Evidence map›Paper›PMID 40890932›Full record

ArticleAlimentary pharmacology & therapeutics2026

Burden of Invasive Fungal Diseases in Patients With Alcohol-Related Hepatitis and Organ Failure.

Charlotte Mouliade, Lucia Parlati, Stylianos Tzedakis, Mathis Collier, Samir Bouam, Philippe Sogni, Fanny Lanternier, Alexandre Alanio, Vincent Mallet, Demosthenes Research Group

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Article in Alimentary pharmacology & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Charlotte MouliadeAP-HP.Centre, Groupe Hospitalier Cochin Port Royal, DMU Cancérologie et Spécialités Médico-Chirurgicales, Service Des Maladies du Foie, Paris, France.
Lucia ParlatiAP-HP.Centre, Groupe Hospitalier Cochin Port Royal, DMU Cancérologie et Spécialités Médico-Chirurgicales, Service Des Maladies du Foie, Paris, France.
Stylianos TzedakisUniversité Paris Cité, Paris, France.
Mathis CollierAP-HP.Centre, Groupe Hospitalier Cochin Port Royal, DMU Prime, Unité de Recherche Clinique, Paris, France.
Samir BouamAP-HP.Centre Université de Paris, Groupe Hospitalier Cochin Port Royal, DMU PRIME, Service D'information Médicale, Paris, France.
Philippe SogniAP-HP.Centre, Groupe Hospitalier Cochin Port Royal, DMU Cancérologie et Spécialités Médico-Chirurgicales, Service Des Maladies du Foie, Paris, France.
Fanny LanternierUniversité Paris Cité, Paris, France.
Alexandre AlanioUniversité Paris Cité, Paris, France.
Vincent MalletAP-HP.Centre, Groupe Hospitalier Cochin Port Royal, DMU Cancérologie et Spécialités Médico-Chirurgicales, Service Des Maladies du Foie, Paris, France.ORCID https://orcid.org/0000-0003-2219-9201
Demosthenes Research Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe burden of invasive fungal diseases (IFDs) in patients with complicated alcoholic hepatitis (CAH)-defined by ≥ 2 hepatic (ascites, jaundice, liver failure, encephalopathy) or extrahepatic (coagulopathy, shock, kidney or respiratory failure) dysfunctions within 30 days-remains poorly characterised.

aimsTo assess the burden of IFDs in CAH and compare it with bacterial pneumonia (BP).

methodsWe conducted a retrospective nationwide cohort study of adult CAH patients in France (2012-2021). The primary exposure were IFDs. The primary outcome was 3-month mortality or liver transplantation. Associations were assessed with adjusted odds ratios (aORs) in complete-case and propensity score-matched cohorts. A 6-week landmark analysis and time-dependent Cox models were used to evaluate time-varying effects.

resultsAmong 11,434 CAH patients (median age 55 years; 72% male), 2.2% and 15% developed IFDs and BP, respectively. Three-month survival was 17.5% (95% CI: 13.0-23.0) in IFDs, 46.8% (44.3-49.3) in BP and 60.0% (59.4-61.4) in those without either (p < 0.001). IFDs occurred in 44.3% of patients with BP, and BP increased IFD risk (aOR 2.93, 95% CI: 2.23-3.84). In matched analyses, IFDs were associated with a fourfold increase in mortality (aOR 4.58, 95% CI: 3.02-7.20), while BP showed a lower association (aOR 1.23, 95% CI: 1.06-1.43). IFDs were strong time-dependent predictors of death.

conclusionsIFDs affected 1 in 50 CAH patients and carried a disproportionate mortality risk, compared with BP. These findings support the implementation of targeted screening and early antifungal strategies in CAH management, as for BP.

Indexed as

Hepatitis, AlcoholicInvasive Fungal InfectionsAdultAgedCohort StudiesFemaleFranceHumansLiver TransplantationMaleMiddle AgedRetrospective Studiesalcohol‐related hepatitisinvasive fungal diseasemortality

Identifiers

PMID40890932
PMCPMC12746403

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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.