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Mixed Aspergillosis and Mucormycosis Infections in Patients with COVID-19: Case Series and Literature Review.
Sasani, Elahe; Pakdel, Farzad; Khodavaisy, Sadegh; Salehi, Mohammadreza; Salami, Amir; Sohrabi, Marjan; Aminishakiba, Pouyan; Amirafzali, Iman; Salami Khaneshan, Arezoo.
Afiliación
  • Sasani E; Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
  • Pakdel F; Department of Oculo-Facial Plastic Surgery, Farabi Eye Hospital, Tehran, Iran.
  • Khodavaisy S; Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
  • Salehi M; Zoonoses Research Center, Tehran University of Medical Sciences, Tehran, Iran.
  • Salami A; Department of Infectious Diseases and Tropical Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
  • Sohrabi M; Student Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  • Aminishakiba P; Department of Infectious Diseases and Tropical Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
  • Amirafzali I; Pathology Department, Cancer Institute Hospital, IKHC, Tehran University of Medical Sciences, Tehran, Iran.
  • Salami Khaneshan A; Resident of Internal Medicine, Shahid Mohammadi Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Mycopathologia ; 189(1): 10, 2024 Jan 17.
Article en En | MEDLINE | ID: mdl-38231407
ABSTRACT

BACKGROUND:

Mucormycosis and aspergillosis are angioinvasive infections mainly occurring in immunocompromised patients. However, mixed infection with mucormycosis and aspergillosis in post-COVID-19 patients is rare. In this report, we will report four cases and comprehensively review the published literature on COVID-19 associated mixed infection of aspergillosis and mucormycosis.

METHOD:

Besides four of our cases, we searched for published articles using PubMed/MEDLINE, Scopus, and Web of Science databases from the beginning of 2020 until October 2023.

RESULT:

During the COVID-19 pandemic, we analyzed 52 cases (4 from our research and 48 from other studies). The most common underlying disease (59.6%) was diabetes mellitus. However, 19.2% of COVID-19 patients had no underlying condition. Interestingly, rhino-orbital-cerebral mucormycosis featured prominently in India and Iran, while other countries primarily reported a higher prevalence of pulmonary cases.

CONCLUSION:

In conclusion, this study highlights the presence of mixed aspergillosis and mucormycosis in COVID-19 patients who previously had common underlying diseases or even a healthy immune system. Therefore, managing COVID-19 patients should involve screening serum and respiratory samples using biomarkers to detect superinfections.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aspergilosis / Coinfección / COVID-19 / Mucormicosis Tipo de estudio: Diagnostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Mycopathologia Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aspergilosis / Coinfección / COVID-19 / Mucormicosis Tipo de estudio: Diagnostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Mycopathologia Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Países Bajos