Evidence map›Paper›PMID 35140976›Full record

ArticleSAGE open medicine2022

Clinical and histology features as predictor of severity of mucormycosis in post-COVID-19 patients: An experience from a rural tertiary setting in Central India.

Kavita Jain, Akshay Surana, Tej Singh Choudhary, Sudhakar Vaidya, Shirish Nandedkar, Manju Purohit

Open access · goldAbstract read
In one paragraph

Article in SAGE open medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Kavita JainDepartment of Pathology, R.D. Gardi Medical College, Ujjain, India.ORCID https://orcid.org/0000-0002-2024-9861
Akshay SuranaDepartment of Pathology, R.D. Gardi Medical College, Ujjain, India.
Tej Singh ChoudharyChoudhary ENT Hospital, Ujjain, India.
Sudhakar VaidyaDepartment of Ear Nose Throat, R.D. Gardi Medical College, Ujjain, India.
Shirish NandedkarDepartment of Pathology, R.D. Gardi Medical College, Ujjain, India.
Manju PurohitDepartment of Pathology, R.D. Gardi Medical College, Ujjain, India.ORCID https://orcid.org/0000-0001-5385-7305
Ruxmaniben Deepchand Gardi Medical College · INDr. D. Y. Patil Medical College, Hospital and Research Centre · INKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn upsurge in cases of rhinosinusitis with or without associated orbital and/or cerebral involvement by mucormycosis has been observed in post-COVID-19 patients. Our objective is to evaluate the clinical and histopathology features of these patients to determine the severity and develop a scoring on the extent on tissue invasion.

methodWe prospectively enrolled and analyzed 95 post-COVID-19 patients who presented with the invasive mucormycosis of the head and neck region. Clinical and histology details were noted in predesigned forms. Various histology variables were graded from I to III to propose a scoring system for the severity of the disease.

resultsMucormycosis was common in males with a mean age of 46.8 ± 11 years. Facial pain was the most common presenting complaint and 77% of the patients were diabetic. Most cases (n = 59) showed a moderate degree of neutrophilic infiltrate with ⩾50% tissue necrosis and angioinvasion in three or more vessels with a fungal load of 2+/3+. Histology severity grade III was observed in patients who died from cerebral mucormycosis (n = 3) and septicemia (n = 2) and in patients who had undergone orbital exenteration (n = 6).

conclusionThe histopathology and severity score classification was directly correlated with the outcome of the patients. Further evaluation and a larger study will help to validate the proposed scoring for its clinical use in all forms and causes of mucormycosis.

Indexed as

COVID-19histopathologymucormycosis

Identifiers

PMID35140976
PMCPMC8819781
OpenAlexW4210447160

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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.