Evidence map›Paper›PMID 36072605›Full record

ArticleFrontiers in immunology2022

Interferon gamma as an immune modulating adjunct therapy for invasive mucormycosis after severe burn - A case report.

Dina M Tawfik, Caroline Dereux, Jan-Alexis Tremblay, Andre Boibieux, Fabienne Braye, Jean-Baptiste Cazauran, Meja Rabodonirina, Elisabeth Cerrato, Audrey Guichard, Fabienne Venet and 4 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Monocyte Anisocytosis Changes in Patients After Major Burn Injuries.Journal of burn care & research : official publication of the American Burn Association · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Review
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 4 institutions in 2 countries.

Dina M Tawfik"Pathophysiology of Injury-Induced Immunosuppression", Université Claude Bernard Lyon-1 - Hospices Civils de Lyon - BioMérieux, Lyon, France.
Caroline Dereux"Pathophysiology of Injury-Induced Immunosuppression", Université Claude Bernard Lyon-1 - Hospices Civils de Lyon - BioMérieux, Lyon, France.
Jan-Alexis Tremblay"Pathophysiology of Injury-Induced Immunosuppression", Université Claude Bernard Lyon-1 - Hospices Civils de Lyon - BioMérieux, Lyon, France.
Andre BoibieuxService des Maladies Infectieuses et Tropicales, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France.
Fabienne BrayeService de Chirurgie Plastique, Reconstructrice et Esthétique, Hôpital de la Croix Rousse, Hospices Civils de Lyon, Lyon, France.
Jean-Baptiste CazauranService de Chirurgie Plastique, Reconstructrice et Esthétique, Hôpital de la Croix Rousse, Hospices Civils de Lyon, Lyon, France.
Meja RabodonirinaService de Parasitologie, Hospices civils de Lyon, Hôpital de la Croix-Rousse, et Université Claude Bernard Lyon 1, Lyon, France.
Elisabeth Cerrato"Pathophysiology of Injury-Induced Immunosuppression", Université Claude Bernard Lyon-1 - Hospices Civils de Lyon - BioMérieux, Lyon, France.
Audrey Guichard"Pathophysiology of Injury-Induced Immunosuppression", Université Claude Bernard Lyon-1 - Hospices Civils de Lyon - BioMérieux, Lyon, France.
Fabienne Venet"Pathophysiology of Injury-Induced Immunosuppression", Université Claude Bernard Lyon-1 - Hospices Civils de Lyon - BioMérieux, Lyon, France.
Guillaume Monneret"Pathophysiology of Injury-Induced Immunosuppression", Université Claude Bernard Lyon-1 - Hospices Civils de Lyon - BioMérieux, Lyon, France.
Didier PayenUniversité Paris-7 Denis Diderot, Paris, France.
Anne-Claire Lukaszewicz"Pathophysiology of Injury-Induced Immunosuppression", Université Claude Bernard Lyon-1 - Hospices Civils de Lyon - BioMérieux, Lyon, France.
Julien Textoris"Pathophysiology of Injury-Induced Immunosuppression", Université Claude Bernard Lyon-1 - Hospices Civils de Lyon - BioMérieux, Lyon, France.
Hospices Civils de Lyon · FRUniversité Claude Bernard Lyon 1 · FRHôpital de la Croix-Rousse · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mucormycosis is a deadly fungal infection that mainly affects severely immunocompromised patients. We report herein the case of a previously immunocompetent adult woman who developed invasive cutaneous mucormycosis after severe burn injuries. Interferon-gamma (IFN-γ) treatment was added after failure of conventional treatment and confirmation of a sustained profound immunodepression. The diagnosis was based on a reduced expression of HLA-DR on monocytes (mHLA-DR), NK lymphopenia and a high proportion of immature neutrophils. The immune-related alterations were longitudinally monitored using panels of immune-related biomarkers. Results: Initiation of IFN-γ was associated with a rapid clinical improvement and a subsequent healing of mucormycosis infection, with no residual fungi at the surgical wound repair. The serial immunological assessment showed sharp improvements of immune parameters: a rapid recovery of mHLA-DR and of transcriptomic markers for T-cell proliferation. The patient survived and was later discharged from the ICU. Conclusion: The treatment with recombinant IFN-γ participated to the resolution of a progressively invasive mucormycosis infection, with rapid improvement in immune parameters. In the era of precision medicine in the ICU, availability of comprehensive immune monitoring tools could help guiding management of refractory infections and provide rationale for immune stimulation strategies in these high risk patients.

Indexed as

BurnsMucormycosisAdultCombined Modality TherapyFemaleHLA-DR AntigensHumansInterferon-gammaRecombinant ProteinsHLA-DR AntigensInterferon-gammaRecombinant Proteinsbiomarkersimmunotherapyinterferon gamma adjunct therapyMucormycosissevere burn injuries

Identifiers

PMID36072605
PMCPMC9442803
OpenAlexW4292596008

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.