{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T20:03:05Z","timestamp":1791403385759,"version":"4.3.3"},"reference-count":126,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T00:00:00Z","timestamp":1563926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JoF"],"abstract":"<jats:p>This report serves as a guide for investigating mucormycosis infections in healthcare. We describe lessons learned from previous outbreaks and offer methods and tools that can aid in these investigations. We also offer suggestions for conducting environmental assessments, implementing infection control measures, and initiating surveillance to ensure that interventions were effective. While not all investigations of mucormycosis infections will identify a single source, all can potentially lead to improvements in infection control.<\/jats:p>","DOI":"10.3390\/jof5030069","type":"journal-article","created":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T10:48:19Z","timestamp":1563965299000},"page":"69","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["A Guide to Investigating Suspected Outbreaks of Mucormycosis in Healthcare"],"prefix":"10.3390","volume":"5","author":[{"given":"Kathleen P.","family":"Hartnett","sequence":"first","affiliation":[{"name":"Prevention and Response Branch, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA"},{"name":"Epidemic Intelligence Service, CDC, Atlanta, GA 30333, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan R.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Mycotic Diseases Branch, Division of Foodborne, Waterborne, and Environmental Diseases, CDC, Atlanta, GA 30333, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiran M.","family":"Perkins","sequence":"additional","affiliation":[{"name":"Prevention and Response Branch, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Glowicz","sequence":"additional","affiliation":[{"name":"Prevention and Response Branch, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janna L.","family":"Kerins","sequence":"additional","affiliation":[{"name":"Chicago Department of Public Health, Chicago, IL 60604, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie R.","family":"Black","sequence":"additional","affiliation":[{"name":"Chicago Department of Public Health, Chicago, IL 60604, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn R.","family":"Lockhart","sequence":"additional","affiliation":[{"name":"Mycotic Diseases Branch, Division of Foodborne, Waterborne, and Environmental Diseases, CDC, Atlanta, GA 30333, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan E.","family":"Christensen","sequence":"additional","affiliation":[{"name":"Prevention and Response Branch, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karlyn D.","family":"Beer","sequence":"additional","affiliation":[{"name":"Mycotic Diseases Branch, Division of Foodborne, Waterborne, and Environmental Diseases, CDC, Atlanta, GA 30333, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,7,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1111\/j.1469-0691.2009.02972.x","article-title":"The ecology of the Zygomycetes and its impact on environmental exposure","volume":"15","author":"Richardson","year":"2009","journal-title":"Clin. Microbiol. Infect."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1086\/432579","article-title":"Epidemiology and outcome of zygomycosis: A review of 929 reported cases","volume":"41","author":"Roden","year":"2005","journal-title":"Clin. Infect. Dis."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"S44","DOI":"10.1093\/cid\/cir867","article-title":"Healthcare-associated mucormycosis","volume":"54","author":"Rammaert","year":"2012","journal-title":"Clin. Infect. Dis."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"ofw268","DOI":"10.1093\/ofid\/ofw268","article-title":"Trends in hospitalizations related to invasive Aspergillosis and mucormycosis in the United States, 2000\u20132013","volume":"4","author":"Vallabhaneni","year":"2017","journal-title":"Open Forum Infect. Dis."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1111\/tid.12060","article-title":"Epidemiology, outcomes, and mortality predictors of invasive mold infections among transplant recipients: A 10-year, single-center experience","volume":"15","author":"Neofytos","year":"2013","journal-title":"Transpl. Infect. Dis."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1086\/423274","article-title":"Breakthrough fungal infections in stem cell transplant recipients receiving voriconazole","volume":"39","author":"Imhof","year":"2004","journal-title":"Clin. Infect. Dis."