Covid, diabetes & steroids fuelling new mucormycosis wave

新冠病毒、糖尿病和类固醇引发新毛霉菌病浪潮

MUMBAI: The “unholy trinity” of Covid-19, diabetes and steroids seems to be fuelling the present outbreak of mucormycosis across the country, but India has for long been the world’s worst hotspot for this black fungal infection.

孟买：新冠病毒、糖尿病和类固醇似乎正在加剧目前在印度全国各地爆发的毛霉菌病，但长期以来，印度一直是这种黑真菌感染最严重的地区。

“Mucormycosis is an uncommon fungal infection although India had the highest reported cases of mucormycosis in the world even before Covid,” said Kolkata-based endocrinologist Dr A K Singh who, along with Dr Shashank Joshi from Mumbai and Dr Anoop Misra from Delhi, published a paper on Friday on the reasons for the mucormycosis “escalation” in the country.

加尔各答内分泌学家A K Singh博士说：“毛霉菌病是一种不常见的真菌感染，尽管在新冠疫情爆发之前，印度的毛霉菌病报告病例也是全球最高的。”加尔各答内分泌学家A K Singh博士与来自孟买的Shashank Joshi博士和来自德里的Anoop Misra博士在周五发表了一篇论文，阐述了毛霉菌病在印度“升级”的原因。

According to Dr Joshi, while endocrinologists would see a diabetic patient with mucormycosis once in two months, the Covid-19 pandemic changed that. “Now doctors are seeing multiple cases in a day. This exponential rise is a cause for concern,” said Dr Joshi, a member of the Maharashtra government’s task force on Covid-19.

Joshi博士表示，内分泌学家每两个月才诊治到一名患有毛霉病的糖尿病患者，但新冠疫情改变了这一情况。现在医生在一天内诊治到了多个病例。这种指数级增长令人担忧。 Joshi博士是马哈拉施特拉邦政府新冠肺炎特别工作组的成员。

For the article published in the peer-reviewed and indexed medical journal, `Diabetes & Metabolic Syndrome: Clinical Research & Reviews’, the doctors reviewed medical literature until May 12, 2021 and found that the highest incidence was in India—83 out of 101 published cases across the world.

在同行评议和索引医学期刊《糖尿病与代谢综合征:临床研究与评论》上发表的一篇文章中，医生们查阅了2021年5月12日之前的医学文献，发现印度的发病率最高，在全球发表的101个病例中有83个在印度。

More than two-thirds of these patients had uncontrolled diabetes and two-thirds had received a course of steroid for Covid. These findings suggest control of diabetes and judicious use of steroid is necessary to reduce black fungal infection, they said.

其中超过三分之二的患者患有无法控制的糖尿病，三分之二的患者接受了一个疗程的类固醇治疗。他们说，这些发现表明，控制糖尿病和明智使用类固醇对于减少黑真菌感染是必要的。

以下是印度时报读者的评论：译者：Jessica.Wu

Harsh Kaul

Slowly and steadily we or our generation will become like hybrid seeds required chemical fertilizers, herbicide, insecticide and fungicide with regular intervals . Life will become like zombie.

我们这一代印度人将逐步变成杂交种子，需要定期使用化肥、除草剂、杀虫剂和杀菌剂，人将变得像僵尸一样。

Gopal Sunder

Chowkidaar has taken country backward by 20 years. Whatever congress achieved all is undone by Chowkidaar.

莫迪让国家倒退了20年。国大党取得的成就都被他毁掉了。

iftekhar ansari

It's not covid, diabetes and steroids but kumbh mela fuelling new mucormycosis wave .

引发毛霉菌病浪潮的不是新冠病毒，糖尿病和类固醇，而是大壶节。

Abhimanyu Sharma

this is something very fishy. USA,UK etc all had covid,all had steroids and diabetes. still they didn't get mucormycosis on such a large scale. Something we are missing here

非常可疑。美国、英国等国都有新冠病毒，类固醇和糖尿病，但他们并没有如此大规模地感染毛霉菌病。肯定有不为人知的原因

Nasim Akhtar

EXPOSING MILLIONS OF PEOPLE TO INFECTION AT KHUBH AND ADDRESSING PACKED RALLIES, OUR FEKU AKA FAKE IS NOW CRYING CROCODILE TEARS ON NATIONAL TELEVISION.HE IS THE FUNGUS !!!

数百万人在大壶节上受到感染，莫迪在拥挤的集会上发表演讲，现在在电视上流下鳄鱼的眼泪。他就是真菌!!

Nation First

Doctors ,Medical staff and Medico Business Mafias are using OXYGEN SHORTAGE,BLACK FUNGUS, WHITE FUNGUS, STEROID as SHIELD to hide their UNPROFESSIONALISM???

医生，医务人员和医疗商业黑手党正在用缺氧，真菌，类固醇作为挡箭牌来掩饰他们的不专业??

Sasi

Also, check the industrial oxygen that has been used as medical oxygen...

工业用氧拿去医院用了，这也要查查

Tantra Couple

God is punishing India for electing FEKU.

印度选莫迪当总理，上天在惩罚我们

Manoj Pandey

Contaminated and dirty Oxygen bottles, pipes are the only reason for the fungus.

氧气瓶被污染了，输氧管道真菌产生的唯一原因。

GESK

We and politicians equally responsible for this mess. People never believed there is covid my own friends used to say it's some conspiracy and refused to wear mask now the same are wearing mask when its already messed up..

公民和政客都要为这个烂摊子负责。人们从来不相信有新冠病毒，我自己的朋友过去常说这是阴谋，拒绝戴口罩，现在戴了，情况已经一团糟了。

Gopal Sunder

Whole world is laughing at India due to failures of Chowkidaar Govt.

由于莫迪政府的失败，全世界都在嘲笑印度。

Joseph Rohit Kr Deka

WRONG FACTS!Main reason was SPREADING THROUGH OXYGEN CYLINDERS and VENTILATOS hospital used.

不对，主要是通过医院使用的氧气瓶和呼吸机传播的。

Canute Mathias

Each time different variants are flowing out suddenly. I think this could some sort of Conspiracy. And why this kind of variant only in India!

每次都有新变种突然出现。我觉得这可能是某种阴谋，为什么这种变体只在印度出现!

Sasi

India, which Modi claims is the pharmacy of the world, is daily loosing thousands of lives for want of medicines...

莫迪称印度是世界药房，但印度每天都有成千上万的人因为缺药而丧命…

Sasi

This is not happening in the neighbouring countries...

Why only in India?...

邻国怎么没发生这种情况…为什么只有印度发生?

Bhaarat

most of the comments are anti Modi, congress tool kit paid agents are at work...these are real fungus and parasites of India..

大多数评论是反莫迪的，国大党雇的水军在工作…这些是印度真正的真菌和寄生虫…

Sirius

India has a distinction of being diabetic capital of the world. No wonder why we see such a humongous increase in black fungus cases although indiscriminate usage of steroids may have been part of the culprit.

印度是世界糖尿病之都。毫无疑问，尽管滥用类固醇可能是黑真菌病的元凶之一，但病例增长太迅猛了。

Sid Goats

very low levels of hygiene are responsible for this .People should also eat nutritious cow meat and soup for recovery

造成这种情况的原因是卫生水平太差了。人们也应该吃营养丰富的牛肉和汤。有助于恢复

Pradeep Madgaonkar

Does this fungus spread from people to people??

这种毛霉菌病会人传人吗?

Subramanian P

Give a chance to Siddha, Ayurveda and Homeopathy.

这给了悉达、阿育吠陀和顺势疗法一个机会。