Table 1.
Summary of various case reports of COVID-19-associated mucormycosis discussed in this article. DM, diabetes mellitus and DKA, diabetic ketoacidosis. EAT, empiric antifungal therapy or observation-based antifungal therapy is followed in high-risk patients who have persistent fever after 4–7 days of broad-spectrum anti-bacterial drugs and no identified infection source. Some of the drugs used in EAT are amphotericin B, caspofungin, micafungin, voriconazole, itraconazole, and fluconazole.
S.N | No. of Cases | Gender/Age | Mucorales spp. | Location of Mucormycosis | Risk Factors | COVID-19 Diagnosis |
Treatment | Patient’s Outcome | Ref. |
---|---|---|---|---|---|---|---|---|---|
1 | One | F/24 | Lichtheimia | Rhino-orbital | DM and DKA | RT-PCR | Amphotericin B | Died | [46] |
2 | One | M/79 | Rhizopus arrhizus | Pulmonary | DM | PCR | Amphotericin B | [47] | |
3 | One | M/59 | Rhizopus microsporus | Pulmonary | Neutropenia | RT-PCR | - | Died | [48] |
4 | Four | M/>50 | R. microsporus, Lichtheimia ramosa, R. arrhizus | Rhino-orbital-cerebral, pulmonary, and disseminated | DM And obesity reported in two patients |
RT-PCR | EAT | 3 Died, 1 Lived |
[49] |
5 | Fifteen | M/F/14–71 | - | Rhino-orbital | DM and corticosteroid therapy | RT-PCR | Combined antifungal therapy and orbital exenteration | 7 Died, 8 Lived |
[50] |
6 | One | F/61 | - | Rhino-orbital | Corticosteroid therapy | PCR | Surgery | Lived | [51] |
7 | Two | M/F/40 | - | Rhino-orbito-cerebral and rhino-orbital |
Corticosteroid therapy | PCR, CT scan |
Amphotericin B and surgery | 1 Died, 1 Lived |
[52] |
8 | One | F/73 | Mucor | Paranasal and orbital | DM and chronic renal disease | PCR | Amphotericin B | Died | [53] |
9 | One | M/60 | Rhizopus | Rhino-orbital | DM and hyperglycemia | - | Amphotericin B and posaconazole | Died | [54] |
10 | One | M/41 | - | Rhino-cerebral | DM and DKA | RT-PCR | Amphotericin B and surgery | Lived | [55] |
11 | Two | M/>36 | - | Rhino-orbital-cerebral | DM, DKA, and corticosteroid therapy | - | EAT | Both Died | [56] |
12 | One | M/44 | - | Rhino-orbital | - | RT-PCR | Surgery and antifungal therapy | Died | [57] |
13 | Two | M/F/>60 | - | Rhino-orbito-cerebral | DM and steroid therapy | RT-PCR | Amphotericin B | 1 Died, 1 Lived |
[58] |
14 | One | M/20 | - | Rhino-orbital-cerebral | DM and corticosteroid therapy | - | Amphotericin B and surgery | Died | [59] |
15 | One | F/65 | - | Rhino-cerebral | DM and corticosteroid therapy | - | Antifungal therapy and insulin | Lived | [60] |
16 | One | M/61 | - | Rhino-orbital | DM and corticosteroid therapy | RT-PCR | Amphotericin B and isavuconazole | - | [61] |
17 | One | F/>50 | Rhizopus spp. | Rhino-orbital-cerebral | DM and hyperglycemia | RT-PCR | Amphotericin B | Lived | [62] |
18 | Ten | M/F/>53 | Rhizopus spp. | Rhino-orbital | DM and corticosteroid therapy | RT-PCR | EAT | 1 Died, 9 Lived |
[63] |
19 | Eighteen | M/F/35–73 | - | Rhino-cerebro-orbital | DM and corticosteroid therapy | RT-PCR | Orbital exenteration | 6 Died, 11 Lived, 1 Lost to follow-up |
[64] |
20 | One | M/60 | - | Rhino-orbital | DM and corticosteroid therapy | RT-PCR | EAT | Died | [65] |
21 | One | M/28 | - | Rhino-orbital | HIV and hypocomplementemia | RT-PCR | Amphotericin B and surgery | Lived | [66] |
22 | Ten | M/F/23–67 | Rhizopus and Mucor spp. | Orbital | DM and DKA | RT-PCR | Antifungal drug therapy and surgery | 4 Died, 6 Lived |
[67] |
23 | One | M/66 | Rhizopus spp. | Pulmonary | Arterial hypertension | - | EAT, | Died | [68] |
24 | One | M/38 | Rhizopus oryzae | Sino-orbital | - | RT-PCR | Fluconazole, amphotericin B, surgery |
Lived | [69] |
25 | One | M/66 | Mucor | Rhino-orbital | DM and corticosteroid therapy | - | Amphotericin B and surgery | Lived | [70] |
26 | One | F/32 | - | Paranasal | DM | CBNAAT | Amphotericin B | Lived | [71] |
27 | One | M/27 | Mucor | Pulmonary | - | - | Amphotericin B | Died | [72] |
28 | One | M/39 | Mandibular | - | - | Posaconazole | Lived | [73] | |
29 | Two | M/F/11–13 | Rhizopus arrhizus | Rhino-orbital-cerebral | DM and hyperglycemia | COVID-19 antibody test | EAT and surgery | Both Lived | [74] |
30 | One | M/48 | - | Pulmonary and sino-nasal | DM and DKA | - | Antifungal therapy and surgery | Died | [75] |