[HTML][HTML] Multicenter epidemiologic study of coronavirus disease–associated mucormycosis, India

A Patel, R Agarwal, SM Rudramurthy… - Emerging infectious …, 2021 - ncbi.nlm.nih.gov
A Patel, R Agarwal, SM Rudramurthy, M Shevkani, I Xess, R Sharma, J Savio
Emerging infectious diseases, 2021ncbi.nlm.nih.gov
Abstract During September–December 2020, we conducted a multicenter retrospective
study across India to evaluate epidemiology and outcomes among cases of coronavirus
disease (COVID-19)–associated mucormycosis (CAM). Among 287 mucormycosis patients,
187 (65.2%) had CAM; CAM prevalence was 0.27% among hospitalized COVID-19 patients.
We noted a 2.1-fold rise in mucormycosis during the study period compared with September–
December 2019. Uncontrolled diabetes mellitus was the most common underlying disease …
Abstract
During September–December 2020, we conducted a multicenter retrospective study across India to evaluate epidemiology and outcomes among cases of coronavirus disease (COVID-19)–associated mucormycosis (CAM). Among 287 mucormycosis patients, 187 (65.2%) had CAM; CAM prevalence was 0.27% among hospitalized COVID-19 patients. We noted a 2.1-fold rise in mucormycosis during the study period compared with September–December 2019. Uncontrolled diabetes mellitus was the most common underlying disease among CAM and non-CAM patients. COVID-19 was the only underlying disease in 32.6% of CAM patients. COVID-19–related hypoxemia and improper glucocorticoid use independently were associated with CAM. The mucormycosis case-fatality rate at 12 weeks was 45.7% but was similar for CAM and non-CAM patients. Age, rhino-orbital-cerebral involvement, and intensive care unit admission were associated with increased mortality rates; sequential antifungal drug treatment improved mucormycosis survival. The COVID-19 pandemic has led to increases in mucormycosis in India, partly from inappropriate glucocorticoid use.
ncbi.nlm.nih.gov
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