• Clin. Infect. Dis. · Jun 2012

    Review

    Mucormycosis in organ and stem cell transplant recipients.

    • Fanny Lanternier, Hsin-Yun Sun, Patricia Ribaud, Nina Singh, Dimitrios P Kontoyiannis, and Olivier Lortholary.
    • Centre d'lnfectiologie Necker-Pasteur, Université Paris Descartes, Hôpital Necker-Enfants Malades, Paris, France.
    • Clin. Infect. Dis. 2012 Jun 1;54(11):1629-36.

    AbstractMucormycosis is a devastating invasive fungal disease whose incidence has increased during the past decade. Mucormycosis now represents a major threat in transplant recipients, accounting for 2% and 8% of invasive fungal infections in recent cohorts of solid-organ and allogeneic stem-cell transplant recipients, respectively. Mucormycosis most often occurs late, >3 months after transplantation, although cases occurring early have been observed, especially among liver transplant recipients and in cases of graft-transmitted infection. Recent guidelines have emphasized the direct examination of the involved fluid or tissue and culture from a sterile site as the most appropriate diagnostic strategy and the use of lipid formulations of amphotericin B and major surgery when feasible as the most appropriate first-line therapeutic strategy for mucormycosis in organ and stem cell transplant recipients.

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