Evidence map›Paper›PMID 42871092›Full record

ArticleFrontiers in fungal biology2026

Case report: Fatal hematogenous gastrosplenic mucormycosis in an immunocompetent adult following sigmoid perforation, septic shock, and short-term stress glucocorticoids.

Jiewei Liu, Wei Zhang, Hua Chen

Abstract readCase Reports
In one paragraph

Article in Frontiers in fungal biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Jiewei LiuDepartment of Emergency Medicine, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, Fujian, China.
Wei ZhangDepartment of Emergency Medicine, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, Fujian, China.
Hua ChenDepartment of Emergency Medicine, Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, Fujian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mucormycosis is an aggressive angioinvasive fungal infection that predominantly affects chronically immunosuppressed individuals. Hematogenous dissemination of Case presentation: We report a fatal case of synchronous gastric perforation and total splenic infarction secondary to hematogenous Conclusion: This case delivers three critical clinical takeaways. First, even brief stress-dose glucocorticoids may induce sufficient transient immune paralysis to permit life-threatening hematogenous mucormycosis in patients without chronic underlying immunosuppression, acting as one potential contributing factor alongside sepsis-related critical-illness immune dysfunction. Second, empirical carbapenem plus echinocandin regimens, commonly used in ICUs, lack activity against

Indexed as

gastric perforationliposomal amphotericin BMucoralesMucormycosissigmoid colon perforationsplenic infarction

Identifiers

PMID42871092
PMCPMC13658173

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.