South Texas Center for Emerging Infectious Diseases (STCEID), Department of Molecular Microbiology and Immunology, The University of Texas at San Antonio, San Antonio, Texas, United States of America.
PLoS Pathog. 2022 Oct 13;18(10):e1010858. doi: 10.1371/journal.ppat.1010858. eCollection 2022 Oct.
Mucormycosis (previously called zygomycosis) is a serious but rare fungal infection caused by a group of fungi belonging to the order Mucorales. These molds exist throughout the environment and generally do not cause serious problems in humans. Mucormycosis mainly affects individuals who are immunocompromised. The clinical manifestations of mucormycosis are wide-ranging; they include sinusitis (pansinusitis, rhino-orbital, or rhino-cerebral) as well as cutaneous, gastrointestinal, pulmonary, and disseminate infections. Many uncertainties remain regarding how to control these infections despite the recent addition of triazoles to the antifungal arsenal for treating this infection. Currently, lipid formulations of amphotericin B have become the standard treatment for mucormycosis due to their efficiency. Moreover, a growing body of data supports the need for surgical excision of infected and/or necrosed tissue whenever practical. In this mini review, the current status of treatment options for mucormycosis and recent studies of novel therapeutic options will be presented.
毛霉病(以前称为接合菌病)是一种由毛霉目真菌引起的严重但罕见的真菌感染。这些霉菌存在于整个环境中,通常不会对人类造成严重问题。毛霉病主要影响免疫功能低下的个体。毛霉病的临床表现广泛,包括鼻窦炎(全鼻窦炎、鼻眶或鼻脑)以及皮肤、胃肠道、肺部和播散性感染。尽管最近在治疗这种感染的抗真菌武器库中增加了三唑类药物,但如何控制这些感染仍然存在许多不确定因素。目前,两性霉素 B 的脂质制剂因其疗效而成为毛霉病的标准治疗方法。此外,越来越多的数据支持在实际可行的情况下切除受感染和/或坏死组织。在这个小型综述中,将介绍毛霉病的治疗选择现状以及最近关于新型治疗选择的研究。