Research Article

Evaluation and Comparison of Mucormycosis Patients’ Features Undergoing Functional Endoscopic Sinus Surgery Prior to and during the COVID-19 Pandemic: A Case-Control Study

Table 1

Demographic and clinical features of patients.

VariableTotal;N  = 59TimelineCOVID-19
Non-COVID-19 period; n = 18COVID-19period;n = 41Notinfected;n = 22Infected;n = 37

Age49.33 ± 20.5239.86 ± 25.6953.49 ± 16.500.05037.11 ± 24.5756.59 ± 13.450.002

GenderMale37 (62.7)10 (55.6)27 (65.9)0.45111 (50.0)26 (70.3)0.166
Female22 (37.3)8 (44.4)14 (34.1)11 (50.0)11 (29.7)

Comorbid diseaseDiabetes mellitus38 (64.4)9 (50.0)29 (70.7)0.14910 (45.5)28 (75.7)0.026
Hypertension31 (52.5)7 (38.9)24 (58.5)0.2578 (36.4)2 (62.2)0.065
Cardiovascular11 (18.6)3 (16.7)8 (19.5)1.0002 (9.1)9 (24.3)0.184
Cerebrovascular Dx10 (16.9)3 (16.7)7 (17.1)1.0002 (9.1)8 (21.6)0.294
Malignancy9 (15.3)4 (22.2)5 (12.2)0.4344 (18.2)5 (13.5)0.715
Chronic kidney Dx8 (13.6)2 (11.1)6 (14.6)1.0001 (4.5)7 (18.9)0.237
Hypothyroidism5 (8.5)2 (11.1)3 (7.3)0.6363 (13.6)2 (5.4)0.351
Transplantation5 (8.5)1 (5.6)4 (9.8)1.0002 (9.1)3 (8.1)1.000
PTE or DVT3 (5.1)0 (0.0)3 (7.3)0.5460 (0)3 (8.1)0.286
Asthma3 (5.1)2 (11.1)1 (2.4)0.2182 (9.1)1 (2.7)0.549
Chronic liver Dx2 (3.4)0 (0.0)2 (4.9)1.0001 (4.5)1 (2.7)1.000
Chronic obstructive pulmonary Dx1 (1.7)0 (0.0)1 (2.4)1.0001 (4.5)0 (0)0.373
HIV0 (0)0 (0)0 (0)0 (0)0 (0)
None4 (6.8)3 (16.7)1 (2.4)0.0803 (13.6)1 (2.7)0.141

Social historySmoker8 (13.6)1 (5.6)7 (17.1)0.4143 (13.6)5 (13.5)1.000
Opium2 (3.4)1 (5.6)2 (2.4)0.5210 (0.0)2 (5.4)0.524
Waterpipe1 (1.7)0 (0)1 (2.4)1.0001 (4.5)0 (0.0)0.373

Corticosteroid useYes31 (53.4)6 (33.3)25 (62.5)0.0396 (27.3)25 (69.4)0.002
COVID-19 related19 (63.3)0 (0)19 (79.2)0.0010 (0)19 (79.2)0.001
Non-COVID-19 related11 (36.7)6 (100)5 (20.8)6 (100)5 (20.8)

Physical exam, sign, and symptomPeriorbital edema33 (56.9)9 (52.9)24 (58.5)0.6959 (40.9)24 (66.7)0.063
Necrotic tissue28 (48.3)3 (17.6)25 (61.0)0.0036 (27.3)22 (61.1)0.016
Impaired vision or blindness26 (44.8)8 (47.1)18 (43.9)1.0009 (40.9)17 (47.2)0.787
Headache23 (39.7)3 (17.6)20 (48.8)0.0396 (27.3)17 (47.2)0.171
Frozen eye or loss of motion10 (17.2)2 (11.8)8 (19.5)0.7072 (9.1)8 (22.2)0.290
Facial edema9 (15.5)4 (23.5)5 (12.2)0.4263 (13.6)6 (16.7)1.000
Facial pain9 (15.5)1 (5.9)8 (19.5)0.2582 (9.1)7 (19.4)0.459
Eye pain8 (13.8)1 (5.9)7 (17.1)0.4153 (13.6)5 (13.9)1.000
Ptosis8 (13.8)0 (0.0)8 (19.5)0.0901 (4.5)7 (19.4)0.139
Eye proptosis6 (10.3)1 (5.9)5 (12.2)0.6601 (4.5)5 (13.9)0.392
Nasal discharge5 (8.6)3 (17.6)2 (4.9)0.1443 (13.6)2 (5.6)0.357
Blurred vision4 (6.9)2 (11.8)2 (4.9)0.5732 (9.1)2 (5.6)0.630
Ophthalmic ecchymosis3 (5.2)2 (11.8)1 (2.4)0.2032 (9.1)1 (2.8)0.551
Diplopia2 (3.4)1 (5.9)1 (2.4)0.5041 (4.5)1 (2.8)1.000
Facial redness or discoloration2 (3.4)2 (11.8)0 (0)0.0822 (9.1)0 (0)0.140
Fever2 (3.4)2 (11.8)0 (0)0.0822 (9.1)0 (0)0.140

Duration of symptoms12 [5–20.5]10 [4.25–27.5]14 [5–20.5]0.63812 [5–20]10 [4.75–30]0.852

Symptom duration groupOne week14 (34.1)7 (43.8)12 (36.4)0.6507 (38.9)12 (38.7)1.000
One week till one month20 (48.8)6 (37.5)17 (51.5)9 (50.0)14 (45.2)
Above one month7 (17.1)3 (18.8)4 (12.1)2 (11.1)5 (16.1)

Chi-square test or independent sample t-test/Mann-Whitney U test COVID-19: coronavirus disease of 2019; DVT: deep venous thrombosis; Dx: disease; PTE: pulmonary thromboendarterectomy.