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10.15190/d.2021.5

http://scihub22266oqcxt.onion/10.15190/d.2021.5
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34036149!8137279!34036149
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suck abstract from ncbi

pmid34036149      Discoveries+(Craiova) 2021 ; 9 (1): e126
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  • High mortality co-infections of COVID-19 patients: mucormycosis and other fungal infections #MMPMID34036149
  • Bhatt K; Agolli A; Patel MH; Garimella R; Devi M; Garcia E; Amin H; Domingue C; Guerra Del Castillo R; Sanchez-Gonzalez M
  • Discoveries (Craiova) 2021[Mar]; 9 (1): e126 PMID34036149show ga
  • Severe COVID-19 disease is associated with an increase in pro-inflammatory markers, such as IL-1, IL-6, and tumor necrosis alpha, less CD4 interferon-gamma expression, and fewer CD4 and CD8 cells, which increase the susceptibility to bacterial and fungal infections. One such opportunistic fungal infection is mucormycosis. Initially, it was debated whether a person taking immunosuppressants, such as corticosteroids, and monoclonal antibodies will be at higher risk for COVID-19 or whether the immunosuppresive state would cause a more severe COVID-19 disease. However, immunosuppressants are currently continued unless the patients are at greater risk of severe COVID-19 infection or are on high-dose corticosteroids therapy. As understood so far, COVID-19 infection may induce significant and persistent lymphopenia, which in turn increases the risk of opportunistic infections. It is also noted that 85% of the COVID-19 patients' laboratory findings showed lymphopenia. This means that patients with severe COVID-19 have markedly lower absolute number of T lymphocytes, CD4+T and CD8+ T cells and, since the lymphocytes play a major role in maintaining the immune homeostasis, the patients with COVID-19 are highly susceptible to fungal co-infections. This report is intended to raise awareness of the importance of early detection and treatment of mucormycosis and other fungal diseases, such as candidiasis, SARS-CoV-2-associated pulmonary aspergillosis, pneumocystis pneumonia and cryptococcal disease, in COVID-19 patients, to reduce the risk of mortality.
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