Evidence map›Paper›PMID 34302291›Full record

ReviewInfection2021

COVID-19 and mucormycosis superinfection: the perfect storm.

Jaffar A Al-Tawfiq, Saad Alhumaid, Abeer N Alshukairi, Mohamad-Hani Temsah, Mazin Barry, Abbas Al Mutair, Ali A Rabaan, Awadh Al-Omari, Raghavendra Tirupathi, Manaf AlQahtani and 2 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 2 pooled it
10.3field-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

77 citing papers in PubMed, 2 syntheses or guidelines pooled it, 179 citations in OpenAlex.

  1. Pooled it
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  11. Isolated orbital mucormycosis in the setting of COVID-19 pneumonia.Proceedings (Baylor University. Medical Center) · 2025
    Article
  12. Review
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  18. Miltefosine: A Repurposing Drug against Mucorales Pathogens.Journal of fungi (Basel, Switzerland) · 2023
    Article
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  20. Article

17 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

12 authors at 12 institutions in 6 countries.

Jaffar A Al-TawfiqInfectious Disease Unit, Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia. jaffar.tawfiq@jhah.com.ORCID http://orcid.org/0000-0002-5752-2235
Saad AlhumaidAdministration of Pharmaceutical Care, Alahsa Health Cluster, Ministry of Health, Alahsa, Saudi Arabia.
Abeer N AlshukairiDepartment of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Mohamad-Hani TemsahPediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Mazin BarryDivision of Infectious Diseases, Department of Internal Medicine, College of Medicine, King Saud University and King Saud University Medical City, Riyadh, Saudi Arabia.
Abbas Al MutairResearch Center, Almoosa Specialist Hospital, Alahsa, Saudi Arabia.
Ali A RabaanMolecular Diagnostics Laboratory, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.
Awadh Al-OmariCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Raghavendra TirupathiDepartment of Medicine Keystone Health, Penn State University School of Medicine, Hershey, PA, USA.
Manaf AlQahtaniNational Taskforce for Combating the Corona Virus, Riffa, Bahrain.
Salma AlBahraniKing Fahad Military Medical Complex, Dhahran, Saudi Arabia.
Kuldeep DhamaDivision of Pathology, ICAR-Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, India.
Alfaisal University · SAIndian Veterinary Research Institute · INJohns Hopkins University · USKing Fahd Military Medical Complex · SAKing Faisal Specialist Hospital & Research Centre · SAKing Saud Medical City · SAKing Saud University · SAMinistry of Health · MMPrincess Nourah bint Abdulrahman University · SARoyal College of Surgeons in Ireland - Bahrain · BHSaudi Aramco Medical Services Organization · SAWayne Memorial Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe recent emergence of the Coronavirus Disease (COVID-19) disease had been associated with reports of fungal infections such as aspergillosis and mucormycosis especially among critically ill patients treated with steroids. The recent surge in cases of COVID-19 in India during the second wave of the pandemic had been associated with increased reporting of invasive mucormycosis post COVID-19. There are multiple case reports and case series describing mucormycosis in COVID-19. PURPOSE: In this review, we included most recent reported case reports and case-series of mucormycosis among patients with COVID-19 and describe the clinical features and outcome.

resultsMany  of the mucormycosis reports were eported from India, especially in COVID-19 patients who were treated and recovered patients. The most commonly reported infection sites were rhino-orbital/rhino-cerebral mucormycosis. Those patients  were diabetic and had corticosteroids therapy for controlling the severity of COVID-19, leading to a higher fatality in such cases and complicating the pandemic scenario. The triad of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), corticosteroid use and uncontrolled diabetes mellitus have been evident for significant increase in the incidence of angioinvasive maxillofacial mucormycosis.  In addition, the presence of spores and other factors might play a role as well.

conclusionWith the ongoing COVID-19 pandemic and increasing number of critically ill patients infected with SARS-CoV-2, it is important to develop a risk-based approach for patients at risk of mucormycosis based on the epidemiological burden of mucormycosis, prevalence of diabetes mellitus, COVID-19 disease severity and use of immune modulating agents including the combined use of corticosteroids and immunosuppressive agents in patients with cancer and transplants.

Indexed as

COVID-19MucormycosisSuperinfectionHumansPandemicsSARS-CoV-2COVID-19MucormycosisSARS-CoV-2

Identifiers

PMID34302291
PMCPMC8302461
OpenAlexW3184157281

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.