The resurgence of black fungus in the context of Covid -19 second wave epidemic in India

There is a sudden surge of the cases black fungus infection ((mucormycosis / Zygomycosis), at time when India reeling under catastrophe created by second wave Covid -19. it like 'medical tsunami, ' that ravaged health care system and administration alike, both being caught unaware. In beginning, there an acute shortage hospital beds earmarked for this infection, lifesaving drug, liposomal Amphotersin B, coupled with appalling morbidity, mortality, not to speak financial burden resource crunch, inflicted it.This article briefly reviews in India, pre post -19 eras. The risk factors fungus, associated (CAR) as well non-Covid associated, are discussed. host pathogen related factors, pathogenesis explored. An alternative explanation diabetic ketoacidosis, (DKA) providing acidic pH required hypothesized, occurrence absence DKA, remained inexplicable. It may be noted responsible making available, free iron from ‘s serum, needed sustenance, grouth multiplication causing phagocytic dysfunction host. different clinical presentations mucormycosis, their salient features management outlined present article.