{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:48:37Z","timestamp":1786978117030,"version":"build-2736575974"},"reference-count":58,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T00:00:00Z","timestamp":1662508800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004748","name":"Mashhad University of Medical Sciences","doi-asserted-by":"publisher","award":["4000978"],"award-info":[{"award-number":["4000978"]}],"id":[{"id":"10.13039\/501100004748","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Mucormycosis is a rare yet devastating fungal disease with a frequently fatal outcome. The purpose of this study was to compare the prevalence of mucormycosis, evaluate its risk factors, and assess the patients' outcomes in pre\u2010COVID\u201019 and COVID\u201019 era.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective observational study, clinical data of 158 patients with confirmed histopathological diagnosis of mucormycosis were collected from the medical records departments of Imam Reza and Ghaem hospitals, Mashhad, Iran during 2018\u20132021. The collected data were risk factors associated with mucormycosis including age, gender, underlying diseases, details of corticosteroid administration, and complications such as blindness and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 158 studied patients, 48 patients were diagnosed in the pre\u2010pandemic period whereas 110 cases were admitted during the pandemic era. COVID\u201019 associated mucormycosis (CAM) was observed in 58.1% of the pandemic cases. In the pre\u2010pandemic period, cancer (89.5% vs. 39%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u2009.001) was significantly more prevalent while during the pandemic era, the prevalence of diabetes mellitus (16.7% vs. 51%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u2009.001) was remarkably higher. Moreover, the mortality rate of mucormycosis was considerably reduced after the pandemic (64.6%\u201345.4%), especially in CAM patients (35.9%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The COVID\u201019 pandemic has led to an increased prevalence of mucormycosis, due to the convergence of interlinked risk factors such as diabetes mellitus, corticosteroid therapy, and COVID\u201019. Therefore, clinicians must be aware of the probable occurrence of mucormycosis in the first or second week of COVID\u201019 infection in vulnerable patients and use the steroids cautiously.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>4 Laryngoscope Investigative Otolaryngology, 2022.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.899","type":"journal-article","created":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T05:43:54Z","timestamp":1662529434000},"page":"1343-1350","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Mucormycosis in pre\n                    <scp>\u2010COVID<\/scp>\n                    \u201019 and\n                    <scp>COVID<\/scp>\n                    \u201019 era: A study of prevalence, risk factors and clinical 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