Evidence map›Paper›PMID 42369135›Full record

ArticleFrontiers in medicine2026

Clinical features, management, and outcomes of pulmonary mucormycosis: a decade-long retrospective study from a single center in central China.

Chengqing Yang, Chunlin Mei, Tanze Cao, Minhui Mei, Shufang Chen, Xiuping Liu, Chao Quan, Xuan Wang

Abstract read
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Article in Frontiers in medicine, 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

8 authors.

Chengqing Yang *Wuhan Pulmonary Hospital (Wuhan Institute for Tuberculosis Control), Hubei Branch (Wuhan Pulmonary Hospital) of the National Clinical Research Center for Infectious Diseases, Wuhan, China.
Chunlin Mei *Wuhan Pulmonary Hospital (Wuhan Institute for Tuberculosis Control), Hubei Branch (Wuhan Pulmonary Hospital) of the National Clinical Research Center for Infectious Diseases, Wuhan, China.
Tanze CaoWuhan Pulmonary Hospital (Wuhan Institute for Tuberculosis Control), Hubei Branch (Wuhan Pulmonary Hospital) of the National Clinical Research Center for Infectious Diseases, Wuhan, China.
Minhui MeiWuhan Pulmonary Hospital (Wuhan Institute for Tuberculosis Control), Hubei Branch (Wuhan Pulmonary Hospital) of the National Clinical Research Center for Infectious Diseases, Wuhan, China.
Shufang ChenWuhan Pulmonary Hospital (Wuhan Institute for Tuberculosis Control), Hubei Branch (Wuhan Pulmonary Hospital) of the National Clinical Research Center for Infectious Diseases, Wuhan, China.
Xiuping LiuWuhan Pulmonary Hospital (Wuhan Institute for Tuberculosis Control), Hubei Branch (Wuhan Pulmonary Hospital) of the National Clinical Research Center for Infectious Diseases, Wuhan, China.
Chao QuanWuhan Pulmonary Hospital (Wuhan Institute for Tuberculosis Control), Hubei Branch (Wuhan Pulmonary Hospital) of the National Clinical Research Center for Infectious Diseases, Wuhan, China.
Xuan WangWuhan Pulmonary Hospital (Wuhan Institute for Tuberculosis Control), Hubei Branch (Wuhan Pulmonary Hospital) of the National Clinical Research Center for Infectious Diseases, Wuhan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pulmonary mucormycosis is a life-threatening invasive fungal infection with challenging, often delayed diagnosis and high mortality. This study aims to elucidate the clinical characteristics, diagnostic and therapeutic approaches, and outcomes of pulmonary mucormycosis. Methods: This retrospective study enrolled inpatients diagnosed with pulmonary mucormycosis from January 2015 to May 2025. Clinical data were systematically collected and analyzed. Results: A total of 16 patients with pulmonary mucormycosis were included in the study. The mean age of the cohort was 52.50 ± 15.02 years, with a male predominance of 68.75%. Diabetes mellitus was identified as the most prevalent underlying condition, affecting 81.25% of patients. The most common clinical symptoms included cough (100%), expectoration (81.25%), fever (68.75%), chest tightness (68.75%), hemoptysis (50%), and chest pain (50%). Common imaging findings comprised nodules <3 cm (87.50%), consolidation (87.50%), ground-glass opacities (75.00%), halo sign (62.50%), and pleural effusion (50.00%). Of the 16 patients, 68.75% exhibited bronchial involvement. Twelve patients were confirmed by histopathology, and one by culture of sterile pleural fluid; the remaining three were classified as probable cases based on clinical and radiological findings, combined with detection of mucorales by mNGS or from non-sterile specimen cultures. The most frequently identified pathogen was Rhizopus microsporus. Systemic antifungal therapy was administered to 13 patients (81.25%), primarily involving a combination of amphotericin B formulations and azoles. Seventy-five percent of patients underwent bronchoscopic debridement or surgical intervention. The 12-month survival rate was 81.25%, with three patients succumbing to sepsis, massive hemoptysis, or respiratory failure, two of whom had extrapulmonary involvement. In this series, favorable outcomes were observed in patients who received combination therapy, particularly bronchoscopic debridement coupled with antifungal medication. Conclusion: Pulmonary mucormycosis is highly lethal, frequently associated with bronchial involvement. Bronchoscopy plays a crucial role in both diagnosis and treatment. Combined surgical/bronchoscopic intervention with systemic and local antifungal therapy may contribute to favorable outcomes in this series.

Indexed as

diabetes mellitusdiagnostic strategiesimaging featurespathological diagnosispulmonary mucormycosis

Identifiers

PMID42369135
PMCPMC13293840

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