毛霉病、COVID-19和免疫抑制——相似三角形的三个侧面:叙述性回顾

Amit Sharma, Akshat Gupta, V. Singh, Chetna Gabhane, Mahek Modi
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引用次数: 0

摘要

导读:COVID - 19大流行已经过去两年多了,医学界每天都面临着新的挑战。毛霉菌病历来在世界各地流行,但在20世纪之交之前没有任何诊断机会。任何形式的免疫抑制一直是,也将永远是这种疾病的最重要的成分。除了去除免疫抑制因子外,使用积极的抗菌剂进行微创诊断是治疗的黄金标准,作为口腔颌面外科医生,我们承认手术清创和各种其他相对较新的辅助疗法总体上降低了这种致命疾病的致命结果。目的:本综述主要收集毛霉病患者因任何原因和发病机制引起的免疫抑制、治疗和阳性预后机会的相关资料。包括手术和假肢选择,以确定患者的下降生活质量。材料与方法:现有资料汇编,包括各种类型的免疫抑制作为毛霉病的焦点的最新研究和相互关系,包括来自所有相关电子数据库的新型covid-19的作用。结果:糖尿病与covid-19有明确的相关关系,各种恶性肿瘤和各种疾病有推测性的相关关系。讨论:强大的免疫力是毛霉菌病的拮抗剂,医学和外科领域的新进展改变了过去这种疾病死亡率为50%的严峻局面。结论:现有文献支持以任何形式的免疫抑制作为毛霉病的病灶,进一步需要详细的研究和开发,以确定不同疾病过程的特定鸡尾酒。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mucormycosis, COVID-19, and immunosuppression – The three sides of similar triangle: Narrative review
Introduction: More than two years into the COVID 19 pandemic, medical fraternity each day is facing renewed challenges. Mucormycosis has historically been prevalent in the various parts of world but did not had any diagnostic opportunity before the turn of 20th century. Immunosuppression in any form was always and will forever be the most important ingredients in this disease recipe. Minimally invasive diagnoses with aggressive antimicrobials in addition to the removal of immunosuppression factor are the golden standard of treatment, as oral and maxillofacial surgeons we acknowledge that surgical debridement and various other relatively newer adjunctive therapies have overall reduced the fatal outcomes for such a lethal disease. Aim: This review article focuses on gathering data in relation to immunosuppression due to whatsoever reason and pathogenesis, management, and chance of positive prognosis for patient suffering from mucormycosis . Including surgical and prosthetic options which ascertain descent quality of life for the patient. Materials and Methods: Existing data compilation including the latest research and co-relation of various types of immunosuppression as a nidus for mucormycosis, including the role of novel covid-19 from all relevant electronic databases. Results: Definite co-relation has been stablished for diabetes melitus and covid-19 and speculative co-relation for various types of malignancy and various conditions. Discussion: A strong immunity is an antagonist for mucormycosis, and new advances in field of medicine and surgery have changed the grim look of past where this disease had a 50% mortality rate. Conclusion: Existing literature supports immunosuppression in any form as a nidus for mucormycosis, still further, elaborate research and development is required for identifying the particular cocktail for different diseases process.
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