Department of Zoology, School of Biosciences, Avinashilingam Institute for Home Science and Higher Education for Women, Coimbatore 641 043, Tamil Nadu, India.
Department of Life Science, CHRIST (Deemed to be University), Bengaluru, Karnataka 560076, India.
Sci Total Environ. 2022 Jan 20;805:150355. doi: 10.1016/j.scitotenv.2021.150355. Epub 2021 Sep 16.
Post COVID-19, mucormycosis occurred after the SARS-CoV-2 has rampaged the human population and is a scorching problem among the pandemic globally, particularly among Asian countries. Invasive mucormycosis has been extensively reported from mild to severe COVID-19 survivors. The robust predisposing factor seems to be uncontrolled diabetes mellitus, comorbidity and immunosuppression acquired through steroid therapy. The prime susceptive reason for the increase of mucormycosis cases is elevated iron levels in the serum of the COVID survivors. A panoramic understanding of the infection has been elucidated based on clinical manifestation, genetic and non- genetic mechanisms of steroid drug administration, biochemical pathways and immune modulated receptor associations. This review lime-lights and addresses the "What", "Why", "How" and "When" about the COVID-19 associated mucormycosis (CAM) in a comprehensive manner with a pure intention to bring about awareness to the common public as the cases are inevitably and exponentially increasing in India and global countries as well. The article also unearthed the pathogenesis of mucormycosis and its association with the COVID-19 sequela, the plausible routes of entry, diagnosis and counter remedies to keep the infection at bay. Cohorts of case reports were analysed to spotlight the link between the pandemic COVID-19 and the nightmare-mucormycosis.
新冠疫情后,由于 SARS-CoV-2 肆虐人类,侵袭性毛霉菌病已成为全球范围内的热点问题,尤其是在亚洲国家。从轻度到重度 COVID-19 幸存者中都广泛报道了侵袭性毛霉菌病。强有力的诱发因素似乎是未控制的糖尿病、合并症和通过类固醇治疗获得的免疫抑制。COVID 幸存者血清中铁水平升高是毛霉菌病病例增加的主要易感原因。基于临床表现、类固醇药物给药的遗传和非遗传机制、生化途径和免疫调节受体关联,对感染进行了全面的了解。本综述以全面的方式重点介绍了 COVID-19 相关毛霉菌病(CAM)的“是什么”、“为什么”、“如何”和“何时”,旨在引起普通公众的关注,因为印度和全球各国的病例不可避免地呈指数级增长。文章还揭示了毛霉菌病的发病机制及其与 COVID-19 后遗症的关联、可能的进入途径、诊断和防治措施,以控制感染。对病例报告进行了分析,以强调大流行 COVID-19 与噩梦般的毛霉菌病之间的联系。