Clinical features and outcome of mucormycosis

Mucormycosis (MCM) is a life-threatening infection that carries high mortality rates despite recent advances in its diagnosis and treatment. The objective was to report 14 cases of mucormycosis infection and review the relevant literature. We retrospectively analyzed the demographic and clinical dat...

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Autores principales: Camara Lemarroy, Carlos Rodrigo, González Moreno, Emmanuel Irineo, Rodríguez Gutiérrez, René, Rendón Ramírez, Erick Joel, Ayala Cortés, Ana Sofía, Fraga Hernández, Martha Lizeth, García Labastida, Laura Elvira, Galarza Delgado, Dionicio Ángel
Formato: Artículo
Lenguaje:inglés
Publicado: 2014
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Acceso en línea:http://eprints.uanl.mx/15221/1/315.pdf
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author Camara Lemarroy, Carlos Rodrigo
González Moreno, Emmanuel Irineo
Rodríguez Gutiérrez, René
Rendón Ramírez, Erick Joel
Ayala Cortés, Ana Sofía
Fraga Hernández, Martha Lizeth
García Labastida, Laura Elvira
Galarza Delgado, Dionicio Ángel
author_facet Camara Lemarroy, Carlos Rodrigo
González Moreno, Emmanuel Irineo
Rodríguez Gutiérrez, René
Rendón Ramírez, Erick Joel
Ayala Cortés, Ana Sofía
Fraga Hernández, Martha Lizeth
García Labastida, Laura Elvira
Galarza Delgado, Dionicio Ángel
author_sort Camara Lemarroy, Carlos Rodrigo
collection Repositorio Institucional
description Mucormycosis (MCM) is a life-threatening infection that carries high mortality rates despite recent advances in its diagnosis and treatment. The objective was to report 14 cases of mucormycosis infection and review the relevant literature. We retrospectively analyzed the demographic and clinical data of 14 consecutive patients that presented with MCM in a tertiary-care teaching hospital in northern Mexico. The mean age of the patients was 39.9 (range 5–65). Nine of the patients were male. Ten patients had diabetes mellitus as the underlying disease, and 6 patients had a hematological malignancy (acute leukemia). Of the diabetic patients, 3 had chronic renal failure and 4 presented with diabetic ketoacidosis. All patients had rhinocerebral involvement. In-hospital mortality was 50%. All patients received medical therapy with polyene antifungals and 11 patients underwent surgical therapy. Survivors were significantly younger and less likely to have diabetes than nonsurvivors, and had higher levels of serum albumin on admission. The clinical outcome of patients with MCM is poor. Uncontrolled diabetes and age are negative prognostic factors.
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spelling eprints-152212024-12-09T21:11:41Z http://eprints.uanl.mx/15221/ Clinical features and outcome of mucormycosis Camara Lemarroy, Carlos Rodrigo González Moreno, Emmanuel Irineo Rodríguez Gutiérrez, René Rendón Ramírez, Erick Joel Ayala Cortés, Ana Sofía Fraga Hernández, Martha Lizeth García Labastida, Laura Elvira Galarza Delgado, Dionicio Ángel QR Microbiología RC Medicina Interna, Psiquiatría, Neurología Mucormycosis (MCM) is a life-threatening infection that carries high mortality rates despite recent advances in its diagnosis and treatment. The objective was to report 14 cases of mucormycosis infection and review the relevant literature. We retrospectively analyzed the demographic and clinical data of 14 consecutive patients that presented with MCM in a tertiary-care teaching hospital in northern Mexico. The mean age of the patients was 39.9 (range 5–65). Nine of the patients were male. Ten patients had diabetes mellitus as the underlying disease, and 6 patients had a hematological malignancy (acute leukemia). Of the diabetic patients, 3 had chronic renal failure and 4 presented with diabetic ketoacidosis. All patients had rhinocerebral involvement. In-hospital mortality was 50%. All patients received medical therapy with polyene antifungals and 11 patients underwent surgical therapy. Survivors were significantly younger and less likely to have diabetes than nonsurvivors, and had higher levels of serum albumin on admission. The clinical outcome of patients with MCM is poor. Uncontrolled diabetes and age are negative prognostic factors. 2014 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/15221/1/315.pdf http://eprints.uanl.mx/15221/1.haspreviewThumbnailVersion/315.pdf Camara Lemarroy, Carlos Rodrigo y González Moreno, Emmanuel Irineo y Rodríguez Gutiérrez, René y Rendón Ramírez, Erick Joel y Ayala Cortés, Ana Sofía y Fraga Hernández, Martha Lizeth y García Labastida, Laura Elvira y Galarza Delgado, Dionicio Ángel (2014) Clinical features and outcome of mucormycosis. Interdisciplinary Perspectives on Infectious Diseases, 2014. pp. 1-5. ISSN 1687-708X http://doi.org/10.1155/2014/562610 doi:10.1155/2014/562610
spellingShingle QR Microbiología
RC Medicina Interna, Psiquiatría, Neurología
Camara Lemarroy, Carlos Rodrigo
González Moreno, Emmanuel Irineo
Rodríguez Gutiérrez, René
Rendón Ramírez, Erick Joel
Ayala Cortés, Ana Sofía
Fraga Hernández, Martha Lizeth
García Labastida, Laura Elvira
Galarza Delgado, Dionicio Ángel
Clinical features and outcome of mucormycosis
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Clinical features and outcome of mucormycosis
title_full Clinical features and outcome of mucormycosis
title_fullStr Clinical features and outcome of mucormycosis
title_full_unstemmed Clinical features and outcome of mucormycosis
title_short Clinical features and outcome of mucormycosis
title_sort clinical features and outcome of mucormycosis
topic QR Microbiología
RC Medicina Interna, Psiquiatría, Neurología
url http://eprints.uanl.mx/15221/1/315.pdf
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