Evidence map›Paper›PMID 42671414›Full record

ArticleLung India : official organ of Indian Chest Society2026

CT manifestations of pulmonary mucormycosis: Influence of risk factor, symptom duration, and glycemic control.

Nidhi Prabhakar, Mandeep Garg, Ritesh Agarwal, Uma Debi, Inderpaul S Sehgal, Shivaprakash M Rudramurthy, Nalini Gupta, Amanjit Bal, Harkant Singh, Raja Ramachandran and 4 more

Abstract read
In one paragraph

Article in Lung India : official organ of Indian Chest Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Pulmonary mucormycosis: Imaging findings and implications.Lung India : official organ of Indian Chest Society · 2026
    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

14 authors.

Nidhi PrabhakarDepartment of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Mandeep GargDepartment of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Ritesh AgarwalDepartment of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Uma DebiDepartment of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Inderpaul S SehgalDepartment of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Shivaprakash M RudramurthyDepartment of Medical Microbiology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Nalini GuptaDepartment of Cytology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Amanjit BalDepartment of Histopathology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Harkant SinghDepartment of Cardiovascular and Thoracic Surgery, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Raja RamachandranDepartment of Nephrology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Shiv PatilDepartment of Renal Transplant Surgery, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Soham MukherjeeDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Arunaloke ChakrabartiDoodhadhari Burfani Hospital, Haridwar, Uttarakhand, India.
Valliappan MuthuDepartment of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary mucormycosis (PM) imaging has been characterised primarily in patients with hematologic malignancies. Imaging patterns may differ in diabetes mellitus-associated PM (DAPM), the most common risk factor globally, due to different immunologic profiles and disease progression. The impact of glycemic control on CT findings in DAPM is unknown.

methodsWe retrospectively analysed chest CT scans of patients with PM, compared DAPM with PM in other risk factors (PMOR), and evaluated imaging features across glycated haemoglobin (HbA1c) categories. The secondary objective was to determine associations between imaging features and mortality in DAPM. Imaging patterns recorded by two radiologists were compared between study groups, and multivariable logistic regression analysis of mortality was performed.

resultsAmong 193 patients (161 DAPM, 32 PMOR), consolidation (97%) and cavitation (84%) were the most frequent. DAPM presented significantly later (median 30 vs. 7 days; P < 0.001) and showed distinct features: smaller nodules (62%, <10 mm) with centrilobular distribution (37.4%), while PMOR had larger nodules (10-30 mm, 55.0%) with random distribution (75.0%). Lymphadenopathy was more common in DAPM (26.0% vs. 9.4%, P = 0.043). Among DAPM, Bird's nest sign increased with HbA1c severity: 7.7% (HbA1c ≤7%), 33.3% (HbA1c 7-9%), and 43.3% (HbA1c>9%), P = 0.030. Overall, 12-week mortality was 47.9%. Although the reversed halo sign and bird's nest sign were associated with mortality on univariable analysis, neither was significant after adjusting for clinical factors.

conclusionDAPM presents later and exhibits distinct imaging features compared to PMOR. Bird's nest sign is more frequent with HbA1c >9%. No imaging features were independently associated with mortality.

Indexed as

fungal pneumoniaMucoralesmycotic aneurysmnon-aspergillus mold infectionszygomycosis

Identifiers

PMID42671414
PMCPMC13568549

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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.