对古吉拉特邦一家三甲医院一例冠状病毒病 2019 年肺炎病例中粘孢子菌病的进展、并发症和预后的研究。

Mit K Makadia, Praful Dudhrejia, Pankaj Patil, Milan Parida
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摘要

导言:严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的冠状病毒病 2019(COVID-19)与许多机会性细菌和真菌感染有关。粘孢子菌病是一种致命的机会性疾病,在第二波 COVID-19 中变得更为常见。我们计划研究 COVID-19 后粘孢子菌病的预后和病程,以及 COVID-19 肺炎病例发生粘孢子菌病的风险。材料和方法:本次回顾性横断面调查纳入了 2021 年 4 月至 2022 年 3 月期间拉杰科特一家民用医院收治的 100 例经核实的粘孢子菌病病例。从病历中收集的数据包括诊断、生命体征、检查结果、微生物学信息、抗生素使用情况和结果。将数据输入 Microsoft Excel 后,我们进行了分析和计算,以确定频率、百分比和变量比较的卡方检验。结果在 100 名粘孢子菌病患者中,约 77.0% 的患者年龄在 41 岁至 70 岁之间。大部分患者为男性。最常见的合并症是糖尿病(30.0%)。最常受影响的鼻窦是上颌窦和筛窦。每位患者均静脉注射两性霉素 B。82.0%的患者存活,18.0%的患者死亡。结论粘孢子菌病是一种极其罕见、严重、有时甚至致命的感染。由于糖尿病和吸烟等合并症,COVID-19 的发病率有所上升。在 COVID-19 治疗期间使用糖皮质激素是主要的风险因素。
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A Study of the Progression, Complications, and Outcome of Mucormycosis in a Case of Coronavirus Disease 2019 Pneumonitis at a Tertiary Care Hospital in Gujarat.

Introduction: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) caused coronavirus disease 2019 (COVID-19) has been connected to numerous opportunistic bacterial and fungal infections. Mucormycosis is a fatal opportunistic disease that became much more common with the second COVID-19 wave. We plan to look into the prognosis and course of mucormycosis following COVID-19, as well as the risk of mucormycosis in cases with COVID-19 pneumonitis. Materials and methods: Just 100 verified cases of mucormycosis that were admitted to a civil hospital in Rajkot between April 2021 and March 2022 were included in this retrospective cross-sectional investigation. Data gathered from medical records included diagnoses, vital signs, test findings, microbiological information, usage of antibiotics, and outcomes. After entering the data into Microsoft Excel, we performed analysis and computations to determine frequency, percentage, and the Chi-squared test for variable comparison. Results: About 77.0% of the 100 mucormycosis patients were between the ages of 41 and 70. The bulk of them were male. The most frequent associated comorbidity was diabetes mellitus (DM) (30.0%). The most commonly impacted sinuses were the maxillary and ethmoidal ones. Amphotericin B was administered intravenously to each patient. In total, 82.0% of patients survived while 18.0% of patients died. Conclusion: Mucormycosis is an extremely rare, serious, and sometimes fatal infection. Because of comorbidities like diabetes and smoking, it went up with COVID-19. The use of glucocorticoids during COVID-19 treatment was the main risk factor.

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