at the earlier onset of presentation.
Can avascular necrosis be prevented?Doctors say early detection if crucial. If a patient complains of hip and thigh pain, AVN can easily be detected by an MRI of the hips. Patients with early AVN can be successfully treated with bisphosphonate therapy, according to the studies published.

After black fungus, 'bone death', a new worry for doctors in post-Covid patients

After black fungus, 'bone death' or avascular&nbsp;necrosos&nbsp;(AVN) is&nbsp;a new worry for doctors in post-Covid patients, here's all you need to know about AVN

After black fungus, 'bone death', a new worry in post-Covid patients

// What is avascular necrosis (AVN) and what has it got to do with Covid? // After black fungus, 'bone death' or avascular necrosis is new worry for doctors // The health complication is being seen in patients during post-Covid recovery // 3 confirmed cases of avascular necrosis have been reported from Mumbai // Doctors are worried that more cases are likely to appear in coming months // Use of steroids in treatment of Covid patients causing avascular necrosis // 3 patients under 40 developed avascular necrosis in 2 months after Covid in Mumbai // Patients complained of pain in the thigh bone, then were then rushed for treatment // Avascular necrosis happens due to temporary or permanent loss of blood to the bone //When the blood supply is cut, the bone tissue dies and the bone collapses //Patients may not show any symptoms in the early stages of the disease //But as the condition worsens there could be mild or severe pain in joints // Doctors say corticosteroids make patients more susceptible to avascular necrosis // Can avascular necrosis be prevented? Doctors say early detection is crucial // If a patient complains of hip and thigh pain, AVN can be detected by an MRI // Patients with early AVN can be successfully treated with bisphosphonates

Doctors say avascular necrosis (AVN) or bone death is being caused due to the use of steroids, the only drug proven to help Covid-19 patients.

A new health complication being seen in patients in the post-Covid recovery phase has left the medical fraternity baffled after three confirmed cases of avascular necrosis (AVN) or death of bone tissues have been scientifically reported from Mumbai.
AVN has emerged as yet another debilitating condition after mucormycosis or black fungus affected many post-Covid patients. According to a Times of India report, doctors are worried that more cases of bone death are likely to appear in the next few months.
The common factor between mucormycosis and avascular necrosis was found to be the use of steroids, the only drug proven to help Covid-19 patients.
Three young patients under the age of 40 developed avascular necrosis two months after being treated for Covid in Hinduja Hospital, Mahim.
Doctors say, these patients developed pain in their femur bone that is the thigh bone, and, symptoms were detected early and rushed for treatment.
<h3>What is avascular necrosis?</h3>
Avascular necrosis or AVN is a condition can affect anyone irrespective of Covid-19. It is caused due to temporary or permanent loss of blood supply to the bone, according to Johns Hopkins Medicine. When the blood supply is cut, the bone tissue dies and the bone collapses. If avascular necrosis occurs near a joint, the joint surface may collapse.
Patients may not show any symptoms in the early stages of the disease, but as the condition worsens there could be pain in joints. The pain can be mild or severe which develops slowly.
<h3>Why is avascular necrosis being seen in Covid patients?</h3>
Corticosteroids are life-saving in the management of Covid-19. Patients who had infection are more susceptible to avascular necrosis (AVN). Doctors say the condition can develop due to a a lower threshold dose to steroids and at the earlier onset of presentation.
<h3>Can avascular necrosis be prevented?</h3>
Doctors say early detection if crucial. If a patient complains of hip and thigh pain, AVN can easily be detected by an MRI of the hips. Patients with early AVN can be successfully treated with bisphosphonate therapy, according to the studies published.

After several states raising alarm&nbsp;over the spread of the black fungus infection or mucormycosis, medical experts have now flagged a 'white fungus infection' that could be just as life-threatening, if not more.
The white fungus has been detected in at least four patients in Bihar's Patna as per media reports.
The symptoms of white fungus are reportedly very similar to Covid-19 in the lungs but such patients test negative for the virus. CT scans and X-rays are useful in diagnosing the infection, said&nbsp;Dr SN Singh, the head of microbiology,&nbsp;PMCH&nbsp;in a Zee&nbsp;News report.
The infection seems to be caused by unsanitary use of oxygen cylinders, overuse of steroids and using tap water in the humidifier attached to an oxygen cylinder.
As of now, people with weakened immunity, a common trait among&nbsp;Covid-19 patients or those who have recovered from it, are allegedly the most susceptible to this infection.&nbsp;

Another day, another infection: all you need to know about 'white fungus'

Medical experts flag spread of deadly 'white fungus infection'
Detected in at least 4 patients in Bihar: reports&nbsp;
Symptoms similar to that of Covid-19 in the lungs
CT scans and X-rays useful for&nbsp;detection: Dr SN Singh, PMCH
Possible cause: unsanitary O2 cylinder use, steroid overuse
People with weakened immunity seem to be most susceptible

After several states raising alarm&nbsp;over the spread of the black fungus infection or mucormycosis, medical experts have now flagged a 'white fungus infection' that could be just as life-threatening, if not more.
The white fungus has been detected in at least four patients in Bihar's Patna as per media reports.
The symptoms of white fungus are reportedly very similar to Covid-19 in the lungs but such patients test negative for the virus. CT scans and X-rays are useful in diagnosing the infection, said&nbsp;Dr SN Singh, the head of microbiology, Patna Medical College and Hospital (PMCH)&nbsp;in a Zee&nbsp;News report.
The infection seems to be caused by unsanitary use of oxygen cylinders and overuse of steroids.
As of now, people with weakened immunity, a common trait among&nbsp;Covid-19 patients or those who have recovered from it, are allegedly the most susceptible to this infection.&nbsp;

Ask The Doctor | Why indiscriminate use of steroids is not a good idea

Ask The Doctor | Why indiscriminate use of steroids is not a good idea

Steroids can cut death risk by 20% in critical Covid patients: study

Treating critically ill Covid-19 patients with corticosteroids may cut the risk of death by 20%, a new study claims.

Using corticosteroids to treat severely ill Covid-19 patients can reduce the risk of death by 20%, a new study by international team of researchers has claimed.
The analysis, by scientists from Canada, China, USA, the Uk and Brazil among others, included pooled data from different trials of low dose of steroids such as&nbsp;dexamethasone, hydrocortisone and methylprednisolone.&nbsp;
They concluded that 68% patients survived after being treated with corticosteroids compared to 60% surviving in the absence of these steroids. This meant 87 fewer deaths per 1000 patients.&nbsp;
The findings of the study prompted the World Health Organisation to update its advice on treatment for Covid-19. They updated their website on Wednesday to say that corticosteroids must be used only in treatment of the most life threatening&nbsp;Covid-19 cases and not for mild ones.

Using corticosteroids to treat severely ill Covid-19 patients can reduce the risk of death by 20%, a new study by an international team of researchers has claimed.
The analysis, by scientists from Canada, China, USA, the Uk and Brazil among others, included pooled data from different trials of low doses of steroids such as&nbsp;dexamethasone, hydrocortisone and methylprednisolone.&nbsp;
They concluded that 68% patients survived after being treated with corticosteroids compared to 60% surviving in the absence of these steroids. This meant 87 fewer deaths per 1000 patients.&nbsp;
The findings of the study prompted the World Health Organisation to update its advice on treatment for Covid-19. They updated their website on Wednesday to say that corticosteroids must be used only in treatment of the most life threatening&nbsp;Covid-19 cases and not for mild ones.

steroids

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