Evidence map›Paper›PMID 32477856›Full record

ArticleMedical mycology case reports2020

Case of mucormycosis of mandible after self-extraction of teeth incidentally detected to have chronic granulomatous disease: Case report and literature review.

Shubham Agarwal, Abhishek Anand, Piyush Ranjan, Ved Prakash Meena, Animesh Ray, Rimlee Dutta, Ranveer Singh Jadon, Naval Kishore Vikram

Open access · goldAbstract readCase Reports
In one paragraph

Article in Medical mycology case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 26% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Oral Manifestations of Mucormycosis: A Systematic Review.Journal of fungi (Basel, Switzerland) · 2023
    Review
  6. What Is New in Pulmonary Mucormycosis?Journal of fungi (Basel, Switzerland) · 2023
    Review
  7. Management of Covid Associated Mucormycosis of Mandible: A Mountain Beneath a Molehill-A Lesson Learnt.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  8. Atypical presentations of fungal osteomyelitis during post COVID-19 outbreak - Case series.Journal of oral and maxillofacial surgery, medicine, and pathology · 2022
    Article
  9. Article
  10. Review
  11. Review
  12. 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

8 authors at 1 institution in 1 country.

Shubham AgarwalDepartment of Medicine, All India Institute of Medical Science, New Delhi, 110029, India.
Abhishek AnandDepartment of Medicine, All India Institute of Medical Science, New Delhi, 110029, India.
Piyush RanjanDepartment of Medicine, All India Institute of Medical Science, New Delhi, 110029, India.
Ved Prakash MeenaDepartment of Medicine, All India Institute of Medical Science, New Delhi, 110029, India.
Animesh RayDepartment of Medicine, All India Institute of Medical Science, New Delhi, 110029, India.
Rimlee DuttaDepartment of Pathology, All India Institute of Medical Science, New Delhi, India.
Ranveer Singh JadonDepartment of Medicine, All India Institute of Medical Science, New Delhi, 110029, India.
Naval Kishore VikramDepartment of Medicine, All India Institute of Medical Science, New Delhi, 110029, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mucormycosis isolated to the mandible is a rare presentation occurring generally after dental procedures. The case we report presented with discharging sinuses over facial region with radiological appearance of isolated osteomyelitis of the mandible. The patient used to apply an addictive dental powder over his teeth leading to caries. Following this, he pulled out all his teeth, which probably led to his condition. Invasive sampling revealed mucormycosis. An extensive search for an underlying immunodeficiency revealed that the patient had chronic granulomatous disease (CGD). Despite a prolonged course of L-Amphotericin B, the patient continued to have intermittent pus discharge and surgical debridement and curettage was eventually required. The patient had a chronic course with minimal soft tissue involvement which initially did not raise the suspicion of mucormycosis. The main learning point is that an unusual invasive fungal infection in an otherwise healthy host can be the first symptom of an underlying primary immunodeficiency, like CGD. Invasive fungal infections in patients with CGD often have an indolent course.

Indexed as

Chronic granulomatous diseaseLiposomal amphotericin BMandibleMucormycosisOsteomyelitis

Identifiers

PMID32477856
PMCPMC7248539
OpenAlexW3015194333

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.