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Seasonal variations in rhino-cerebral Mucor infection
Thomas Shpitzer1, Nathan Keller, Michael Wolf
1Department of Otolaryngology-Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petah Tikvah, Israel.
Objectives:
Rhino-orbito-cerebral mucormycosis (ROCM) is an uncommon, potentially lethal infection that occurs mostly in immunocompromised hosts. The seasonal occurrence of ROCM was studied in two of Israel's largest medical centers.
Methods:
A total of 36 patients were seen during a 25-year period in this retrospective bi-institutional cohort study. Meteorologic data were obtained and analyzed for a possible linkage of infection with precipitation and temperature.
Results:
Twenty-one of the 36 patients (58%) presented between the months of August and October, and 27 patients (75%) presented between the months of August and December. A peak incidence of ROCM was noted in the month of September (13/36 patients; 36%). No association was noted between meteorologic conditions and the incidence of ROCM infection.
Conclusions:
A consistent seasonal peak was observed in ROCM. Heightened awareness is important for early recognition and treatment of this disease.
Insights
Rhino-orbito-cerebral mucormycosis (ROCM) exhibits a distinct seasonal pattern, with most cases occurring in late summer and autumn. This study found no link between weather conditions and the incidence of this dangerous infection.
Area of Science:
- Infectious Diseases
- Epidemiology
- Ophthalmology
Background:
- Rhino-orbito-cerebral mucormycosis (ROCM) is a rare but life-threatening fungal infection.
- It predominantly affects immunocompromised individuals.
- Understanding ROCM's epidemiological patterns is crucial for timely diagnosis and management.
Purpose of the Study:
- To investigate the seasonal occurrence of ROCM.
- To explore potential correlations between ROCM incidence and meteorological factors.
Main Methods:
- Retrospective analysis of 36 ROCM cases over 25 years from two major Israeli medical centers.
- Examination of meteorologic data, including precipitation and temperature, for potential associations.
Main Results:
- A significant seasonal peak for ROCM was observed, with 58% of cases presenting between August and October.
- The highest incidence occurred in September (36% of cases).
- No statistically significant association was found between meteorological conditions and ROCM infection rates.
Conclusions:
- ROCM demonstrates a consistent seasonal peak, suggesting environmental or host-related factors influence its occurrence.
- Increased clinical awareness during peak seasons is vital for early detection and prompt treatment of ROCM.
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