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1350","DOI":"10.1086\/428780","article-title":"Zygomycosis in a tertiary-care cancer center in the era of Aspergillus-active antifungal therapy: A case-control observational study of 27 recent cases","volume":"191","author":"Kontoyiannis","year":"2005","journal-title":"J. Infect. Dis."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1086\/313803","article-title":"Zygomycosis in the 1990s in a tertiary-care cancer center","volume":"30","author":"Kontoyiannis","year":"2000","journal-title":"Clin. Infect. Dis."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1086\/339202","article-title":"Epidemiology and outcome of mould infections in hematopoietic stem cell transplant recipients","volume":"34","author":"Marr","year":"2002","journal-title":"Clin. Infect. Dis."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1056\/NEJM200402263500923","article-title":"Breakthrough zygomycosis after voriconazole treatment in recipients of hematopoietic stem-cell transplants","volume":"350","author":"Marty","year":"2004","journal-title":"N. Engl. J. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1086\/422723","article-title":"Invasive zygomycosis in hematopoietic stem cell transplant recipients receiving voriconazole prophylaxis","volume":"39","author":"Siwek","year":"2004","journal-title":"Clin. Infect. Dis."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e35","DOI":"10.1086\/427752","article-title":"Zygomycosis after prolonged use of voriconazole in immunocompromised patients with hematologic disease: Attention required","volume":"40","author":"Vigouroux","year":"2005","journal-title":"Clin. Infect. Dis."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1791","DOI":"10.1093\/cid\/ciy776","article-title":"Estimation of direct healthcare costs of fungal diseases in the United States","volume":"68","author":"Benedict","year":"2019","journal-title":"Clin. Infect. Dis."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1111\/myc.12149","article-title":"Prospective antifungal therapy (PATH) alliance (\u00ae): Focus on mucormycosis","volume":"57","author":"Kontoyiannis","year":"2014","journal-title":"Mycoses"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1859","DOI":"10.1111\/j.1469-0691.2010.03456.x","article-title":"Zygomycosis in Europe: Analysis of 230 cases accrued by the registry of the European confederation of medical mycology (ECMM) working group on zygomycosis between 2005 and 2007","volume":"17","author":"Skiada","year":"2011","journal-title":"Clin. Microbiol. Infect."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"S79","DOI":"10.1093\/cid\/cir886","article-title":"Future directions in mucormycosis research","volume":"54","author":"Kontoyiannis","year":"2012","journal-title":"Clin. Infect. Dis."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1097\/INF.0000000000000261","article-title":"Mucormycosis outbreak associated with hospital linens","volume":"33","author":"Duffy","year":"2014","journal-title":"Pediatr. Infect. Dis. J."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1093\/cid\/civ1006","article-title":"Hospital outbreak of pulmonary and cutaneous zygomycosis due to contaminated linen items from substandard laundry","volume":"62","author":"Cheng","year":"2016","journal-title":"Clin. Infect. Dis."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1855","DOI":"10.3201\/eid1710.110087","article-title":"Invasive non-Aspergillus mold infections in transplant recipients, United States, 2001\u20132006","volume":"17","author":"Park","year":"2011","journal-title":"Emerg. Infect. Dis."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"ofx050","DOI":"10.1093\/ofid\/ofx050","article-title":"Infections in hematopoietic cell transplant recipients: Results from the organ transplant infection project, a multicenter, prospective, cohort study","volume":"4","author":"Schuster","year":"2017","journal-title":"Open Forum Infect. Dis."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1813","DOI":"10.1086\/588660","article-title":"Revised definitions of invasive fungal disease from the European Organization for Research and Treatment of Cancer\/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC\/MSG) Consensus Group","volume":"46","author":"Walsh","year":"2008","journal-title":"Clin. Infect. Dis."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1590\/abd1806-4841.20176614","article-title":"Cutaneous mucormycosis","volume":"92","author":"Welsh","year":"2017","journal-title":"Bras. Derm."},{"key":"ref_23","unstructured":"Centers for Disease Control and Prevention (2011). Notes from the field: Fatal fungal soft-tissue infections after a tornado\u2015Joplin, Missouri, 2011. Morb. Mortal. Wkly. Rep., 60, 992."