Evidence map›Paper›PMID 34414911›Full record

SynthesisIndian journal of pharmacology

Rhino-orbital-cerebral-mucormycosis in COVID-19: A systematic review.

Anusuya Bhattacharyya, Phulen Sarma, Dibya Jyoti Sharma, Karuna Kumar Das, Hardeep Kaur, Manisha Prajapat, Subodh Kumar, Seema Bansal, Ajay Prakash, Pramod Avti and 4 more

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Indian journal of pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
16.8field-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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Rhino-Orbital-Cerebral Mucormycosis With Bilateral EndogenousCase reports in ophthalmological medicine · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Isolated orbital mucormycosis in the setting of COVID-19 pneumonia.Proceedings (Baylor University. Medical Center) · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. The Review of Ophthalmic Symptoms in COVID-19.Clinical ophthalmology (Auckland, N.Z.) · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Therapeutic Approaches to the Neurologic Manifestations of COVID-19.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 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

14 authors at 3 institutions in 1 country.

Anusuya BhattacharyyaDepartment of Ophthalmology, Government Medical College and Hospital, Bathinda, Punjab, India.
Phulen SarmaDepartment of Pharmacology, PGIMER, Bathinda, Punjab, India.
Dibya Jyoti SharmaDepartment of Internal Medicine, Silchar Medical College and Hospital, Assam, India.
Karuna Kumar DasDepartment of Anaesthesia, Assam Medical College and Hospital, Assam, India.
Hardeep KaurDepartment of Pharmacology, PGIMER, Bathinda, Punjab, India.
Manisha PrajapatDepartment of Pharmacology, PGIMER, Bathinda, Punjab, India.
Subodh KumarDepartment of Pharmacology, PGIMER, Bathinda, Punjab, India.
Seema BansalDepartment of Pharmacology, PGIMER, Bathinda, Punjab, India.
Ajay PrakashDepartment of Pharmacology, PGIMER, Bathinda, Punjab, India.
Pramod AvtiBiophysics, PGIMER, Bathinda, Punjab, India.
Prasad ThotaScientific Officer, Department of Pharmacology, Indian Pharmacopoeia Commission, Ghaziabad, Uttar Pradesh, India.
Dibbanti Harikrishna ReddyDepartment of Pharmacology, Central University of Punjab, Bathinda, Punjab, India.
Bhaswati Sharma GautamDepartment of Microbiology, Assam Medical College and Hospital, Assam, India.
Bikash MedhiDepartment of Pharmacology, PGIMER, Bathinda, Punjab, India.
Central University of Punjab · INAssam Medical College · INGovernment Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the onset of COVID-19 pandemic, parallel opportunistic infections have also been emerging as another disease spectrum. Among all these opportunistic infection, mucormycosis has become a matter of concern with its rapid increase of cases with rapid spread as compared to pre-COVID-19 era. Cases have been reported in post-COVID-19-related immune suppression along with the presence of comorbidity which adds on the deadly outcome. There is no systematic review addressing the issue of COVID-19-associated mucormycosis. This is the first systematic review of published studies of mucormycosis associated with COVID-19. The aim was to analyze the real scenario of the disease statement including all the published studies from first November 2019 to 30th June to analyze the contemporary epidemiology, clinical manifestations, risk factor, prognosis, and treatment outcome of COVID-19 associated rhino-orbito-cerebral-mucormycosis. A comprehensive literature search was done in following databases, namely, PubMed, Google Scholar, Scopus, and EMBASE using keywords mucormycosis, rhino orbital cerebral mucormycosis, COVID-19, and SARS-CoV-2 (from November 01, 2019 to June 30, 2021). Our study shows that, while corticosteroids have proved to be lifesaving in severe to critical COVID-19 patients, its indiscriminate use has come with its price of rhino-orbito-cerebral mucormycosis epidemic, especially in India especially in patients with preexisting diabetes mellitus with higher mortality. Corticosteroid use should be monitored and all COVID-19 patients should be closely evaluated/monitored for sequelae of immunosuppression following treatment.

Indexed as

CoinfectionAntifungal AgentsCOVID-19Host-Pathogen InteractionsHumansMeningitis, FungalMucormycosisNose DiseasesOpportunistic InfectionsOrbital DiseasesPrognosisRisk AssessmentRisk FactorsSARS-CoV-2Antifungal AgentsCorticosteroidCOVID-19diabetesfungal co infectionmucormycosisrhino-orbito-cerebral mucormycosissupplemental oxygen

Identifiers

PMID34414911
PMCPMC8411962
OpenAlexW3193480744

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.