Satellite Epidemic of Covid-19 Associated Mucormycosis in India: A Multi-Site Observational Study
Aanchal Satija
1
,
Tanu Anand
1
,
Aparna Mukherjee
1
,
Poonam Sharma Velamuri
1
,
Kh Jitenkumar Singh
2
,
Madhuchhanda Das
1
,
Kripa Josten
1
,
Archana Y Keche
3
,
Nitin M Nagarkar
3
,
Prashant Gupta
4
,
D Himanshu
4
,
Sejal N Mistry
5
,
Jimy D Patel
5
,
Prajwal Rao
6
,
Shalesh Rohatgi
6
,
Soumitra Ghosh
7
,
Avijit Hazra
7
,
Anupma Jyoti Kindo
8
,
Radha Annamalai
8
,
Shivaprakash M. Rudramurthy
9
,
Mini P Singh
9
,
Mohammad Shameem
10
,
Nazish Fatima
10
,
Janakkumar R Khambholja
11
,
Sangita Parikh
12
,
Manisha Madkaikar
13
,
Vandana D Pradhan
13
,
Anudita Bhargava
3
,
Rupa Mehata
3
,
Ripu Daman Arora
3
,
Richa Tigga
3
,
Gopa Banerjee
4
,
Vijay Sonkar
4
,
Hardeep Singh Malhotra
4
,
Neeraj Kumar
4
,
Rajashri Patil
6
,
Chandrashekhar G. Raut
6
,
Kumkum Bhattacharyya
7
,
Preetam Arthur
8
,
L Somu
8
,
Padma Srikanth
8
,
Pankaj B. Shah
8
,
Naresh K. Panda
9
,
DIPTI SHARMA
9
,
Wasil Hasan
10
,
Aftab Ahmed
10
,
Meeta Bathla
12
,
Sunita Solanki
12
,
Hiren Doshi
12
,
Yash Kanani
11
,
Nishi Patel
12
,
Zincal Shah
12
,
Alok Kumar Tembhurne
13
,
Chhaya Rajguru
14
,
Lalitkumar R Sankhe
14
,
Shrinivas S Chavan
14
,
Reetika Malik Yadav
13
,
1
Indian Council Of Medical Research, New Delhi, India
|
4
King George’s Medical University, Lucknow, India
|
6
Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, India
|
11
Smt. NHL Municipal Medical College, Ahmedabad, India
|
12
AMC MET Medical College, Ahmedabad, India
|
13
National Institute of Immunohaematology (NIIH), Mumbai, India
|
14
Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India
|
Publication type: Journal Article
Publication date: 2023-07-25
scimago Q1
wos Q2
SJR: 0.588
CiteScore: 5.7
Impact factor: 2.9
ISSN: 0301486X, 15730832, 0369299X
PubMed ID:
37490256
Microbiology
Applied Microbiology and Biotechnology
Agronomy and Crop Science
Veterinary (miscellaneous)
Abstract
Sudden upsurge in cases of COVID-19 Associated Mucormycosis (CAM) following the second wave of the COVID-19 pandemic was recorded in India. This study describes the clinical characteristics, management and outcomes of CAM cases, and factors associated with mortality. Microbiologically confirmed CAM cases were enrolled from April 2021 to September 2021 from ten diverse geographical locations in India. Data were collected using a structured questionnaire and entered into a web portal designed specifically for this investigation. Bivariate analyses and logistic regression were conducted using R version 4.0.2. A total of 336 CAM patients were enrolled; the majority were male (n = 232, 69.1%), literate (n = 261, 77.7%), and employed (n = 224, 66.7%). The commonest presenting symptoms in our cohort of patients were oro-facial and ophthalmological in nature. The median (Interquartile Range; IQR) interval between COVID diagnosis and admission due to mucormycosis was 31 (18, 47) days, whereas the median duration of symptoms of CAM before hospitalization was 10 (5, 20) days. All CAM cases received antifungal treatment, and debridement (either surgical or endoscopic or both) was carried out in the majority of them (326, 97.02%). Twenty-three (6.9%) of the enrolled CAM cases expired. The odds of death in CAM patients increased with an increase in HbA1c level (aOR: 1.34, 95%CI: 1.05, 1.72) following adjustment for age, gender, education and employment status. A longer vigil of around 4–6 weeks post-COVID-19 diagnosis is suggested for earlier diagnosis of CAM. Better glycemic control may avert mortality in admitted CAM cases.
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Satija A. et al. Satellite Epidemic of Covid-19 Associated Mucormycosis in India: A Multi-Site Observational Study // Mycopathologia. 2023. Vol. 188. No. 5. pp. 745-753.
