Ghosh Asmita, Sarkar Anusua, Paul Pubali, Patel Parth
Department of Biotechnology, Heritage Institute of Technology, Kolkata 700107, West Bengal, India.
H. K. College of Pharmacy, Jogeshwari West, Mumbai 400102, Maharashtra, India.
Fungal Biol Rev. 2021 Dec;38:67-91. doi: 10.1016/j.fbr.2021.09.003. Epub 2021 Sep 17.
The Coronavirus outbreak globally has changed the medical system and also led to a shortage of medical facilities in both developing and underdeveloped countries. The COVID19 disease, being novel in nature along with high infectivity and frequent mutational rate, has been termed to be fatal across the globe. The advent of infection by SARS-CoV-2 has brought a myriad of secondary complications and comorbidities resulting in additional challenges to the health care system induced by novel therapeutic procedures. The emerging variant with respect to the Indian subcontinent and the associated genetic mutations have worsened the situation at hand. Proper clinical management along with epidemiological studies and clinical presentations in scientific studies and trials is necessary in order to combat the simultaneous waves of emerging strains. This article summarizes three of the major fungal outbreaks in India namely mucormycosis, candidiasis and aspergillosis, and elaborates their subtypes, pathogenesis, symptoms and treatment and detection techniques. A detail of future therapeutics under consideration are also elaborated along with a general hypothesis on how COVID19 is related to immunological advances leading to major widespread fungal infection in the country. The factors that contribute in promoting virus proliferation and invasive fungal infections include cell-mediated immunity, associated immunocompromised conditions and treatment protocols that slows down immune mechanisms. To better comprehend a fungal or bacterial outbreak, it is very important to conduct audits mediated through multicenter national and state research teams for recognizing patterns and studying current cases of fungal infection in both healthy and comorbid groups of COVID19 patients.
全球范围内的冠状病毒爆发改变了医疗系统,也导致了发展中国家和不发达国家医疗设施的短缺。新冠病毒疾病具有新颖性、高传染性和高突变率,在全球范围内被认为是致命的。严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染的出现带来了无数的继发性并发症和合并症,给新型治疗程序引发的医疗保健系统带来了额外挑战。印度次大陆出现的变异毒株及相关基因突变使当前形势更加严峻。为了应对不断出现的毒株浪潮,在科学研究和试验中进行适当的临床管理以及流行病学研究和临床表现分析是必要的。本文总结了印度的三种主要真菌爆发,即毛霉菌病、念珠菌病和曲霉菌病,并阐述了它们的亚型、发病机制、症状、治疗和检测技术。还详细介绍了正在考虑的未来治疗方法,以及关于新冠病毒如何与免疫进展相关联从而导致该国大规模真菌感染的一般假设。促进病毒增殖和侵袭性真菌感染的因素包括细胞介导的免疫、相关的免疫功能低下状况以及减缓免疫机制的治疗方案。为了更好地理解真菌或细菌爆发,由多中心国家和州研究团队进行审计以识别模式并研究新冠病毒患者健康组和合并症组中当前的真菌感染病例非常重要。