{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T19:37:08Z","timestamp":1770061028760,"version":"3.49.0"},"reference-count":0,"publisher":"Nepal Journals Online (JOL)","issue":"2","license":[{"start":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T00:00:00Z","timestamp":1624924800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nepal J Epidemiology"],"abstract":"<jats:p>Mucormycosis and aspergillosis are rare, invasive and life-threatening infections. The causative agents being namely: Aspergillus fumigatus and Rhizopus arrhizus. The case fatality rates being over 50% respectively. Invasive Aspergillosis and Mucormycosis have been established and recognized as a complication of the SARS-CoV-2 infection. These cases have been intimately linked and related to prior corticosteroid therapy. With the new B.1.617.2 and B.1.617.2.1 or AY.1 strain of the coronavirus running rampant throughout India causing unprecedented death tolls, a new crisis is evolving. Invasive \u201cblack fungus\u201d (Mucormycosis) is creating an epidemic within a global pandemic. The unique socio-economic, genetic and health status of India\u2019s population culminates into a melting pot which sustains the viable triad for the \u201cblack fungus\u201d infection to gain a stronghold. Diabetes mellitus, immunosuppression and the current COVID-19 global pandemic with its massive surges in the country have produced the \u201cperfect storm.\u201d Eye surgeons from around India are registering a surge in invasive Mucormycosis cases with a rise in orbital compartment syndrome often calling for radical procedures such as enucleation surgeries.\r\nThe \u201cblack fungus\u201d pandemic and invasive Mucormycosis occurring in COVID-19 patients in India is a depiction of the sinister secondary infections and complications intimately linked with the virus. It is therefore of the upmost importance that countries surrounding India in particular Nepal and other Asiatic nations take great cognizance of this indolent \u201cblack fungus killer\u201d and ensure new screening and testing protocols are put into place.<\/jats:p>","DOI":"10.3126\/nje.v11i2.37342","type":"journal-article","created":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T14:01:17Z","timestamp":1625061677000},"page":"1034-1039","source":"Crossref","is-referenced-by-count":22,"title":["Mucormycosis and COVID-19 an epidemic in a pandemic?"],"prefix":"10.3126","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2880-4695","authenticated-orcid":false,"given":"Indrajit","family":"Banerjee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2619-5075","authenticated-orcid":false,"given":"Jared","family":"Robinson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9947-8730","authenticated-orcid":false,"given":"Mohammad","family":"Asim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0851-4762","authenticated-orcid":false,"given":"Brijesh","family":"Sathian","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5876-8499","authenticated-orcid":false,"given":"Indraneel","family":"Banerjee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1670","published-online":{"date-parts":[[2021,6,29]]},"container-title":["Nepal Journal of Epidemiology"],"original-title":[],"link":[{"URL":"https:\/\/www.nepjol.info\/index.php\/NJE\/article\/download\/37342\/29372","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nepjol.info\/index.php\/NJE\/article\/download\/37342\/29372","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T14:01:24Z","timestamp":1625061684000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nepjol.info\/index.php\/NJE\/article\/view\/37342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,29]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,6,30]]}},"URL":"https:\/\/doi.org\/10.3126\/nje.v11i2.37342","relation":{},"ISSN":["2091-0800"],"issn-type":[{"value":"2091-0800","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,29]]}}}