},{"key":"ref_24","unstructured":"Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases, Division of Foodborne, Waterborne, and Environmental Diseases (2019, May 29). Fungal Diseases Laboratory Submission Information, Available online: https:\/\/www.cdc.gov\/fungal\/lab_submission.html."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1111\/myc.12837","article-title":"Identification of Mucorales in patients with proven invasive mucormycosis by polymerase chain reaction in tissue samples","volume":"61","author":"Shokohi","year":"2018","journal-title":"Mycoses"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"e169","DOI":"10.1093\/jpids\/piy021","article-title":"Saksenaea vasiformis orbital cellulitis in an immunocompetent child treated with posaconazole","volume":"7","author":"Reich","year":"2018","journal-title":"J. Pediatr. Infect. Dis. Soc."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1093\/cid\/ciw563","article-title":"Detection of circulating Mucorales DNA in critically ill burn patients: Preliminary report of a screening strategy for early diagnosis and treatment","volume":"63","author":"Legrand","year":"2016","journal-title":"Clin. Infect. Dis."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e95","DOI":"10.1093\/cid\/cit094","article-title":"Quantitative polymerase chain reaction detection of circulating DNA in serum for early diagnosis of mucormycosis in immunocompromised patients","volume":"56","author":"Millon","year":"2013","journal-title":"Clin. Infect. Dis."},{"key":"ref_29","first-page":"1664","article-title":"Using immunohistochemistry to assess the accuracy of histomorphologic diagnosis of Aspergillosis and mucormycosis","volume":"61","author":"Jung","year":"2015","journal-title":"Clin. Infect. Dis."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1067\/mhn.2002.126587","article-title":"Rhino-orbital and rhino-orbito-cerebral mucormycosis","volume":"127","author":"Talmi","year":"2002","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1177\/000348940511400907","article-title":"Seasonal variations in rhino-cerebral Mucor infection","volume":"114","author":"Shpitzer","year":"2005","journal-title":"Ann. Otol. Rhinol. Laryngol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1017\/S0950268805004930","article-title":"Mucormycosis in the Eastern Mediterranean: A seasonal disease","volume":"134","author":"Bizri","year":"2006","journal-title":"Epidemiol. Infect."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1186\/s13756-017-0282-0","article-title":"Seasonal clustering of sinopulmonary mucormycosis in patients with hematologic malignancies at a large comprehensive cancer center","volume":"6","author":"Sivagnanam","year":"2017","journal-title":"Antimicrob. Resist. Infect. Control"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1056\/NEJMhle1003134","article-title":"The disclosure dilemma\u2015Large-scale adverse events","volume":"363","author":"Dudzinski","year":"2010","journal-title":"N. Engl. J. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1836","DOI":"10.1377\/hlthaff.2018.0720","article-title":"Effects of a communication-and-resolution program on hospitals\u2019 malpractice claims and costs","volume":"37","author":"Kachalia","year":"2018","journal-title":"Health Aff."},{"key":"ref_36","unstructured":"Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases, Division of Healthcare Quality Promotion (2019, May 29). Patient Notification Toolkit, Available online: https:\/\/www.cdc.gov\/injectionsafety\/pntoolkit\/index.html."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.diagmicrobio.2010.12.022","article-title":"A cluster of mucormycosis infections in hematology patients: Challenges in investigation and control of invasive mold infections in high-risk patient populations","volume":"71","author":"Llata","year":"2011","journal-title":"Diagn. Microbiol. Infect. Dis."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1093\/ofid\/ofv133.336","article-title":"Determining the incubation time of mucormycosis: A systematic review","volume":"2","author":"Smith","year":"2015","journal-title":"Open Forum Infect. Dis."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"2214","DOI":"10.1056\/NEJMoa1204781","article-title":"Necrotizing cutaneous mucormycosis after a tornado in Joplin, Missouri, in 2011","volume":"367","author":"Benedict","year":"2012","journal-title":"N. Engl. J. Med."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e83","DOI":"10.1086\/508277","article-title":"Outbreak of cutaneous Rhizopus arrhizus infection associated with karaya ostomy bags","volume":"43","author":"Burwell","year":"2006","journal-title":"Clin. Infect. Dis."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"2161","DOI":"10.1111\/j.1600-6143.2010.03216.x","article-title":"Fatal Apophysomyces elegans infection transmitted by deceased donor renal allografts","volume":"10","author":"Alexander","year":"2010","journal-title":"Am. J. Transpl."