Evidence map›Paper›PMID 35692949›Full record

ReviewCanadian respiratory journal2022

Clinical Manifestations of Pulmonary Mucormycosis in Recipients of Allogeneic Hematopoietic Stem Cell Transplantation: A 21-Case Series Report and Literature Review.

Jing Bao, Chunyu Liu, Yongxia Dong, Yu Xu, Zhanwei Wang, Kunkun Sun, Wen Xi, Keqiang Wang, Pihua Gong, Zhancheng Gao

Open access · goldAbstract readReview
In one paragraph

Review in Canadian respiratory journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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

10 authors at 1 institution in 1 country.

Jing BaoDepartment of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing 100044, China.
Chunyu LiuDepartment of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing 100044, China.ORCID 0000-0001-9667-2415
Yongxia DongDepartment of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing 100044, China.
Yu XuDepartment of Respiratory and Critical Care Medicine, Beijing Jishuitan Hospital, Beijing 100035, China.
Zhanwei WangDepartment of Laboratory Medicine, Peking University People's Hospital, Beijing 100044, China.
Kunkun SunDepartment of Pathology, Peking University People's Hospital, Beijing 100044, China.
Wen XiDepartment of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing 100044, China.
Keqiang WangDepartment of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing 100044, China.
Pihua GongDepartment of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing 100044, China.
Zhancheng GaoDepartment of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing 100044, China.ORCID 0000-0001-7415-1416
Peking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Mucormycosis is a rare, invasive disease caused by opportunistic pathogens related to the Mucorales order with high fatality rates in immunocompromised hosts, especially in recipients of allogeneic hematopoietic stem cell transplantation (allo-HSCT). Diagnosis and treatment of pulmonary mucormycosis in recipients of allo-HSCT remains challenging. Purpose: The aim of this study is to summarize and analyze the clinical features of pulmonary mucormycosis in recipients of allo-HSCT to explore further clinical research directions for this rare fungal infection in the particular populations. Methods: We retrospectively reviewed pulmonary mucormycosis in patients who received allo-HSCT in our hospital from January 2010 to December 2020. A total of 21 patients fulfilled the diagnostic criteria for pulmonary mucormycosis according to the European Organization for Research and Treatment of Cancer and Mycoses Study Group (EORTC/MSG) criteria. Demographic and clinical data, mycological and histopathological records, and treatment and prognosis data were collected. Clinical variables were compared between survivors and nonsurvivors. The survival days of patients with and without graft-versus-host disease (GVHD) and hemoptysis were compared separately. Results: Most of the recipients of allo-HSCT were male patients with a mean age of 43 years. Acute myeloid leukemia (AML) was the most common primary hematologic malignancy. Extrapulmonary involvement accounted for 28.6%, of the cases, including central nervous system ( Conclusion: Mucormycosis is a fatal infection disease. Opportunistic infections in recipients of allo-HSCT are mainly breakthrough infections and may have a seasonal distribution (summer and autumn) and more cases of death in autumn. The marked reversed halo sign can be seen both in the initial stage of infection and after antifungal treatment. In our case series, patients with pulmonary mucormycosis with extrapulmonary involvement 100% died within one year. There are more patients with GVHD before infection and hemoptysis in nonsurvivors than survivors within 100 days. Patients with GVHD before infection and hemoptysis have a shorter survival time than those without.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationMucormycosisMycosesAdultFemaleHemoptysisHumansMaleRetrospective StudiesTransplantation, Homologous

Identifiers

PMID35692949
PMCPMC9184213
OpenAlexW4281871252

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.