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棘白菌素类药物在侵袭性曲霉菌病治疗中的作用。

Epidemiology, pathogenesis, clinical characteristics, and treatment of mucormycosis: a review.

机构信息

Center of Infectious Disease, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

出版信息

Ann Med. 2024 Dec;56(1):2396570. doi: 10.1080/07853890.2024.2396570. Epub 2024 Sep 2.

Abstract

AIM

This review aims to summarize the epidemiology, etiology, pathogenesis, clinical manifestations, and current diagnostic and therapeutic approaches for mucormycosis. The goal is to improve understanding of mucormycosis and promote early diagnosis and treatment to reduce mortality.

METHODS

A comprehensive literature review was conducted, focusing on recent studies and data on mucormycosis. The review includes an analysis of the disease's epidemiology, etiology, and pathogenesis, as well as current diagnostic techniques and therapeutic strategies.

RESULTS

Mucormycosis is increasingly prevalent due to the growing immunocompromised population, the COVID-19 pandemic, and advances in detection methods. The pathogenesis is closely associated with the host immune status, serum-free iron levels, and the virulence of Mucorales. However, the absence of typical clinical manifestations complicates diagnosis, leading to missed or delayed diagnoses and higher mortality.

CONCLUSION

An enhanced understanding of the epidemiology, pathogenesis, and clinical presentation of mucormycosis, along with the adoption of improved diagnostic and therapeutic approaches, is essential for reducing mortality rates associated with this opportunistic fungal infection. Early diagnosis and prompt treatment are critical to improving patient outcomes.

摘要

目的

本综述旨在总结毛霉病的流行病学、病因、发病机制、临床表现以及目前的诊断和治疗方法。目的是提高对毛霉病的认识,促进早期诊断和治疗,降低死亡率。

方法

对毛霉病的相关文献进行了全面的回顾,重点是近期的研究和数据。该综述分析了该疾病的流行病学、病因和发病机制,以及目前的诊断技术和治疗策略。

结果

由于免疫功能低下人群的增加、COVID-19 大流行以及检测方法的进步,毛霉病的发病率越来越高。发病机制与宿主免疫状态、血清游离铁水平和毛霉目真菌的毒力密切相关。然而,缺乏典型的临床表现使得诊断变得复杂,导致漏诊或延误诊断,死亡率更高。

结论

增强对毛霉病的流行病学、发病机制和临床表现的认识,并采用改进的诊断和治疗方法,对于降低这种机会性真菌感染相关的死亡率至关重要。早期诊断和及时治疗对于改善患者预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135e/11370679/6c79e891cd08/IANN_A_2396570_F0001_C.jpg

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