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J. Fungi 2019, 5(1), 26;

Global Epidemiology of Mucormycosis

Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India
Author to whom correspondence should be addressed.
Received: 11 February 2019 / Revised: 14 March 2019 / Accepted: 16 March 2019 / Published: 21 March 2019
(This article belongs to the Special Issue Mucorales and Mucormycosis)
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Mucormycosis is an angio-invasive fungal infection, associated with high morbidity and mortality. A change in the epidemiology of mucormycosis has been observed in recent years with the rise in incidence, new causative agents and susceptible population. The rise has been perceived globally, but it is very high in the Asian continent. Though diabetes mellitus overshadow all other risk factors in Asia, post-tuberculosis and chronic renal failure have emerged as new risk groups. The rhino-cerebral form of mucormycosis is most commonly seen in patients with diabetes mellitus, whereas, pulmonary mucormycosis in patients with haematological malignancy and transplant recipients. In immunocompetent hosts, cutaneous mucormycosis is commonly seen following trauma. The intriguing clinical entity, isolated renal mucormycosis in immunocompetent patients is only reported from China and India. A new clinical entity, indolent mucormycosis in nasal sinuses, is recently recognized. The causative agents of mucormycosis vary across different geographic locations. Though Rhizopus arrhizus is the most common agent isolated worldwide, Apophysomyces variabilis is predominant in Asia and Lichtheimia species in Europe. The new causative agents, Rhizopus homothallicus, Mucor irregularis, and Thamnostylum lucknowense are reported from Asia. In conclusion, with the change in epidemiology of mucormycosis country-wise studies are warranted to estimate disease burden in different risk groups, analyse the clinical disease pattern and identify the new etiological agents. View Full-Text
Keywords: mucormycosis; incidence; diabetes mellitus; haematological malignancy; Rhizopus arrhizus mucormycosis; incidence; diabetes mellitus; haematological malignancy; Rhizopus arrhizus

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Prakash, H.; Chakrabarti, A. Global Epidemiology of Mucormycosis. J. Fungi 2019, 5, 26.

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