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"481","DOI":"10.15585\/mmwr.mm6518a5","article-title":"Notes from the Field: Probable mucormycosis among adult solid organ transplant recipients at an acute care hospital\u2015Pennsylvania, 2014\u20132015","volume":"65","author":"Novosad","year":"2016","journal-title":"Morb. Mortal. Wkly. Rep."},{"key":"ref_43","first-page":"155","article-title":"Fatal gastrointestinal mucormycosis in a premature infant associated with a contaminated dietary supplement\u2015Connecticut, 2014","volume":"64","author":"Vallabhaneni","year":"2015","journal-title":"Morb. Mortal. Wkly. Rep."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"384","DOI":"10.3928\/0147-7447-19790701-10","article-title":"Cutaneous Rhizopus infection associated with Elastoplast wound dressing","volume":"2","author":"Maki","year":"1979","journal-title":"Orthopedics"},{"key":"ref_45","unstructured":"Centers for Disease Control and Prevention (1978). Nosocomial outbreak of Rhizopus infections associated with Elastoplast wound dressings\u2014Minnesota. Morb. Mortal. Wkly. Rep., 27, 33\u201334."},{"key":"ref_46","unstructured":"Centers for Disease Control and Prevention (1978). Follow-up on Rhizopus infections associated with Elastoplast bandages\u2014United States. Morb. Mortal. Wkly. Rep., 27, 243\u2013244."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/S0022-3476(80)80550-6","article-title":"Nosocomical Rhizopus infection (zygomycosis) in children","volume":"96","author":"Dennis","year":"1980","journal-title":"J. Pediatr."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1056\/NEJM197811162992007","article-title":"Hospital-acquired mucormycosis (Rhizopus rhizopodiformis) of skin and subcutaneous tissue: Epidemiology, mycology and treatment","volume":"299","author":"Gartenberg","year":"1978","journal-title":"N. Engl. J. Med."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1001\/archsurg.1979.01370300092019","article-title":"Rhizopus surgical wound infection with elasticized adhesive tape dressings","volume":"114","author":"Everett","year":"1979","journal-title":"Arch. Surg."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1001\/jama.1979.03300030044022","article-title":"Cutaneous Rhizopus infection: Occurrence as a postoperative complication associated with an elasticized adhesive dressing","volume":"242","author":"Mead","year":"1979","journal-title":"JAMA"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.jhin.2004.12.011","article-title":"An outbreak of Absidia corymbifera infection associated with bandage contamination in a burns unit","volume":"61","author":"Christiaens","year":"2005","journal-title":"J. Hosp. Infect."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1111\/j.1742-481X.2011.00839.x","article-title":"Necrotising fasciitis due to Absidia corymbifera in wounds dressed with non sterile bandages","volume":"8","author":"Shakoor","year":"2011","journal-title":"Int. Wound J."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1378\/chest.114.1.340","article-title":"Cutaneous zygomycosis (mucormycosis) complicating endotracheal intubation: Diagnosis and successful treatment","volume":"114","author":"Dickinson","year":"1998","journal-title":"Chest"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1007\/BF03017426","article-title":"Primary cutaneous mucormycosis complicating the use of adhesive tape to secure the endotracheal tube","volume":"49","author":"Alsuwaida","year":"2002","journal-title":"Can. J. Anesth."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1159\/000245728","article-title":"Zygomycotic necrotizing cellulitis in a premature infant","volume":"195","author":"Wentzel","year":"1997","journal-title":"Dermatology"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1097\/00006454-199708000-00015","article-title":"Zygomycosis in neonates","volume":"16","author":"Robertson","year":"1997","journal-title":"Pediatr. Infect. Dis. J."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1007\/s10096-003-1035-y","article-title":"Mucormycosis: Ten-year experience at a tertiary-care center in Greece","volume":"22","author":"Petrikkos","year":"2003","journal-title":"Eur. J. Clin. Microbiol. Infect. Dis."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/0195-6701(93)90116-H","article-title":"Cutaneous infection with Rhizopus oryzae and Aspergillus niger following bone marrow transplantation","volume":"25","author":"Johnson","year":"1993","journal-title":"J. Hosp. Infect."