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[Disseminated mucormycosis in immunocompetent patients: A disease that also exists]
Juan Carlos Pozo Laderas1, Antonio Pontes Moreno2, Carmen Pozo Salido3
1Servicio de Medicina Intensiva, Hospital Universitario Reina Sofía, Córdoba, España; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, España; Centro de Investigación Biomédica en Red en el Área temática de Enfermedades Hepáticas y Digestivas (CIBERehd), Córdoba, España.
Abstract:
Mucormycosis is usually an acute angioinvasive infections, which leads to non-suppurative necrosis and significant tissue damage. It represents 1.6% of all the invasive fungal infections and predominates in immunosuppressed patients with risk factors. Incidence has been significantly increased even in immunocompetent patients. Due to finding a case of disseminated mucormycosis caused by Rhizomucor pusillus in a young immunocompetent patient, a systematic review was carried out of reported cases in PubMed of mucormycosis in immunocompetent adults according to the main anatomic locations, and especially in disseminated cases. A review of the main risk factors and pathogenicity, clinical manifestations, techniques of early diagnosis, current treatment options, and prognosis is presented. Taxonomy and classification of the genus Mucor has also been reviewed.
Insights
Mucormycosis, a fungal infection, is increasingly seen in immunocompetent individuals. This review details a rare disseminated case and discusses risk factors, diagnosis, and treatment for this serious condition.
Area of Science:
- Medical Mycology
- Infectious Diseases
Background:
- Mucormycosis is an acute angioinvasive fungal infection causing significant tissue damage, predominantly affecting immunosuppressed individuals.
- The incidence of mucormycosis is rising, with a notable increase observed even in immunocompetent patients.
- This review focuses on mucormycosis in immunocompetent adults, prompted by a disseminated case caused by Rhizomucor pusillus.
Observation:
- A systematic review of PubMed-reported cases of mucormycosis in immunocompetent adults was conducted.
- Cases were analyzed based on primary anatomic locations, with a specific focus on disseminated forms of the infection.
- The review also examined the taxonomy and classification of the Mucor genus.
Findings:
- The study synthesizes information on risk factors, pathogenicity, and clinical manifestations of mucormycosis in immunocompetent hosts.
- Effective techniques for early diagnosis and current treatment strategies are presented.
- Prognosis and outcomes for mucormycosis in this patient population are discussed.
Implications:
- Highlights the importance of considering mucormycosis in immunocompetent patients presenting with severe infections.
- Emphasizes the need for prompt diagnosis and appropriate management to improve patient outcomes.
- Contributes to a better understanding of mucormycosis epidemiology and clinical characteristics in a broader patient spectrum.
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