Around 60 per cent of patients treated in hospital have had at least one eye removed after the second wave of coronavirus caused an explosion of the creeping fungal disease.

A Covid patient infected with black fungus is treated at a hospital in Jabalpur, India

The rare condition is caused by moulds known as mucromycetes which can kill people whose immune systems are weak.

When the spores – which occur naturally in the environment – are breathed in, they attack the lungs and sinuses before spreading to the face and the brain.

Mucormycosis causes blurred or double vision, chest pain and breathing difficulties.

Anil Wankhede, 54, developed a headache and a swollen right eye after he was discharged from hospital after being treated for Covid-19.

He told The Times that he did not seek further medical help because his brother Mahendra had already paid for his treatment.

Anil said: “I didn’t want to trouble my brother yet again with a new problem. He had already done so much for me.”

Ten days after he developed the fungus symptoms, Anil was told by Dr Akshay Nair that his right eye would need to be removed and his sinuses stripped.

Dr Nair said: “If we don’t remove the entire contents, along with all the tissue, nerves and eyelid, the infection can invade the brain.

“At that stage, we can’t save their lives.”

India said yesterday that it was working to alleviate a shortage of a medicine used to treat the fungal disease as its healthcare system reels under a massive wave of coronavirus infections.

Covid in India: Thousands need eyes removed over 'black fungus' | News |  The Times
Inside India’s ‘black fungus’ epidemic as cases hit 9,000 and patients have eyes removed


Mucormycosis is the name used for any fungal infection caused by a group of molds called mucormycetes.

These molds live throughout the environment. Mucormycosis mainly affects people who have health problems or take medicines that lower the body’s ability to fight germs and sickness.

According to Centers for Disease Control and Prevention say symptoms vary depending on where the fungus is growing.

Symptoms of rhinocerebral (sinus and brain) mucormycosis include:

  • Headache
  • One-sided facial swelling
  • Nasal or sinus congestion
  • Black lesions on nasal bridge or upper inside of mouth that quickly become more severe
  • Fever

Symptoms of pulmonary (lung) mucormycosis include:

  • Fever
  • Cough
  • Chest pain
  • Shortness of breath

Symptoms of gastrointestinal mucormycosis include:

  • Abdominal pain
  • Nausea and vomiting
  • Gastrointestinal bleeding


The disease spreads to the face and the brain is left untreated 

At least 7,250 such cases have been found across the country as of May 19, local media reported.

“In this battle of ours, another new challenge of black fungus has also emerged these days,” Prime Minister Narendra Modi tweeted on Friday.

India has the second-highest tally of Covid-19 cases in the world and has been reporting around 250,000 infections and 4,000 deaths daily.

With mucormycosis cases rising, India’s health ministry said it was looking to rope in more companies to produce the antifungal drug amphotericin B used to treat it and also increase imports.

That would lead to a nearly 250 per cent increase in supply to around 570,000 vials in June, the ministry said.

The country conducted roughly two million tests on Thursday, but experts have said infections and deaths could be between five to 10 times higher than official estimates.

Bodies of Covid victims are burned in New Delhi, India 
The body of a Covid patient arrives at a makeshift crematorium
The body of a Covid patient arrives at a makeshift crematorium