P5‐105: Relationship of total thrombocyte, lymphocyte account and PLR (platelet lymphocyte ratio) to severity degree of COVID‐19 patients in ward

lesions. Serum Aspergillus IgM and sputum Galactomannan positive. A other etiology ruled out. He was started on Injectable liposomal Amphotericin-B. Serial Chest X-rays showed improvement and complete resolution. Case 2: 48 year old male, post COVID, presented with complaints of breathlessness and headache. He was diagnosed with Right maxillary mucormycosis. HRCT Thorax showed right lung cavitatory lesion. Started on Injectable liposomal Amphotericin-B. The patient underwent Right side Bilobectomy as there was no improvement. Antifungal medications continued and patient improved. Case 3: 42 year old male, post COVID, presented with headache and fever and diagnosed as left maxillary mucormycosis. Chest X-ray showed right side cavitatory lung lesion. Started on liposomal Amphotericin-B and Posaconazole. Patient was inoperable as he developed bilateral pneumothorax, for which left sided ICD insertion done. Antifungal medications continued and patient improved. Conclusion: Case 2 required surgical intervention, while case 1 and case 3 improved with medical management. Each patient of post COVID cavitatory lung lesion should be evaluated and managed by individualised approach rather than generalised approach.