Diagnosis of Mucormycosis: Current Situation, Challenges and Future Prospects.

IF 3.1 2区 医学 Q1 DERMATOLOGY
Mycoses Pub Date : 2026-04-01 DOI:10.1111/myc.70175
Yixuan Qu, Yuling Xiao, Lina Liu, Junyan Qu
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引用次数: 0

Abstract

Mucormycosis, an aggressive fungal infection caused by members of the order Mucorales, progresses rapidly and is associated with high mortality, particularly in immunocompromised hosts such as patients with uncontrolled diabetes, transplant recipients or those with COVID-19-associated immunosuppression. Early diagnosis remains challenging with current clinical methods, yet it is essential to reduce mortality. This review examines the evolution of diagnostic strategies for mucormycosis, ranging from conventional techniques such as histopathology, culture and microscopy to advanced and emerging methods including molecular assays, serological testing, imaging and metabolomics. We also explore the ongoing transition towards integrated, rapid and non-invasive diagnostic platforms that leverage novel biomarkers, portable devices and artificial intelligence. These new technologies have the potential to facilitate early diagnosis, thereby enabling early treatment and reducing the mortality rate of mucormycosis.

毛霉病的诊断:现状、挑战和未来展望。
毛霉菌病是由毛霉菌目成员引起的侵袭性真菌感染,进展迅速,死亡率高,特别是在免疫功能低下的宿主中,如糖尿病患者、移植受者或与covid -19相关的免疫抑制患者。用目前的临床方法进行早期诊断仍然具有挑战性,但对降低死亡率至关重要。本文综述了毛霉病诊断策略的演变,从组织病理学、培养和显微镜等传统技术到先进和新兴的方法,包括分子分析、血清学检测、成像和代谢组学。我们还探索了利用新型生物标志物、便携式设备和人工智能的集成、快速和无创诊断平台的持续转型。这些新技术有可能促进早期诊断,从而实现早期治疗并降低毛霉病的死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Mycoses
Mycoses 医学-皮肤病学
CiteScore
10.00
自引率
8.20%
发文量
143
审稿时长
6-12 weeks
期刊介绍: The journal Mycoses provides an international forum for original papers in English on the pathogenesis, diagnosis, therapy, prophylaxis, and epidemiology of fungal infectious diseases in humans as well as on the biology of pathogenic fungi. Medical mycology as part of medical microbiology is advancing rapidly. Effective therapeutic strategies are already available in chemotherapy and are being further developed. Their application requires reliable laboratory diagnostic techniques, which, in turn, result from mycological basic research. Opportunistic mycoses vary greatly in their clinical and pathological symptoms, because the underlying disease of a patient at risk decisively determines their symptomatology and progress. The journal Mycoses is therefore of interest to scientists in fundamental mycological research, mycological laboratory diagnosticians and clinicians interested in fungal infections.
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