{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T01:29:04Z","timestamp":1774747744106,"version":"3.50.1"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The emergence of COVID-19, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), triggered a global pandemic. Concurrently, reports of mucormycosis cases surged, particularly during the second wave in India. This study aims to investigate mortality factors in COVID-19-associated mucormycosis (CAM) cases, exploring clinical, demographic, and therapeutic variables across mostly Asian and partly African countries. A retrospective, cross-sectional analysis of CAM patients from 22 medical centers across eight countries was conducted, focusing on the first 3 months post-COVID-19 diagnosis. Data collected through the ID-IRI included demographics, comorbidities, treatments, and outcomes. A total of 162 CAM patients were included. The mean age was 54.29\u00a0\u00b1\u00a013.04 years, with 54% male. Diabetes mellitus (85%) was prevalent, and 91% had rhino-orbital-cerebral mucormycosis. Surgical debridement was performed in 84% of the cases. Mortality was 39%, with advanced age (hazard ratio [HR] = 1.06, [P\u00a0&amp;lt;\u00a0.001]), rituximab use (HR\u00a0=\u00a021.2, P\u00a0=\u00a0.05), and diabetic ketoacidosis (HR\u00a0=\u00a03.58, P\u00a0=\u00a0.009) identified as risk factors. The mortality risk increases by approximately 5.6% for each additional year of age. Surgical debridement based on organ involvement correlated with higher survival (HR\u00a0=\u00a08.81, P\u00a0&amp;lt;\u00a0.001). The utilization of rituximab and diabetic ketoacidosis, along with advancing age, has been associated with an increased risk of mortality in CAM patients. A combination of antifungal treatment and surgical intervention has demonstrated a substantial improvement in survival outcomes.<\/jats:p>","DOI":"10.1093\/mmy\/myae064","type":"journal-article","created":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T01:09:53Z","timestamp":1719277793000},"source":"Crossref","is-referenced-by-count":3,"title":["Factors influencing mortality in COVID-19-associated mucormycosis: The international ID-IRI study"],"prefix":"10.1093","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4147-3587","authenticated-orcid":false,"given":"Meyha","family":"Sahin","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Istanbul Medipol University , Istanbul , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mesut","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Istanbul Medipol University , Istanbul , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Mert","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Istanbul Medipol University , Istanbul , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Behrouz","family":"Naghili","sequence":"additional","affiliation":[{"name":"Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences , Tabriz , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatemeh","family":"Ravanbakhsh","sequence":"additional","affiliation":[{"name":"Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences , Tabriz , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mojtaba","family":"Varshochi","sequence":"additional","affiliation":[{"name":"Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences , Tabriz , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilad Alavi","family":"Darazam","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Tropical Medicine, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital , Tehran , Iran"},{"name":"Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences , Tehran , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Javad","family":"Ebrahimi","sequence":"additional","affiliation":[{"name":"Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences , Tehran , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maral","family":"Moafi","sequence":"additional","affiliation":[{"name":"Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences , Tehran , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamed Azhdari","family":"Tehrani","sequence":"additional","affiliation":[{"name":"Department of Hematology-Medical Oncology, Shahid Beheshti University of Medical Sciences , Tehran , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amjad","family":"Mahboob","sequence":"additional","affiliation":[{"name":"Department of Medicine, Gajju Khan Medical College , Swabi , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naveed","family":"Rashid","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Shifa Tameer-e-Millat University and Shifa International Hospital , Islamabad , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ejaz Ahmed","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Shifa Tameer-e-Millat University and Shifa International Hospital , Islamabad , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atousa","family":"Hakamifard","sequence":"additional","affiliation":[{"name":"Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences , Tehran , Iran"},{"name":"Department of Infectious Diseases, Isfahan University of Medical Sciences, School of Medicine , Isfahan , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fclden","family":"Eser-Karlidag","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Elazig Fethi Sekin City Hospital , Elazig , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3730-5268","authenticated-orcid":false,"given":"Abdolreza","family":"Babamahmoodi","sequence":"additional","affiliation":[{"name":"Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences , Tehran , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amani","family":"El-Kholy","sequence":"additional","affiliation":[{"name":"Department of Clinical Pathology, Faculty of Medicine, Cairo University , Giza , Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sayed Hussain","family":"Mosawi","sequence":"additional","affiliation":[{"name":"Department of Molecular Research, Medical Sciences Research Center, Ghalib University , Kabul , Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ay\u015fe","family":"Albayrak","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Ataturk University, Faculty of Medicine , Erzurum , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamal Wadi","family":"Al\u00a0Ramahi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Jordan University Hospital, School of Medicine , Amman , Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syam Kumar","family":"Addepalli","sequence":"additional","affiliation":[{"name":"Department of Pharmacology, GITAM Institute of Medical Sciences and Research , Visakhapatnam, Andhra Pradesh , India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u015eafak","family":"\u00d6zer\u00a0Balin","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Firat University, Faculty of Medicine , Elazig , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asfandiyar","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lady Reading Hospital , Peshawar , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nirav","family":"Pandya","sequence":"additional","affiliation":[{"name":"Consultant Microbiologist & Infection Preventionist Bhailal Amin General 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Mega Hospital , Istanbul , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reham","family":"Khedr","sequence":"additional","affiliation":[{"name":"Department of Pediatric Oncology, National Cancer Institute, Cairo University, Cairo, Egypt, Department of Pediatric Oncology, Children Cancer Hospital , Cairo , Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rezaul Karim","family":"Ripon","sequence":"additional","affiliation":[{"name":"Department of Public Health and Informatics, Jahangirnagar University , Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sevil","family":"Alkan","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Canakkale Onsekiz Mart University, Faculty of Medicine , Canakkale , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u015e\u00fckran","family":"Kose","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Tepecik Training and Research Hospital , \u0130zmir , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bahad\u0131r","family":"Ceylan","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Istanbul Medipol University , Istanbul , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hakan","family":"Erdem","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Gulhane School of Medicine , Ankara , Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,6,24]]},"reference":[{"issue":"5","key":"2024071813135178700_bib1","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1007\/s15010-021-01670-1","article-title":"COVID-19 and mucormycosis superinfection: the perfect 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