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.1017\/ice.2016.157","article-title":"Invasive cutaneous Rhizopus infections in an immunocompromised patient population associated with hospital laundry carts","volume":"37","author":"Teal","year":"2016","journal-title":"Infect. Control Hosp. Epidemiol."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1007\/s00134-003-2132-1","article-title":"Outbreak of gastric mucormycosis associated with the use of wooden tongue depressors in critically ill patients","volume":"30","author":"Torroba","year":"2004","journal-title":"Intensive Care Med."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/S0140-6736(96)05059-3","article-title":"Nosocomial infection with Rhizopus microsporus in preterm infants: Association with wooden tongue depressors","volume":"348","author":"Mitchell","year":"1996","journal-title":"Lancet"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1093\/clinids\/22.3.521","article-title":"Hepatic mucormycosis in a bone marrow transplant recipient who ingested naturopathic medicine","volume":"22","author":"Oliver","year":"1996","journal-title":"Clin. Infect. Dis."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"2834","DOI":"10.1128\/JCM.00908-09","article-title":"Outbreak of intestinal infection due to R. microsporus","volume":"47","author":"Cheng","year":"2009","journal-title":"J. Clin. Microbiol."},{"key":"ref_64","first-page":"67","article-title":"Bladder mucormycosis. Report of one case","volume":"57","year":"2004","journal-title":"Arch. Esp. Urol."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1086\/513940","article-title":"Absidia corymbifera infections in neonates","volume":"26","author":"Amin","year":"1998","journal-title":"Clin. Infect. Dis."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1038\/sj.jp.7211186","article-title":"Intestinal zygomycosis due to Absidia corymbifera mimicking necrotizing enterocolitis in a preterm neonate","volume":"24","author":"Diven","year":"2004","journal-title":"J. Perinatol."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/S0272-6386(89)80058-7","article-title":"Peritoneal mucormycosis in a patient receiving continuous ambulatory peritoneal dialysis","volume":"13","author":"Polo","year":"1989","journal-title":"Am. J. Kidney Dis."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1093\/clinids\/12.5.19","article-title":"Peritonitis due to Rhizopus in a patient undergoing continuous ambulatory peritoneal dialysis","volume":"13","author":"Branton","year":"1991","journal-title":"Rev. Infect. Dis."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/S0732-8893(02)00554-0","article-title":"Peritonitis due to Aspergillus and zygomycetes in patients undergoing peritoneal dialysis: Report of 2 cases and review of the literature","volume":"46","author":"Nannini","year":"2003","journal-title":"Diagn. Microbiol. Infect. Dis."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1099\/jmm.0.46202-0","article-title":"Peritonitis due to Cunninghamella bertholletiae in a patient undergoing continuous ambulatory peritoneal dialysis","volume":"55","author":"Pimentel","year":"2006","journal-title":"J. Med. Microbiol."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1111\/j.1439-0507.2008.01600.x","article-title":"Invasive rhino-orbital fungal sinusitis following dental manipulation","volume":"52","author":"Chopra","year":"2009","journal-title":"Mycoses"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1196\/annals.1372.010","article-title":"Mucormycosis mimicks sinusitis in a diabetic adult","volume":"1084","author":"Szalai","year":"2006","journal-title":"Ann. N. Y. Acad. Sci."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1053\/joms.2001.23407","article-title":"A fatal outcome from rhinocerebral mucormycosis after dental extractions: A case report","volume":"59","author":"Kim","year":"2001","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.jiph.2017.09.026","article-title":"A fatal case of rhinocerebral mucormycosis of the jaw after dental extractions and review of literature","volume":"11","author":"Prabhu","year":"2018","journal-title":"J. Infect. Public Health"},{"key":"ref_75","first-page":"149","article-title":"Invasive fungal infection of the maxilla following dental extractions in a patient with chronic obstructive pulmonary disease","volume":"72","author":"Fogarty","year":"2006","journal-title":"J. Can. Dent. Assoc."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/S1079-2104(97)90240-7","article-title":"Mucormycosis of the mandible after dental extractions in a patient with acute myelogenous leukemia","volume":"83","author":"Salisbury","year":"1997","journal-title":"Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1097\/INF.0b013e3181634f2b","article-title":"Fatal zygomycosis caused by Mucor indicus in a child with an implantable left ventricular assist device","volume":"27","author":"Charest","year":"2008","journal-title":"Pediatr. Infect. Dis. J."