Evidence map›Paper›PMID 30652661›Full record

ArticleThe American journal of tropical medicine and hygiene2019

Isolated Renal Mucormycosis in Immunocompetent Hosts: Clinical Spectrum and Management Approach.

Sudheer K Devana, Vijayanth G Gupta, Ravimohan S Mavuduru, Girdhar S Bora, Aditya P Sharma, Kalpesh M Parmar, Santosh Kumar, Uttam K Mete, Shrawan K Singh, Arup K Mandal and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  13. Review
  14. Isolated renal mucormycosis presenting with bilateral renal artery thrombosis: a case report.African journal of urology : the official journal of the Pan African Urological Surgeons' Association (PAUSA) · 2021
    Article
  15. Article
  16. Outcome of post-COVID-19 fungal pyelonephritis: A single Indian tertiary center experience.Indian journal of urology : IJU : journal of the Urological Society of India
    Article
  17. Article
  18. COVID-19 and fatal renal mucormycosis: Contributory or coincidental?Indian journal of urology : IJU : journal of the Urological Society of India
    Article
  19. 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

13 authors at 1 institution in 1 country.

Sudheer K DevanaDepartment of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Vijayanth G GuptaDepartment of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Ravimohan S MavuduruDepartment of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Girdhar S BoraDepartment of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Aditya P SharmaDepartment of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Kalpesh M ParmarDepartment of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Santosh KumarDepartment of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Uttam K MeteDepartment of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Shrawan K SinghDepartment of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Arup K MandalDepartment of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Nandita KakkarDepartment of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Nirmalya BanerjeeDepartment of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Anup GhoshDepartment of Medical Microbiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Isolated renal mucormycosis in immunocompetent hosts is a rare entity. We present the largest case series of isolated renal mucormycosis in immunocompetent hosts. Retrospective data of isolated renal mucormycosis from March 2012 to June 2017 was reviewed. Fifteen patients of isolated renal mucormycosis were identified. Contrast-enhanced computed tomography scan showed enlarged globular kidneys with decreased or patchy enhancement, perinephric stranding and thickened Gerota's fascia in all patients. Ten patients with unilateral involvement underwent nephrectomy and two of four patients with bilateral renal mucormycosis underwent bilateral nephrectomy. Two patients were managed with intravenous antifungal therapy alone. Overall, the mortality rate in our series was 40% (6/15). Isolated renal mucormycosis in healthy immunocompetent hosts is an emerging new entity. Prompt diagnosis based on the characteristic clinical and radiological picture and starting high-dose antifungal therapy at least 24 hours before surgical debridement offer the best chance of survival in these patients.

Indexed as

ImmunocompetenceAdolescentAdultAntifungal AgentsCase-Control StudiesFemaleHumansKidneyKidney DiseasesMaleMiddle AgedMucormycosisRetrospective StudiesTomography, X-Ray ComputedAntifungal Agents

Identifiers

PMID30652661
PMCPMC6447097
OpenAlexW2910205286

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.