COVID-19-Associated Pulmonary Mucormycosis DOI Creative Commons
Vidya Krishna, N.K. Bansal, Jaymin B. Morjaria

et al.

Journal of Fungi, Journal Year: 2022, Volume and Issue: 8(7), P. 711 - 711

Published: July 5, 2022

COVID-19-associated mucormycosis (CAM) emerged as an epidemic in certain parts of the world amidst global COVID-19 pandemic. While rhino-orbital was well reported during pandemic, absence routine diagnostic facilities including lower airway sampling, pulmonary probably under-recognized. In this review, we have focused on epidemiology and management (CAPM). CAPM is a deadly disease mortality can be high 80% early clinical suspicion treatment. histopathological examination tissue for angio-invasion cultures remained gold standard diagnosis, there increasing interest molecular serological methods to facilitate diagnosis critically ill patients often, immune-suppressed hosts who cannot readily undergo invasive sampling. Combined medical surgical treatment offers more promise than standalone therapy. Maintaining adequate glycemic control prudent use steroids which double-edged sword are key preventative measures. We would like emphasize urgent need development validation reliable biomarkers diagnostics diagnosis.

Language: Английский

COVID-19-Associated Mucormycosis (CAM): An Updated Evidence Mapping DOI Open Access
Salman Hussain,

Harveen Baxi,

Abanoub Riad

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(19), P. 10340 - 10340

Published: Sept. 30, 2021

Mucormycosis, a serious and rare fungal infection, has recently been reported in COVID-19 patients worldwide. This study aims to map all the emerging evidence on COVID-19-associated mucormycosis (CAM) with special focus clinical presentation, treatment modalities, patient outcomes. An extensive literature search was performed MEDLINE (Ovid), Embase Cochrane Study Register, WHO database till 9 June 2021. The primary outcome summarize outcomes of CAM. Data were summarized using descriptive statistics presented tabular form. mapping based total 167 CAM mean age 51 ± 14.62 years, 56.28% them male. Diabetes mellitus (73.65% (n = 123)), hypertension (22.75% 38)), renal failure (10.77% 18)) most common co-morbidities among patients. symptoms observed facial pain, ptosis, proptosis, visual acuity, vision loss. Survival higher who underwent both medical surgical management (64.96%). Overall mortality found be 38.32%. In conclusion, this high incidence rate. Optimal glycemic control early identification should priority reduce morbidity related

Language: Английский

Citations

41

COVID-19 associated mucormycosis – An emerging threat DOI Creative Commons
Chien‐Ming Chao, Chih‐Cheng Lai, Wen‐Liang Yu

et al.

Journal of Microbiology Immunology and Infection, Journal Year: 2022, Volume and Issue: 55(2), P. 183 - 190

Published: Jan. 13, 2022

Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) rapidly become a global threaten since its emergence in the end of 2019. Moreover, SARS-CoV-2 infection could also present with co-infection or secondary other virus, bacteria, fungi. Among them, mucormycosis is rare but aggressive fungal and it mainly affects patients particularly poorly controlled diabetes mellitus diabetic ketoacidosis (DKA). We here did comprehensive review literature reporting COVID-19 associated (CAM) cases, which have been reported worldwide. The prevalence higher India, Iran, Egypt than countries, highest states Gujarat Maharashtra India. Poor control administration systemic corticosteroids are common precipitating factors causing critical patients. In addition, itself may affect immune system resulting vulnerability to mucormycosis. Appropriate treatments CAM include strict glycemic control, extensive surgical debridement, antifungal therapy amphotericin B formulations.

Language: Английский

Citations

33

Clinical Features and Mortality of COVID-19-Associated Mucormycosis: A Systematic Review and Meta-Analysis DOI Open Access
Atsuyuki Watanabe, Matsuo So, Hayato Mitaka

et al.

Mycopathologia, Journal Year: 2022, Volume and Issue: 187(2-3), P. 271 - 289

Published: March 21, 2022

Language: Английский

Citations

31

Semisynthetic Amides of Amphotericin B and Nystatin A1: A Comparative Study of In Vitro Activity/Toxicity Ratio in Relation to Selectivity to Ergosterol Membranes DOI Creative Commons
Anna N. Tevyashova, Svetlana S. Efimova, Alexander I. Alexandrov

et al.

Antibiotics, Journal Year: 2023, Volume and Issue: 12(1), P. 151 - 151

Published: Jan. 11, 2023

Polyene antifungal amphotericin B (AmB) has been used for over 60 years, and remains a valuable clinical treatment systemic mycoses, due to its broad activity low rate of emerging resistance. There is no consensus on how exactly it kills fungal cells but certain that AmB the closely-related nystatin (Nys) can form pores in membranes have higher affinity towards ergosterol than cholesterol. Notably, high nephro- hemolytic toxicity polyenes their solubility water led efforts improve properties. We present synthesis new amides comparative study effects identical modifications Nys relationship between structure Generally, increases activity/toxicity ratio were good agreement with increasing ratios selective permeabilization ergosterol- vs. cholesterol-containing membranes. also show introduced had an effect sensitivity mutant yeast strains alterations biosynthesis studied polyenes, suggesting varying intermediate precursors. Three water-soluble derivatives showed prominent improvement safety selected as promising candidates drug development.

Language: Английский

Citations

19

South Asian Transplant Infectious Disease Guidelines for Solid Organ Transplant Candidates, Recipients, and Donors DOI Open Access
Shyam Bihari Bansal,

V. Ramasubramanian,

Narayan Prasad

et al.

