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Pulmonary Mucormycosis due to Lichtheimia ramosa in a Patient with HIV Infection

Overview of attention for article published in Mycopathologia, June 2014
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Title
Pulmonary Mucormycosis due to Lichtheimia ramosa in a Patient with HIV Infection
Published in
Mycopathologia, June 2014
DOI 10.1007/s11046-014-9761-5
Pubmed ID
Authors

Murat Kutlu, Çağrı Ergin, Ferda Bir, Süleyha Hilmioğlu-Polat, Ramazan Gümral, Ceyda Necan, Ali Koçyiğit, Selda Sayın-Kutlu

Abstract

Mucormycosis is increasingly common in patients with risk factors such as diabetes mellitus, neutropenia, and corticosteroid therapy. However, mucormycosis seems to be less common in patients with human immunodeficiency virus (HIV) infection compared to patients with other risk factors. Despite their lower virulence, Lichtheimia species should be regarded as emerging pathogens among Mucoralean fungi. We report a fatal case of pulmonary mucormycosis due to Lichtheimia ramosa in a 52-year-old man with an end-stage HIV infection. He had a cachectic appearance and his CD4 count was 8 cells/mm(3). The fungal infection was diagnosed based on a positive sputum culture with histopathologic confirmation. The fungus was resistant to caspofungin, anidulafungin, and voriconazole [minimum inhibitory concentration (MCI) >32 µg/ml], whereas the E test MIC values of itraconazole, posaconazole, and amphotericin B were 0.38, 0.38, and 0.5 µg/ml, respectively. Although intravenous drug use is the main risk factor for the development of mucormycosis in HIV-infected patients, it may also develop in patients with low CD4 count, opportunistic infections and/or additional diseases, such as Kaposi's sarcoma or severe immunodeficiency, as in our case.

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Mendeley readers

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The data shown below were compiled from readership statistics for 22 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 22 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 23%
Student > Master 3 14%
Student > Bachelor 2 9%
Professor 2 9%
Student > Doctoral Student 1 5%
Other 5 23%
Unknown 4 18%
Readers by discipline Count As %
Medicine and Dentistry 5 23%
Biochemistry, Genetics and Molecular Biology 3 14%
Immunology and Microbiology 2 9%
Nursing and Health Professions 1 5%
Agricultural and Biological Sciences 1 5%
Other 4 18%
Unknown 6 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 March 2015.
All research outputs
#20,263,155
of 22,793,427 outputs
Outputs from Mycopathologia
#881
of 1,074 outputs
Outputs of similar age
#193,381
of 228,723 outputs
Outputs of similar age from Mycopathologia
#12
of 24 outputs
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