Evidence map›Paper›PMID 35103148›Full record

ArticleCureus2021

Hyperferritinemia and the Extent of Mucormycosis in COVID-19 Patients.

Simple Bhadania, Neena Bhalodiya, Yashendra Sethi, Nirja Kaka, Swati Mishra, Neil Patel, Asad Ullah Wasim, Saumya S Joshi, Kenisha Shah

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.3field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Association of Markers of iron Metabolism with Mucormycosis: A Case Control Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  3. Review
  4. Effect of High Serum Ferritin on Extent of Involvement of COVID-19 Associated Mucormycosis.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  5. Association of COVID with Mycosis in General.Infectious disorders drug targets · 2024
    Review
  6. COVID-19 associated mold infections: Review of COVID-19 associated pulmonary aspergillosis and mucormycosis.Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi · 2023
    Review
  7. Article
  8. Article
  9. Review
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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

9 authors at 4 institutions in 2 countries.

Simple BhadaniaOtorhinolaryngology, Gujarat Medical Education & Research Society (GMERS) Medical College Sola, Ahmedabad, IND.
Neena BhalodiyaOtorhinolaryngology, Gujarat Medical Education & Research Society (GMERS) Medical College Sola, Ahmedabad, IND.
Yashendra SethiMedicine, Government Doon Medical College, Dehradun, IND.
Nirja KakaMedicine and Surgery, Gujarat Medical Education & Research Society (GMERS) Medical College Himmatnagar, Himmatnagar, IND.
Swati MishraOtorhinolaryngology, Gujarat Medical Education & Research Society (GMERS) Medical College Sola, Ahmedabad, IND.
Neil PatelMedicine and Surgery, Gujarat Medical Education & Research Society (GMERS) Medical College Himmatnagar, Himmatnagar, IND.
Asad Ullah WasimInternal Medicine, Air University Fazaia Medical College, Islamabad, PAK.
Saumya S JoshiMedicine, Gujarat Medical Education & Research Society (GMERS) Medical College Sola, Ahmedabad, IND.
Kenisha ShahMedicine, Gujarat Medical Education & Research Society (GMERS) Medical College Sola, Ahmedabad, IND.
Air University · PKGujarat Cancer Society · INDoon University · INM. P. Shah Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Coronavirus disease 2019 (COVID-19) disease attributed to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has shown associations with various fungal opportunistic infections such as mucormycosis, invasive candidiasis, and aspergillosis, which have contributed to the mortality of the disease. In India, the incidence of mucormycosis had risen rapidly during the second wave. There is ample literature demonstrating the role of iron in the pathogenesis of mucormycosis. The hyperferritinemia associated with COVID-19 may have played a significant role in promoting the invasion and extent of the fungus. Aims and objectives The study aimed to analyze the association between serum ferritin levels and the extent of involvement of mucormycosis in patients affected with COVID-19. Methodology A single-center cross-sectional study was conducted using retrospective hospital record data. G*Power statistical analysis software was used to compute the sample size of 62 (31+31). The radiological data were used to determine the extent of involvement. Results A statistically significant difference was seen in levels of serum ferritin (p = 0.008) between the radiologically judged two groups of the mild extent of invasion of mucormycosis (rhinosinusitis) and severe extent of invasion (rhino-orbital/cerebral mucormycosis), with a severe extent seen with the group having higher levels of serum ferritin. Severe extent of invasion was seen in 53.6% of patients with diabetes mellitus and 62.5% of patients with both diabetes and hypertension. Conclusion The hyperferritinemia not only presents as a marker of the systemic inflammatory process in COVID-19 but also indicates increased free iron, which thereby aids the growth and extent of involvement by the fungus (

Indexed as

covid-19extent of mucormycosisferritinhyperferritinemiamucormycosis

Identifiers

PMID35103148
PMCPMC8772619
OpenAlexW4200018781

What OpenQuestion holds

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Registered trials

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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.