Evidence map›Paper›PMID 21304267›Full record

ReviewVirulence

The challenge of managing fusariosis.

Maged Muhammed, Jeffrey J Coleman, Herman A Carneiro, Eleftherios Mylonakis

Open access · goldAbstract readReview
In one paragraph

Review in Virulence. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% of its field
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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Fusariosis in Mexico: cases and gaps to be addressed.Frontiers in cellular and infection microbiology · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Acute lymphoblastic leukemia withFrontiers in medicine · 2025
    Article
  10. [Fusarium meningoencephalitis in the late puerperium: A case report].Revista medica del Instituto Mexicano del Seguro Social · 2023
    Article
  11. Review
  12. Article
  13. Multiple Fusarium brain abscesses in a young child.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    Article
  14. Fungal burn wound infection caused byAnnals of medicine and surgery (2012) · 2021
    Article
  15. A rareCurrent medical mycology · 2021
    Article
  16. Disinfectants in a Hemodialysis Setting: Antifungal Activity AgainstFrontiers in cellular and infection microbiology · 2021
    Article
  17. Article
  18. Fungal systematics and evolution · 2019
    Article
  19. Review
  20. Article
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

4 authors at 1 institution in 1 country.

Maged MuhammedDivision of Infectious Diseases, Massachusetts General Hospital, Boston, MA, USA.
Jeffrey J Coleman
Herman A Carneiro
Eleftherios Mylonakis
Massachusetts General Hospital · US

Funding

Technical Mother Machine CoreP01AI083214 · NIAID · SCHEPENS EYE RESEARCH INSTITUTE · PI Michael S Gilmore · 2009 to 2026
$39.4M
INFECTIOUS DISEASE AND BASIC MICROBIOLOGICAL MECHANISMST32AI007061 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Marcia B Goldberg · 1985 to 2026
$12.1M
A C.elegans high-throughput assay for the identification of new antifungal agentsR01AI075286 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MYLONAKIS, ELEFTHERIOS · 2008 to 2010
$1.3M
Genome-wide investigations in fungal pathogens utilizing an invertebrate model hoR21AI079569 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MYLONAKIS, ELEFTHERIOS · 2009 to 2010
$484k
NIAID NIH HHS P01 AI 083214NIAID NIH HHS P01 AI083214NIAID NIH HHS R01 AI075286NIAID NIH HHS R21 AI079569NIAID NIH HHS T32 AI007061
6 · The paper itself

Abstract

Fusarium is the second most frequent mold involved in fungal infections and is particularly important among immunocompromised patients. Culture methods and microscopy are still routinely used in clinical laboratories to identify Fusarium spp, and more sophisticated, timely, and effective methods for detecting Fusarium spp. in laboratory samples could improve the outcome of the patient. These investigational diagnostic approaches include serological assays and specific nested PCR assays that can yield positive and negative predictive values of over 90%. Other assays in development, such as mass spectroscopy techniques, can provide accurate and consistent results. The treatment of fusariosis in immunocompromised patients remains a challenge and the prognosis of systemic fusariosis in this population remains poor. Successful treatment is highly dependent on the particular Fusarium species involved in the infection. High dose intravenous amphotericin B formulation is recommended as the first line of therapy in management of fusariosis in patients. Voriconazole is also effective in treating fusariosis. Intolerance, contraindication, or failure of the amphotericin B formulation warrants the use of voriconazole as an alternative agent, and posaconazole is licensed as salvage therapy against invasive fusariosis. Adjunctive therapies such as surgical debridement of infected tissue, granulocyte colony stimulating factor (G-CSF) or granulocyte-macrophage colony stimulating factor (GM-CSF) infusions, or granulocyte transfusions are also tools for managing fusariosis. In conclusion, Fusarium infection is considered an emerging problem and should be suspected in immunocompromised patients experiencing systemic infection and should be treated accordingly.

Indexed as

Amphotericin BAntifungal AgentsClinical Laboratory TechniquesDebridementFusariumHumansImmunocompromised HostInfusions, IntravenousMass SpectrometryMycosesPolymerase Chain ReactionPyrimidinesSerologic TestsTriazolesVoriconazoleAmphotericin BAntifungal AgentsPyrimidinesTriazolesVoriconazole

Identifiers

PMID21304267
PMCPMC3265755
OpenAlexW2007315629

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.