Gupta Ishita, Baranwal Pritika, Singh Gagandeep, Gupta Vandana
Department of Microbiology, Ram Lal Anand College, University of Delhi, Benito Juarez Road, New Delhi, 110021, India.
Section of Microbiology, Central Ayurveda Research Institute, Jhansi, Uttar Pradesh, 284003, India.
Future Microbiol. 2023 Feb;18:217-234. doi: 10.2217/fmb-2022-0141. Epub 2023 Mar 27.
Mucormycosis is an emerging opportunistic angioinvasive fungal infection. Predisposing factors such as diabetes, neutropenia, long-term corticosteroid therapy, solid organ transplantation and immunosuppression contribute to its occurrence. This disease was not of significant concern prior to the COVID-19 pandemic, but gained prominence due to infections in COVID-19 patients. Mucormycosis needs special attention and coordinated efforts of the scientific community and medical professionals to reduce morbidity and mortality. Here we present an overview of the epidemiology and prevalence of mucormycosis in the pre- and post-COVID-19 eras, the factors that contributed to the abrupt increase in COVID-19-associated mucormycosis (CAM), the actions taken by the regulatory agencies (including Code Mucor and CAM registry), the existing diagnostic tools and CAM management strategies.
毛霉菌病是一种新出现的机会性血管侵袭性真菌感染。糖尿病、中性粒细胞减少、长期糖皮质激素治疗、实体器官移植和免疫抑制等易感因素促使其发生。在新冠疫情大流行之前,这种疾病并不受重视,但由于新冠患者感染该疾病而受到关注。毛霉菌病需要科学界和医学专业人员给予特别关注并共同努力,以降低发病率和死亡率。在此,我们概述了新冠疫情前后毛霉菌病的流行病学和患病率、导致新冠相关毛霉菌病(CAM)突然增加的因素、监管机构采取的行动(包括毛霉菌规范和CAM登记处)、现有的诊断工具以及CAM管理策略。