Transplantation, Journal Year: 2023, Volume and Issue: 107(9), P. 1910 - 1934

Published: Feb. 7, 2023

These guidelines discuss the epidemiology, screening, diagnosis, posttransplant prophylaxis, monitoring, and management of endemic infections in solid organ transplant (SOT) candidates, recipients, donors South Asia. The also provide recommendations for SOT recipients traveling to this region. are based on literature review expert opinion by physicians, surgeons, infectious diseases specialists, mostly from Asian countries (India, Pakistan, Bangladesh, Nepal, Sri Lanka) as well experts other countries. cover relevant bacterial (tuberculosis, leptospirosis, melioidosis, typhoid, scrub typhus), viral (hepatitis A, B, C, D, E; rabies; arboviruses including dengue, chikungunya, Zika, Japanese encephalitis), fungal (mucormycosis, histoplasmosis, talaromycosis, sporotrichosis), parasitic (malaria, leishmaniasis, toxoplasmosis, cryptosporidiosis, strongyloidiasis, filariasis) travelers' diarrhea vaccination candidates travelers visiting intended be an overview each topic; more detailed reviews being published a special supplement Indian Journal Transplantation .

Language: Английский

Citations

17

PCR diagnostic platforms for non- Aspergillus mold infections: ready for routine implementation in the clinic? DOI
Frédéric Lamoth, Dimitrios P. Kontoyiannis

Expert Review of Molecular Diagnostics, Journal Year: 2024, Volume and Issue: 24(4), P. 273 - 282

Published: March 19, 2024

Introduction While Aspergillus spp. remain the predominant cause of invasive mold infections, non-Aspergillus molds, such as Mucorales or Fusarium spp., account for an increasing proportion cases. The diagnosis infections (NAIMI) is challenging because low sensitivity and delay conventional microbiological tests. Therefore, there a particular interest to develop molecular tools their early detection in blood other clinical samples.

Language: Английский

Citations

6

Mucormycosis (black fungus) ensuing COVID-19 and comorbidity meets - Magnifying global pandemic grieve and catastrophe begins DOI Open Access
Karthika Pushparaj, Haripriya Kuchi Bhotla, Vijaya Anand Arumugam

et al.

The Science of The Total Environment, Journal Year: 2021, Volume and Issue: 805, P. 150355 - 150355

Published: Sept. 16, 2021

Language: Английский

Citations

41

Current Treatment Options for COVID-19 Associated Mucormycosis: Present Status and Future Perspectives DOI Open Access
Madhavan Yasasve,

Kadambari Vijay Sai,

Dilip Kumar Shanmugam

et al.

Journal of Clinical Medicine, Journal Year: 2022, Volume and Issue: 11(13), P. 3620 - 3620

Published: June 23, 2022

Mucormycosis has become increasingly associated with COVID-19, leading to the use of term "COVID-19 mucormycosis (CAM)". Treatment CAM is challenging due factors such as resistance many antifungals and underlying co-morbidities. India particularly at risk for this disease large number patients COVID-19 carrying comorbidities that predispose them development mucormycosis. Additionally, treatment complicated atypical symptoms delayed presentation after resolution COVID-19. Since increased morbidity mortality, early identification diagnosis are desirable initiate a suitable combination therapies control disease. At present, first-line involves Amphotericin B surgical debridement. To overcome limitations surgery (invasive, multiple procedures required) amphotericin (toxicity, extended duration limited clinical success), additional can be utilized adjuncts or alternatives reduce improve prognosis. This review discusses challenges treating critical aspects controlling invasive fungal infection-early initiation therapy, reversal factors, adoption multipronged strategy. It also details various therapeutic options (in vitro, in vivo human case reports) have been used CAM.

Language: Английский

Citations

28

COVID-19 associated mold infections: Review of COVID-19 associated pulmonary aspergillosis and mucormycosis DOI Creative Commons
Shiang‐Fen Huang, Alice Ying-Jung Wu, Susan Shin‐Jung Lee

et al.

Journal of Microbiology Immunology and Infection, Journal Year: 2022, Volume and Issue: 56(3), P. 442 - 454

Published: Dec. 15, 2022

COVID-19-associated mold infection (CAMI) is defined as development of infections in COVID-19 patients. Co-pathogenesis viral and fungal include the disruption tissue barrier following SARS CoV-2 with damage alveolar space, respiratory epithelium endothelium injury overwhelming inflammation immune dysregulation during severe COVID-19. Other predisposing risk factors permissive to administration modulators such corticosteroids IL-6 antagonist. pulmonary aspergillosis (CAPA) mucormycosis (CAM) increasingly reported pandemic. CAPA usually developed within first month COVID infection, CAM frequently arose 10-15 days post diagnosis Diagnosis challenging often indistinguishable cytokine storm COVID-19, several diagnostic criteria have been proposed. Development associated a high mortality despiteappropriate anti-mold therapy. Both isavuconazole amphotericin B can be used for treatment CAM; voriconazole primary agent posaconazole an alternative CAM. Aggressive surgery recommended improve patient survival. A index suspicion timely appropriate crucial outcome.

Language: Английский

Citations

26

Endocrine Follow-up During Post-Acute COVID-19: Practical Recommendations Based on Available Clinical Evidence DOI Open Access
Rimesh Pal, Ameya Joshi, Sanjay Kumar Bhadada

et al.

Endocrine Practice, Journal Year: 2022, Volume and Issue: 28(4), P. 425 - 432

Published: Feb. 11, 2022

Language: Английский

Citations

25