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Mucormycosis

Infect Dis Clin North Am. 2021 Jun;35(2):435-452. doi: 10.1016/j.idc.2021.03.009.

Abstract

Mucormycosis is a rare but aggressive fungal disease that mainly affects patients with poorly controlled diabetes mellitus and those who are severely immunocompromised, including patients with hematological malignancies and solid organ transplant recipients. Early recognition of infection is critical for treatment success, followed by prompt initiation of antifungal therapy with lipid formulation amphotericin B. Posaconazole and isavuconazole should be used for stepdown and salvage therapy. Surgical debridement is key for tissue diagnosis and treatment and should be pursued urgently whenever possible. In addition to surgery and antifungal therapy, reverting the underlying risk factor for infection is important for treatment response.

Keywords: Diabetes mellitus; Immunocompromised host; Mucorales; Mucormycosis.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antifungal Agents / therapeutic use*
  • Diabetes Mellitus, Type 2 / complications*
  • Humans
  • Immunocompromised Host*
  • Mucorales / isolation & purification
  • Mucorales / pathogenicity*
  • Mucormycosis / diagnosis
  • Mucormycosis / drug therapy*
  • Mucormycosis / epidemiology

Substances

  • Antifungal Agents