Evidence map›Paper›PMID 34255907›Full record

Observational studyMycoses2021

Mucormycosis and COVID-19: An epidemic within a pandemic in India.

Lav Selarka, Suktara Sharma, Dinesh Saini, Sanjay Sharma, Amit Batra, Vishal T Waghmare, Pratibha Dileep, Sanket Patel, Monarch Shah, Tejas Parikh and 16 more

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Mycoses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 2 pooled it
10.8field-weighted citation impact, top 1% 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

79 citing papers in PubMed, 2 syntheses or guidelines pooled it, 178 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Outcomes of COVID-19-associated mucormycosis epidemic in India: A prospective 2-year follow-up study.World journal of otorhinolaryngology - head and neck surgery · 2025
    Article
  7. Review
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  9. Article
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  11. Nasal Septum Deviation in Patients with Acute Invasive Fungal Rhinosinusitis in a Tertiary Care Hospital: A Cross-Sectional Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  12. Article
  13. Article
  14. A Comparative Study of Acute Invasive Fungal Sinusitis During the First and Second Waves of the COVID-19 Pandemic.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  15. Review
  16. Article
  17. Article
  18. Article
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  20. Article

19 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

26 authors at 7 institutions in 2 countries.

Lav SelarkaZydus Hospital, Ahmedabad, Gujarat, India.
Suktara SharmaDepartment of ENT, GCS Medical College, Ahmedabad, India.
Dinesh SainiZydus Hospital, Ahmedabad, Gujarat, India.
Sanjay SharmaDepartment of Neurology, Ramkrishna Care Hospitals, Raipur, India.
Amit BatraDepartment of Neurology, Max Hospital, New Delhi, India.
Vishal T WaghmareZydus Hospital, Ahmedabad, Gujarat, India.
Pratibha DileepZydus Hospital, Ahmedabad, Gujarat, India.
Sanket PatelZydus Hospital, Ahmedabad, Gujarat, India.
Monarch ShahZydus Hospital, Ahmedabad, Gujarat, India.
Tejas ParikhZydus Hospital, Ahmedabad, Gujarat, India.
Prakash DarjiZydus Hospital, Ahmedabad, Gujarat, India.
Amit PatelZydus Hospital, Ahmedabad, Gujarat, India.
Gaurav GoswamiZydus Hospital, Ahmedabad, Gujarat, India.
Anand ShahZydus Hospital, Ahmedabad, Gujarat, India.
Sandeep ShahZydus Hospital, Ahmedabad, Gujarat, India.
Harsh LathiyaDepartment of Neurology, Ramkrishna Care Hospitals, Raipur, India.
Moksha ShahZydus Hospital, Ahmedabad, Gujarat, India.
Pranita SharmaDepartment of Neurology, Ramkrishna Care Hospitals, Raipur, India.
Surabhi ChopraDepartment of Neurology, Ramkrishna Care Hospitals, Raipur, India.
Ankur GuptaDepartment of Neurology, Ramkrishna Care Hospitals, Raipur, India.
Neha JainDepartment of Neurology, Ramkrishna Care Hospitals, Raipur, India.
Erum KhanBJ Medical College and Civil Hospital, Ahmedabad, India.
Vijay K SharmaDivision of Neurology, Department of Medicine, National University Hospital and Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Arvind K SharmaZydus Hospital, Ahmedabad, Gujarat, India.
Amanda C Y ChanDivision of Neurology, Department of Medicine, National University Hospital and Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Jonathan J Y OngDivision of Neurology, Department of Medicine, National University Hospital and Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Cadila Healthcare (India) · INRamakrishna Mission Vidyamandira · INGujarat Cancer Society · INNational University Hospital · SGB.J. Medical College · INMax Healthcare · INNational University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceCoronavirus disease (COVID-19) causes an immunosuppressed state and increases risk of secondary infections like mucormycosis. We evaluated clinical features, predisposing factors, diagnosis and outcomes for mucormycosis among patients with COVID-19 infection.

methodsThis prospective, observational, multi-centre study included 47 consecutive patients with mucormycosis, diagnosed during their course of COVID-19 illness, between January 3 and March 27, 2021. Data regarding demography, underlying medical conditions, COVID-19 illness and treatment were collected. Clinical presentations of mucormycosis, imaging and biochemical characteristics and outcome were recorded.

resultsOf the 2567 COVID-19 patients admitted to 3 tertiary centres, 47 (1.8%) were diagnosed with mucormycosis. Mean age was 55 ± 12.8years, and majority suffered from diabetes mellitus (n = 36, 76.6%). Most were not COVID-19 vaccinated (n = 31, 66.0%) and majority (n = 43, 91.5%) had developed moderate-to-severe pneumonia, while 20 (42.6%) required invasive ventilation. All patients had received corticosteroids and broad-spectrum antibiotics while most (n = 37, 78.7%) received at least one anti-viral medication. Mean time elapsed from COVID-19 diagnosis to mucormycosis was 12.1 ± 4.6days. Eleven (23.4%) subjects succumbed to their disease, mostly (n = 8, 72.7%) within 7 days of diagnosis. Among the patients who died, 10 (90.9%) had pre-existing diabetes mellitus, only 2 (18.2%) had received just one vaccine dose and all developed moderate-to-severe pneumonia, requiring oxygen supplementation and mechanical ventilation.

conclusionsMucormycosis can occur among COVID-19 patients, especially with poor glycaemic control, widespread and injudicious use of corticosteroids and broad-spectrum antibiotics, and invasive ventilation. Owing to the high mortality, high index of suspicion is required to ensure timely diagnosis and appropriate treatment in high-risk populations.

Indexed as

Adrenal Cortex HormonesAntifungal AgentsAntiviral AgentsCoinfectionCOVID-19COVID-19 Drug TreatmentDiabetes ComplicationsDiabetes MellitusHumansIndiaMiddle AgedMucormycosisProspective StudiesRespiration, ArtificialVentilators, MechanicalAdrenal Cortex HormonesAntifungal AgentsAntiviral Agentscoronavirus disease 2019COVID-19diabetes mellitusMucormycosissystemic corticosteroids

Identifiers

PMID34255907
PMCPMC8446956
OpenAlexW3183133075

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.