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/0167-5273(87)90085-4","article-title":"Prosthetic mitral valve mucormycosis caused by Mucor species","volume":"17","author":"Chaudhry","year":"1987","journal-title":"Int. J. Cardiol."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"1818","DOI":"10.1378\/chest.116.6.1818","article-title":"Successful treatment of prosthetic aortic valve mucormycosis","volume":"116","author":"Merino","year":"1999","journal-title":"Chest"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1016\/S0022-5223(19)41816-3","article-title":"Mucormycosis in a mitral prosthesis","volume":"63","author":"Khicha","year":"1972","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_81","first-page":"474","article-title":"Mucormycosis of a median sternotomy wound","volume":"2","author":"Abter","year":"1994","journal-title":"Cardiovasc. Surg."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.1097\/00007611-198911000-00024","article-title":"Cellulitis caused by Rhizomucor pusillus in a diabetic patient receiving continuous insulin infusion pump therapy","volume":"82","author":"Wickline","year":"1989","journal-title":"South. Med. J."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1080\/13693780310001644644","article-title":"Zygomycosis caused by Cunninghamella bertholletiae in a kidney transplant recipient","volume":"42","author":"Quinio","year":"2004","journal-title":"Med. Mycol."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1080\/17843286.2016.1266802","article-title":"Cutaneous mucormycosis as result of insulin administration in an AML patient: Case report and review of the literature","volume":"72","author":"Delie","year":"2017","journal-title":"Acta Clin. Belg."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"e269","DOI":"10.1016\/j.jinf.2005.03.010","article-title":"A fatal case of disseminated zygomycosis associated with the use of blood glucose self-monitoring equipment","volume":"51","author":"Hampson","year":"2005","journal-title":"J. Infect."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"1715","DOI":"10.1016\/j.ajic.2016.06.017","article-title":"Control of an outbreak of postoperative bone mucormycosis: An intervention study of contiguous cohorts","volume":"44","author":"Chaves","year":"2016","journal-title":"Am. J. Infect. Control"},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/0195-6701(92)90115-3","article-title":"Mycotic prosthetic-valve endocarditis","volume":"20","author":"Mishra","year":"1992","journal-title":"J. Hosp. Infect."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/0195-6701(83)90064-6","article-title":"Nosocomial infection by Rhizomucor pusillus in a clinical haematology unit","volume":"4","author":"Fereres","year":"1983","journal-title":"J. Hosp. Infect."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1017\/S0195941700061750","article-title":"Nosocomial fungal infection during hospital renovation","volume":"6","author":"Krasinski","year":"1985","journal-title":"Infect. Control Hosp. Epidemiol."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.jhin.2008.05.017","article-title":"Investigation and management of an outbreak of mucormycosis in a paediatric oncology unit","volume":"70","author":"Garner","year":"2008","journal-title":"J. Hosp. Infect."},{"key":"ref_91","first-page":"140","article-title":"Necrotizing cellulitis caused by Apophysomyces elegans at a patch test site","volume":"13","author":"LeSueur","year":"2002","journal-title":"Am. J. Contact Dermat."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.jhin.2018.02.004","article-title":"Real-time polymerase chain reaction detection of Lichtheimia species in bandages associated with cutaneous mucormycosis in burn patients","volume":"99","author":"Rocchi","year":"2018","journal-title":"J. Hosp. Infect."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1097\/00000658-197002000-00021","article-title":"Phycomycosis involving the intestine and anterior abdominal wall: A case report","volume":"171","author":"Mullens","year":"1970","journal-title":"Ann. Surg."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1017\/ice.2015.135","article-title":"Healthcare laundry and textiles in the United States: Review and commentary on contemporary infection prevention issues","volume":"36","author":"Sehulster","year":"2015","journal-title":"Infect. Control Hosp. Epidemiol."},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1093\/cid\/ciy669","article-title":"How clean is the linen at my hospital? The Mucorales on unclean linen discovery study of large United States transplant and cancer centers","volume":"68","author":"Sundermann","year":"2019","journal-title":"Clin. Infect. Dis."