[COVID-19时代的菌病:风险和挑战]
Deutsche medizinische Wochenschrift (1946)
|April 24, 2024
概括
在大流行期间,COVID-19相关的粘性菌根症 (CAM) 激增,特别是在印度. 这种与糖尿病有关的机会性真菌感染的死亡率很高,需要及时诊断和治疗.
科学领域:
- 传染性疾病 传染性疾病
- 菌类学 菌类学是指菌类学.
- 流行病学 流行病学
背景情况:
- 随着COVID-19大流行,医疗保健面临重大挑战,包括罕见机会性感染的增加.
- 粘菌菌是一种严重的真菌感染,通常会影响免疫力低下的个体,控制不良的糖尿病是主要的危险因素.
- 在糖尿病患病率高,医疗保健资源有限的国家 (如印度和巴基斯坦) 观察到粘性菌的高发病率.
研究的目的:
- 探索导致COVID-19相关粘膜瘤 (CAM) 的风险因素和机制.
- 介绍全球分布模式,临床表现以及CAM的诊断和治疗挑战.
- 为了解决人们对这种病毒-真菌共感染构成的潜在全球威胁的担忧.
主要方法:
- 审查关于粘性菌根症及其与COVID-19相关的现有文献.
- 报告病例和流行病学数据的分析,特别是在第二次COVID-19浪潮期间来自印度.
- 检查临床表现,风险因素和治疗结果.
主要成果:
- 在2021年5月至8月期间,印度报告了CAM病例的急剧增加,超过47,500例.
- 在COVID-19的背景下,菌菌病,特别是犀牛轨道病,与控制不良的糖尿病密切相关.
- 这种感染具有很高的死亡率,高达90%,特别是在延迟诊断和治疗的情况下.
结论:
- 与COVID-19相关的粘膜菌症构成了严重的公共卫生威胁,特别是在糖尿病患病率高的地区.
- 有效的管理需要早期诊断,及时治疗,并解决潜在的风险因素,如糖尿病控制.
- 进一步的研究和全球监测对于了解和打击CAM传播至关重要.
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