{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:06:01Z","timestamp":1787169961841,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>ABSTRACT<\/jats:title>\n                    <jats:p>The sudden epidemic of mucormycosis amid COVID-19 pandemic has significantly challenged our understanding of the disease while affecting the whole medical and surgical management. Overzealous use of steroids in the management of covid-19 and uncontrolled diabetes mellitus has resulted in a tremendous rise in mucormycosis cases further burdening the already strained health care infrastructure and health care workers, especially the anesthesiologists. While working in a tertiary care institute of the country, we have been facing multiple challenges in its anesthetic management on a daily basis. This article is a case series involving four different patients who were operated for rhino-orbito-cerebral mucormycosis with a brief discussion on various aspects of this multisystem epidemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njms.njms_465_21","type":"journal-article","created":{"date-parts":[[2023,4,10]],"date-time":"2023-04-10T03:38:02Z","timestamp":1681097882000},"page":"471-474","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Mysterious alarming mucormycosis"],"prefix":"10.4103","volume":"13","author":[{"given":"JF","family":"Neville","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhinay","family":"Jayanthi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Reena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amrita","family":"Rath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-22-20240908","doi-asserted-by":"crossref","first-page":"1652","DOI":"10.4103\/ijo.IJO_1681_18","article-title":"World diabetes day 2018: Battling the emerging epidemic of diabetic retinopathy","volume":"66","author":"Pandey","year":"2018","journal-title":"Indian J Ophthalmol"},{"key":"R2-22-20240908","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.jcrc.2019.02.005","article-title":"Epidemiology and clinical outcomes of invasive mould infections in Indian intensive care units (FISF study)","volume":"51","author":"Chakrabarti","year":"2019","journal-title":"J Crit Care"},{"key":"R3-22-20240908","doi-asserted-by":"crossref","first-page":"e405","DOI":"10.1016\/S1473-3099(19)30312-3","article-title":"Global guideline for the diagnosis and management of mucormycosis: An initiative of the European Confederation of Medical Mycology in cooperation with the Mycoses Study Group Education and Research Consortium","volume":"19","author":"Cornely","year":"2019","journal-title":"Lancet Infect Dis"},{"key":"R4-22-20240908","doi-asserted-by":"crossref","first-page":"94","DOI":"10.2165\/00002018-199005020-00003","article-title":"Amphotericin B nephrotoxicity","volume":"5","author":"Sabra","year":"1990","journal-title":"Drug Saf"},{"key":"R5-22-20240908","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1097\/00000542-199510000-00028","article-title":"Severe neurologic deficit after nitrous oxide anesthesia","volume":"83","author":"Hadzic","year":"1995","journal-title":"Anesthesiology"},{"key":"R6-22-20240908","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1177\/153537020623100301","article-title":"The immune system as a regulator of thyroid hormone activity","volume":"231","author":"Klein","year":"2006","journal-title":"Exp Biol Med (Maywood"},{"key":"R7-22-20240908","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.jaci.2020.05.003","article-title":"Longitudinal hematologic and immunologic variations associated with the progression of COVID-19 patients in China","volume":"146","author":"Chen","year":"2020","journal-title":"J Allergy Clin Immunol"}],"container-title":["National Journal of Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njms.njms_465_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:15:37Z","timestamp":1787166937000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njms.njms_465_21"}},"subtitle":["Anesthetic challenges in a series of four cases"],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/njms.njms_465_21","relation":{},"ISSN":["0975-5950"],"issn-type":[{"value":"0975-5950","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}