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"2422","DOI":"10.1128\/jcm.35.9.2422-2423.1997","article-title":"Wooden sticks as the source of a pseudoepidemic of infection with Rhizopus microsporus var. rhizopodiformis among immunocompromised patients","volume":"35","author":"Verweij","year":"1997","journal-title":"J. Clin. Microbiol."},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1016\/S0140-6736(05)64758-7","article-title":"Risk of tongue depressors to the immunocompromised","volume":"348","author":"Leeming","year":"1996","journal-title":"Lancet"},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.1016\/S0140-6736(05)65533-X","article-title":"Rhizopus and tongue depressors","volume":"348","author":"Harper","year":"1996","journal-title":"Lancet"},{"key":"ref_99","first-page":"147","article-title":"Outcome of mucormycosis in liver transplantation: Four cases and a review of literature","volume":"1","author":"Davari","year":"2003","journal-title":"Exp. Clin. Transpl."},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1093\/ndt\/gfg086","article-title":"Isolated renal allograft arterial mucormycosis: An extremely rare complication","volume":"18","author":"Minz","year":"2003","journal-title":"Nephrol. Dial. Transpl."},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1034\/j.1399-3062.2000.020107.x","article-title":"Hepatic arterial thrombosis due to Mucor species in a child following orthotopic liver transplantation","volume":"2","author":"Gallo","year":"2000","journal-title":"Transpl. Infect. Dis."},{"key":"ref_102","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1093\/ndt\/9.6.718","article-title":"Mucormycosis of the graft in a renal transplant recipient","volume":"9","author":"Mitwalli","year":"1994","journal-title":"Nephrol. Dial. Transpl."},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1111\/j.1432-2277.2001.tb00083.x","article-title":"Mucormycosis of the renal allograft: Case report and review of the literature","volume":"14","author":"Chkhotua","year":"2001","journal-title":"Transpl. Int."},{"key":"ref_104","unstructured":"American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE) (2019, May 30). The ASHRAE Handbook. Available online: https:\/\/www.ashrae.org\/technical-resources\/ashrae-handbook."},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1111\/j.1445-5994.2008.01727.x","article-title":"Preventing invasive fungal infection during hospital building works","volume":"38","author":"Chang","year":"2008","journal-title":"Intern. Med. J."},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1017\/S0195941700067114","article-title":"Construction activity: An independent risk factor for invasive Aspergillosis and zygomycosis in patients with hematologic malignancy","volume":"8","author":"Weems","year":"1987","journal-title":"Infect. Control Hosp. Epidemiol."},{"key":"ref_107","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1086\/646160","article-title":"Interaction of granulocytopenia and construction activity as risk factors for nosocomial invasive filamentous fungal disease in patients with hematologic disorders","volume":"11","author":"Weber","year":"1990","journal-title":"Infect. Control Hosp. Epidemiol."},{"key":"ref_108","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1093\/cid\/civ297","article-title":"Review of fungal outbreaks and infection prevention in healthcare settings during construction and renovation","volume":"61","author":"Kanamori","year":"2015","journal-title":"Clin. Infect. Dis."},{"key":"ref_109","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1093\/clinids\/19.6.1133","article-title":"Cerebral mucormycosis associated with intravenous drug use: Three case reports and review","volume":"19","author":"Hopkins","year":"1994","journal-title":"Clin. Infect. Dis."},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"S148","DOI":"10.1097\/IOP.0000000000000448","article-title":"Increased incidence of rhino-orbital-cerebral mucormycosis after Colorado flooding","volume":"33","author":"Davies","year":"2017","journal-title":"Ophthalmic Plast. Reconstr. Surg."},{"key":"ref_111","first-page":"155","article-title":"Cutaneous mucormycosis","volume":"11","author":"Skiada","year":"2013","journal-title":"Skinmed"},{"key":"ref_112","doi-asserted-by":"crossref","first-page":"e01390-14","DOI":"10.1128\/mBio.01390-14","article-title":"Analysis of a food-borne fungal pathogen outbreak: Virulence and genome of a Mucor circinelloides isolate from yogurt","volume":"5","author":"Lee","year":"2014","journal-title":"mBio"},{"key":"ref_113","first-page":"245","article-title":"Rhinocerebral Mucor circinelloides infection in immunocompromised patient following yogurt ingestion","volume":"86","author":"Lazar","year":"2014","journal-title":"Del. Med. J."