COVID-19-Associated Mucormycosis (CAM): Case-Series and Global Analysis of Mortality Risk Factors.
Abanoub RiadAlshaimaa Ahmed ShabaanJulien IssaSally IbrahimHatem Wael AmerYossef MansyIslam KassemAmira Bisher KassemHans-Peter HowaldtMiloslav KlugarSameh AttiaPublished in: Journal of fungi (Basel, Switzerland) (2021)
As the majority of the included studies were observational studies, the obtained evidence needs to be interpreted carefully. Diabetes, steroids, and Remdesivir were not associated with increased mortality risk, thus confirming that steroids used to manage severe and critical COVID-19 patients should not be discontinued. Lung involvement, bilateral manifestation, and Rhizopus isolation were associated with increased mortality risk, thus confirming that proactive screening is imperative, especially for critically ill patients. Finally, surgical management and antimycotic medications, e.g., amphotericin B and posaconazole, were associated with decreased mortality risk, thus confirming their effectiveness.