Evidence map›Paper›PMID 29766015›Full record

ArticleOpen forum infectious diseases2017

A Mycoses Study Group International Prospective Study of Phaeohyphomycosis: An Analysis of 99 Proven/Probable Cases.

Sanjay G Revankar, John W Baddley, Sharon C-A Chen, Carol A Kauffman, Monica Slavin, Jose A Vazquez, Carlos Seas, Michele I Morris, M Hong Nguyen, Shmuel Shoham and 11 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

32 citing papers in PubMed.

  1. Review
  2. DisseminatedMedical mycology case reports · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Phaeohyphomycosis due toMedical mycology case reports · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. The Brief Case: Hidden in plain sight-Journal of clinical microbiology · 2024
    Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Tender violaceous nodule on the palm.JAAD case reports · 2022
    Article
  20. Invasive Rhinosinusitis Caused byJournal of fungi (Basel, Switzerland) · 2022
    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

21 authors.

Sanjay G RevankarDivision of Infectious Diseases, Wayne State University, Detroit, Michigan.
John W BaddleyDivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama.
Sharon C-A ChenCentre for Infectious Diseases and Microbiology, Westmead Hospital, and the University of Sydney, Westmead, Australia.
Carol A KauffmanDivision of Infectious Diseases, University of Michigan Medical School and VA Ann Arbor Healthcare System, Ann Arbor, Michigan.
Monica SlavinVictorian Infectious Diseases Service, Melbourne Health, Parkville, Australia.
Jose A VazquezDivision of Infectious Diseases, Georgia Regents University, Augusta, Georgia.
Carlos SeasInstituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru.
Michele I MorrisDivision of Infectious Diseases, University of Miami, Miami, Florida.
M Hong NguyenDivision of Infectious Diseases, University of Pittsburgh, Pittsburgh, Pennsylvania.
Shmuel ShohamDivision of Infectious Diseases, Johns Hopkins University, Baltimore, Maryland.
George R ThompsonDivision of Infectious Diseases, University of California at Davis, Davis, California.
Barbara D AlexanderDivision of Infectious Diseases, Duke University Medical Center, Durham, North Carolina.
Jacques SimkinsDivision of Infectious Diseases, University of Miami, Miami, Florida.
Luis Ostrosky-ZeichnerDivision of Infectious Diseases, University of Texas Health Science Center, Houston, Texas.
Kathleen MullaneDivision of Infectious Diseases, University of Chicago, Chicago, Illinois.
George AlangadenDivision of Infectious Diseases, Henry Ford Health System, Detroit, Michigan.
David R AndesDivision of Infectious Diseases, University of Wisconsin, Madison, Wisconsin.
Oliver A CornelyCologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), and Department I of Internal Medicine, University of Cologne, Cologne, Germany.
Kerstin WahlersDivision of Infectious Diseases, Klinikum Oldenburg, Oldenburg, Germany.
Shawn R LockhartMycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia.
Peter G PappasDivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhaeohyphomycosis is infection caused by dematiaceous, or darkly pigmented, fungi. The spectrum of disease is broad, and optimal therapy remains poorly defined. The Mycoses Study Group established an international case registry of patients with proven/probable phaeohyphomycosis with the goal of improving the recognition and management of these infections.

methodsPatients from 18 sites in 3 countries were enrolled from 2009-2015. Cases were categorized as local superficial, local deep (pulmonary, sinus, osteoarticular infections), and disseminated infections. End points were clinical response (partial and complete) and all-cause mortality at 30 days and end of follow-up.

resultsOf 99 patients, 32 had local superficial infection, 41 had local deep infection, and 26 had disseminated infection. The most common risk factors were corticosteroids, solid organ transplantation, malignancy, and diabetes. Cultures were positive in 98% of cases. All-cause mortality was 16% at 30 days and 33% at end of follow-up, and 18 of 26 (69%) with dissemination died. Itraconazole was most commonly used for local infections, and voriconazole was used for more severe infections, often in combination with terbinafine or amphotericin B.

conclusionsPhaeohyphomycosis is an increasingly recognized infection. Culture remains the most frequently used diagnostic method. Triazoles are currently the drugs of choice, often combined with other agents. Further studies are needed to develop optimal therapies for disseminated infections.

Indexed as

dematiaceous fungusitraconazolephaeohyphomycosisvoriconazole

Identifiers

PMID29766015
PMCPMC5946886

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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.