},{"key":"ref_114","unstructured":"Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases, Division of Foodborne, Waterborne, and Environmental Diseases (2019, May 30). Targeted Environmental Investigation Checklist for Outbreaks of Invasive Infections Caused by Environmental Fungi, Available online: https:\/\/www.cdc.gov\/fungal\/outbreaks\/health-professionals.html."},{"key":"ref_115","unstructured":"Healthcare Laundry Accreditation Council (2019, May 30). Accreditation Standards for Processing Reusable Textiles for Use in Healthcare Facilities. Available online: https:\/\/www.hlacnet.org\/standards-documents."},{"key":"ref_116","doi-asserted-by":"crossref","first-page":"S65","DOI":"10.1016\/j.ajic.2007.10.007","article-title":"Health care infection control practices advisory committee. 2007 guideline for isolation precautions: Preventing transmission of infectious agents in health care settings","volume":"35","author":"Siegel","year":"2007","journal-title":"Am. J. Infect. Control"},{"key":"ref_117","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1016\/j.cmi.2016.01.005","article-title":"Mucormycosis in Australia: Contemporary epidemiology and outcomes","volume":"22","author":"Kennedy","year":"2016","journal-title":"Clin. Microbiol. Infect."},{"key":"ref_118","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1007\/s15010-018-1149-x","article-title":"Characteristics of pulmonary mucormycosis and predictive risk factors for the outcome","volume":"46","author":"Feng","year":"2018","journal-title":"Infection"},{"key":"ref_119","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1111\/myc.12614","article-title":"Evaluation of 30 cases of mucormycosis at a university hospital in Iran","volume":"60","author":"Samarei","year":"2017","journal-title":"Mycoses"},{"key":"ref_120","doi-asserted-by":"crossref","unstructured":"Pana, Z.D., Seidel, D., Skiada, A., Groll, A.H., Petrikkos, G., Cornely, O.A., and Roilides, E. (2016). Invasive mucormycosis in children: An epidemiologic study in European and non-European countries based on two registries. BMC Infect. Dis., 16.","DOI":"10.1186\/s12879-016-2005-1"},{"key":"ref_121","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1086\/605445","article-title":"Zygomycosis in solid organ transplant recipients: A prospective, matched case-control study to assess risks for disease and outcome","volume":"200","author":"Singh","year":"2009","journal-title":"J. Infect. Dis."},{"key":"ref_122","doi-asserted-by":"crossref","unstructured":"Lien, M.Y., Chou, C.H., Lin, C.C., Bai, L.Y., Chiu, C.F., Yeh, S.P., and Ho, M.W. (2018). Epidemiology and risk factors for invasive fungal infections during induction chemotherapy for newly diagnosed acute myeloid leukemia: A retrospective cohort study. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0197851"},{"key":"ref_123","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1093\/jpids\/piu074","article-title":"A prospective, international cohort study of invasive mold infections in children","volume":"4","author":"Wattier","year":"2015","journal-title":"J. Pediatr. Infect. Dis. Soc."},{"key":"ref_124","unstructured":"American Industrial Hygiene Association (AIHA) (2019, May 30). Mold Resource Center. Available online: https:\/\/www.aiha.org\/publications-and-resources\/TopicsofInterest\/Hazards\/Pages\/Mold.aspx."},{"key":"ref_125","doi-asserted-by":"crossref","unstructured":"Prezant, B., Weekes, D.M., and Miller, J.D. (2008). Recognition, Evaluation, and Control of Indoor Mold, American Industrial Hygiene Association.","DOI":"10.3320\/978-1-931504-91-1"},{"key":"ref_126","doi-asserted-by":"crossref","first-page":"e00573-18","DOI":"10.1128\/mBio.00573-18","article-title":"Outbreak of invasive wound mucormycosis in a burn unit due to multiple strains of Mucor circinelloides f. circinelloides resolved by whole-genome sequencing","volume":"9","author":"Criscuolo","year":"2018","journal-title":"mBio"}],"container-title":["Journal of Fungi"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2309-608X\/5\/3\/69\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:08:51Z","timestamp":1760188131000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2309-608X\/5\/3\/69"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,24]]},"references-count":126,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,9]]}},"alternative-id":["jof5030069"],"URL":"https:\/\/doi.org\/10.3390\/jof5030069","relation":{},"ISSN":["2309-608X"],"issn-type":[{"value":"2309-608X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,24]]}}}