Evidence map›Paper›PMID 19386856›Full record

ArticleJournal of clinical microbiology2009

Spectrum of zygomycete species identified in clinically significant specimens in the United States.

E Alvarez, D A Sutton, J Cano, A W Fothergill, A Stchigel, M G Rinaldi, J Guarro

Abstract readComparative Study
In one paragraph

Article in Journal of clinical microbiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

76 citing papers in PubMed.

  1. Challenges in ITS-based identification ofMicrobiology spectrum · 2026
    Article
  2. The molecular basis of intrinsic resistance to azoles inAntimicrobial agents and chemotherapy · 2026
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  3. Article
  4. Chronic cutaneous and mucosal mucormycosis:Emerging microbes & infections · 2025
    Article
  5. Gastrointestinal mucormycosis byMedical mycology case reports · 2025
    Article
  6. Review
  7. Review
  8. A Study on the Involvement of Facial Bones in Mucormycosis Patients.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  9. RecurrentMedical mycology case reports · 2024
    Article
  10. Antibacterial and Antifungal Potential ofAntibiotics (Basel, Switzerland) · 2024
    Review
  11. Article
  12. The First Case of Pulmonary Mucormycosis Caused byAnnals of laboratory medicine · 2024
    Article
  13. Article
  14. Article
  15. New Perspectives on Antimicrobial Agents: Isavuconazole.Antimicrobial agents and chemotherapy · 2022
    Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

E AlvarezMycology Unit, Medical School and Institut d'Investigació Sanitària Pere Virgili, Universitat Rovira i Virgili, C/Sant Llorenç 21, 43201 Reus, Tarragona, Spain.
D A Sutton
J Cano
A W Fothergill
A Stchigel
M G Rinaldi
J Guarro

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several members of the order Mucorales (subphylum Mucoromycotina) are important agents of severe human infections. The identification of these fungi by using standard mycologic methods is often difficult and time consuming. Frequently, the etiological agent in clinical cases is reported either as a Mucor sp., which is not the most frequent genus of zygomycetes, or only as a member of the Mucorales. For this reason, the actual spectrum of species of zygomycetes and their incidences in the clinical setting is not well known. The goals of this study were to compare the results of the molecular identification of an important set of clinical isolates, received in a mycological reference center from different regions of the United States, with those obtained by using the traditional morphological methods and to determine the spectrum of species involved. We tested 190 isolates morphologically identified as zygomycetes by using sequencing of the internal transcribed spacer (ITS) region of the ribosomal DNA. Molecular identification revealed that Rhizopus oryzae represented approximately half (44.7%) of these isolates. The remainder was identified as Rhizopus microsporus (22.1%), Mucor circinelloides (9.5%), Mycocladus corymbifer (formerly Absidia corymbifera) (5.3%), Rhizomucor pusillus (3.7%), Cunninghamella bertholletiae (3.2%), Mucor indicus (2.6%), Cunninghamella echinulata (1%), and Apophysomyces elegans (0.5%). The most common anatomic sites for clinically significant zygomycetes, as determined by isolates sent to the Fungus Testing Laboratory for identification and/or susceptibility testing and included in this study, were the sinuses, lungs, and various cutaneous locations, at 25.8%, 26.8%, and 28%, respectively. These sites represented approximately 80% of the isolates evaluated. A high level of correlation (92.6%) between morphological and molecular identifications was found.

Indexed as

DNA, FungalDNA, Ribosomal SpacerFungiHumansMicroscopyMolecular Sequence DataSequence Analysis, DNAUnited StatesZygomycosisDNA, FungalDNA, Ribosomal Spacer

Identifiers

PMID19386856
PMCPMC2691065

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.