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Mucormycosis of the Central Nervous System

1
Infectious Diseases Unit, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel
2
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 64239, Israel
3
Department of Infectious Diseases, The University of Texas, M.D. Anderson Cancer Center, Houston, TX 77030, USA
*
Authors to whom correspondence should be addressed.
These authors contribute equally to this paper.
J. Fungi 2019, 5(3), 59; https://doi.org/10.3390/jof5030059
Received: 6 June 2019 / Revised: 5 July 2019 / Accepted: 7 July 2019 / Published: 8 July 2019
(This article belongs to the Special Issue Fungal Infections of the Central Nervous System)
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Abstract

Mucormycosis involves the central nervous system by direct extension from infected paranasal sinuses or hematogenous dissemination from the lungs. Incidence rates of this rare disease seem to be rising, with a shift from the rhino-orbital-cerebral syndrome typical of patients with diabetes mellitus and ketoacidosis, to disseminated disease in patients with hematological malignancies. We present our current understanding of the pathobiology, clinical features, and diagnostic and treatment strategies of cerebral mucormycosis. Despite advances in imaging and the availability of novel drugs, cerebral mucormycosis continues to be associated with high rates of death and disability. Emerging molecular diagnostics, advances in experimental systems and the establishment of large patient registries are key components of ongoing efforts to provide a timely diagnosis and effective treatment to patients with cerebral mucormycosis. View Full-Text
Keywords: central nervous system; mucormycosis; Mucorales; zygomycosis central nervous system; mucormycosis; Mucorales; zygomycosis
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Chikley, A.; Ben-Ami, R.; Kontoyiannis, D.P. Mucormycosis of the Central Nervous System. J. Fungi 2019, 5, 59.

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