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Zygomycosis in Solid Organ Transplant Recipients in a Tertiary Transplant Center and Review of the Literature
Open accessAbstract
Zygomycetes are ubiquitous fungi that can cause invasive disease associated with high mortality. We report 10 solid organ transplant recipients with zygomycosis (incidence 2 per 1000) and reviewed 106 cases in the English-language literature. These included renal (n = 73), heart (n = 16), lung (n = 4), heart/lung (n = 2), liver (n = 19) and kidney/pancreas (n = 2) transplant recipients. All patients were receiving immunosuppression and the vast majority steroids. The clinical presentation included rhino-sino-orbital (n = 20), rhinocerebral (n = 16), pulmonary (n = 28), gastrointestinal (n = 13), cutaneous (n = 18), renal (n = 6) and disseminated disease (n = 15). Most frequently isolated genera were Rhizopus (73%) followed by Mucor (13%). The overall mortality was 49%. While rhino-sino-orbital disease had the best prognosis, rhinocerebral disease had high mortality (93%) comparable to disseminated disease. A favorable outcome was associated with limited, surgically accessible disease and early surgical intervention along with amphotericin B administration.
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Cited by
Epidemiology and Clinical Manifestations of Mucormycosis
Petrikkos, G., Skiada, A., Lortholary, O., Roilides, E., Walsh, T. J., & Kontoyiannis, D. P. (2012) · Clinical Infectious Diseases · doi:10.1093/cid/cir866 · Cited by 1,452
Global Epidemiology of Mucormycosis
Prakash, H., & Chakrabarti, A. (2019) · Journal of Fungi · doi:10.3390/jof5010026 · Cited by 938
A Global Analysis of Mucormycosis in France: The RetroZygo Study (2005-2007)
Lanternier, F., Dannaoui, E., Morizot, G., Elie, C., Garcia-Hermoso, D., Huerre, M., Bitar, D., Dromer, F., Lortholary, O., & the French Mycosis Study Group (2012) · Clinical Infectious Diseases · doi:10.1093/cid/cir880 · Cited by 527
Changing epidemiology of systemic fungal infections
Richardson, M., & Lass-Flörl, C. (2008) · Clinical Microbiology and Infection · doi:10.1111/j.1469-0691.2008.01978.x · Cited by 524
Singh, N., & Sun, H.-Y. (2008) · Liver Transplantation · doi:10.1002/lt.21587 · Cited by 40
Metadata
- Authors
- Almyroudis, N. G., Sutton, D. A., Linden, P., Rinaldi, M. G., Fung, J., & Kusne, S.
- Venue
- American Journal of Transplantation
- Publisher
- Elsevier BV
- Published
- 2006-10
- Volume
- 6
- Issue
- 10
- Pages
- 2365-2374
- ISSN
- 1600-6135 (ISSN-L)
- OpenAlex
- W2017219739
- Cited by
- 277
- References
- 0
- FWCI
- 9.94
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Almyroudis, N. G., Sutton, D. A., Linden, P., Rinaldi, M. G., Fung, J., & Kusne, S. (2006). Zygomycosis in Solid Organ Transplant Recipients in a Tertiary Transplant Center and Review of the Literature. American Journal of Transplantation. https://doi.org/10.1111/j.1600-6143.2006.01496.x
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