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. 2022 Aug 6;10(8):1266. doi: 10.3390/vaccines10081266

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]