Diverse Clinical Manifestations and Challenges of Mucormycosis: Insights From Serial Cases

Author:

Nielsen Marisa C12ORCID,Cerqueira Filipe M1,Kavuri Sri Bharathi1,Raymond Caitlin M1,Muneeb Aeman3,Kudlicki Andrzej S4,Tariq Shafaq5,Liu Mingru1,Routh Andrew L4,Qiu Suimin1,Ren Ping1ORCID

Affiliation:

1. Department of Pathology, University of Texas Medical Branch , Galveston, Texas , USA

2. Department of Pathology and Laboratory Medicine, Boston Medical Center and Boston University Chobanian & Avedisian School of Medicine , Boston, Massachusetts , USA

3. Department of Radiology, University of Texas Medical Branch , Galveston, Texas , USA

4. Department of Biochemistry and Molecular Biology, University of Texas Medical Branch , Galveston, Texas , USA

5. Department of Internal Medicine-Infectious Diseases, University of Texas Medical Branch , Galveston, Texas , USA

Abstract

Abstract Mucormycosis is a severe and potentially life-threatening infection caused by a group of fungi classified as mucormycetes within the scientific order Mucorales. These infections are characterized by rapid and invasive fungal growth, presenting significant treatment challenges. Here we present 5 cases encountered from 2018 to 2022 at the University of Texas Medical Branch in Galveston, Texas, including a novel Apophysomyces species. These cases illustrate the diverse clinical manifestations of mucormycosis, including pulmonary, rhino-cerebral, gastrointestinal, and soft tissue involvement. Our investigation incorporates information provided by a multidisciplinary team of clinical collaborators, emphasizing the findings from radiology, histopathology, and microbiology. Given the escalating global incidence of mucormycosis, it is crucial for clinicians to become familiar with associated clinical findings, comorbidities, and risk factors to facilitate prompt recognition, appropriate diagnostic testing, and timely initiation of treatment.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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