[Disseminated mucormycosis in immunocompetent patients: A disease that also exists]

Rev Iberoam Micol. 2015 Apr-Jun;32(2):63-70. doi: 10.1016/j.riam.2014.01.006. Epub 2014 Aug 29.
[Article in Spanish]

Abstract

Mucormycosis is usually an acute angioinvasive infections, which leads to non-suppurative necrosis and significant tissue damage. It represents 1.6% of all the invasive fungal infections and predominates in immunosuppressed patients with risk factors. Incidence has been significantly increased even in immunocompetent patients. Due to finding a case of disseminated mucormycosis caused by Rhizomucor pusillus in a young immunocompetent patient, a systematic review was carried out of reported cases in PubMed of mucormycosis in immunocompetent adults according to the main anatomic locations, and especially in disseminated cases. A review of the main risk factors and pathogenicity, clinical manifestations, techniques of early diagnosis, current treatment options, and prognosis is presented. Taxonomy and classification of the genus Mucor has also been reviewed.

Keywords: Anfotericina B liposómica; Disseminated mucormycosis; Immunocompetent; Inmunocompetente; Liposomal amphotericin B; Mucormicosis diseminada; Rhizomucor pusillus.

Publication types

  • Case Reports
  • Review
  • Systematic Review

MeSH terms

  • Agricultural Workers' Diseases / microbiology
  • Antifungal Agents / therapeutic use
  • Combined Modality Therapy
  • Dermatomycoses / microbiology
  • Dermatomycoses / therapy
  • Fungemia / immunology*
  • Fungi / classification
  • Humans
  • Immunocompetence*
  • Incidence
  • Mucormycosis / diagnosis
  • Mucormycosis / immunology*
  • Mucormycosis / therapy
  • Opportunistic Infections / immunology
  • Opportunistic Infections / therapy
  • Respiratory Tract Infections / microbiology
  • Risk Factors
  • Soil Microbiology

Substances

  • Antifungal Agents