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Satija A. et al. Satellite Epidemic of Covid-19 Associated Mucormycosis in India: A Multi-Site Observational Study // Mycopathologia. 2023. Vol. 188. No. 5. pp. 745-753.
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TY - JOUR
DO - 10.1007/s11046-023-00770-w
UR - https://doi.org/10.1007/s11046-023-00770-w
TI - Satellite Epidemic of Covid-19 Associated Mucormycosis in India: A Multi-Site Observational Study
T2 - Mycopathologia
AU - Satija, Aanchal
AU - Anand, Tanu
AU - Mukherjee, Aparna
AU - Velamuri, Poonam Sharma
AU - Singh, Kh Jitenkumar
AU - Das, Madhuchhanda
AU - Josten, Kripa
AU - Keche, Archana Y
AU - Nagarkar, Nitin M
AU - Gupta, Prashant
AU - Himanshu, D
AU - Mistry, Sejal N
AU - Patel, Jimy D
AU - Rao, Prajwal
AU - Rohatgi, Shalesh
AU - Ghosh, Soumitra
AU - Hazra, Avijit
AU - Kindo, Anupma Jyoti
AU - Annamalai, Radha
AU - Rudramurthy, Shivaprakash M.
AU - Singh, Mini P
AU - Shameem, Mohammad
AU - Fatima, Nazish
AU - Khambholja, Janakkumar R
AU - Parikh, Sangita
AU - Madkaikar, Manisha
AU - Pradhan, Vandana D
AU - Bhargava, Anudita
AU - Mehata, Rupa
AU - Arora, Ripu Daman
AU - Tigga, Richa
AU - Banerjee, Gopa
AU - Sonkar, Vijay
AU - Malhotra, Hardeep Singh
AU - Kumar, Neeraj
AU - Patil, Rajashri
AU - Raut, Chandrashekhar G.
AU - Bhattacharyya, Kumkum
AU - Arthur, Preetam
AU - Somu, L
AU - Srikanth, Padma
AU - Shah, Pankaj B.
AU - Panda, Naresh K.
AU - SHARMA, DIPTI
AU - Hasan, Wasil
AU - Ahmed, Aftab
AU - Bathla, Meeta
AU - Solanki, Sunita
AU - Doshi, Hiren
AU - Kanani, Yash
AU - Patel, Nishi
AU - Shah, Zincal
AU - Tembhurne, Alok Kumar
AU - Rajguru, Chhaya
AU - Sankhe, Lalitkumar R
AU - Chavan, Shrinivas S
AU - Yadav, Reetika Malik
AU - Panda, Samiran
PY - 2023
DA - 2023/07/25
PB - Springer Nature
SP - 745-753
IS - 5
VL - 188
PMID - 37490256
SN - 0301-486X
SN - 1573-0832
SN - 0369-299X
ER -
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@article{2023_Satija,
author = {Aanchal Satija and Tanu Anand and Aparna Mukherjee and Poonam Sharma Velamuri and Kh Jitenkumar Singh and Madhuchhanda Das and Kripa Josten and Archana Y Keche and Nitin M Nagarkar and Prashant Gupta and D Himanshu and Sejal N Mistry and Jimy D Patel and Prajwal Rao and Shalesh Rohatgi and Soumitra Ghosh and Avijit Hazra and Anupma Jyoti Kindo and Radha Annamalai and Shivaprakash M. Rudramurthy and Mini P Singh and Mohammad Shameem and Nazish Fatima and Janakkumar R Khambholja and Sangita Parikh and Manisha Madkaikar and Vandana D Pradhan and Anudita Bhargava and Rupa Mehata and Ripu Daman Arora and Richa Tigga and Gopa Banerjee and Vijay Sonkar and Hardeep Singh Malhotra and Neeraj Kumar and Rajashri Patil and Chandrashekhar G. Raut and Kumkum Bhattacharyya and Preetam Arthur and L Somu and Padma Srikanth and Pankaj B. Shah and Naresh K. Panda and DIPTI SHARMA and Wasil Hasan and Aftab Ahmed and Meeta Bathla and Sunita Solanki and Hiren Doshi and Yash Kanani and others},
title = {Satellite Epidemic of Covid-19 Associated Mucormycosis in India: A Multi-Site Observational Study},
journal = {Mycopathologia},
year = {2023},
volume = {188},
publisher = {Springer Nature},
month = {jul},
url = {https://doi.org/10.1007/s11046-023-00770-w},
number = {5},
pages = {745--753},
doi = {10.1007/s11046-023-00770-w}
}
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MLA
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Satija, Aanchal, et al. “Satellite Epidemic of Covid-19 Associated Mucormycosis in India: A Multi-Site Observational Study.” Mycopathologia, vol. 188, no. 5, Jul. 2023, pp. 745-753. https://doi.org/10.1007/s11046-023-00770-w.
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