The impact of mucormycosis (black fungus) on SARS-CoV-2-infected patients: at a glance

Environ Sci Pollut Res Int. 2022 Oct;29(46):69341-69366. doi: 10.1007/s11356-022-22204-8. Epub 2022 Aug 19.

Abstract

The emergence of various diseases during the COVID-19 pandemic made health workers more attentive, and one of the new pathogens is the black fungus (mucormycosis). As a result, millions of lives have already been lost. As a result of the mutation, the virus is constantly changing its traits, including the rate of disease transmission, virulence, pathogenesis, and clinical signs. A recent analysis revealed that some COVID-19 patients were also coinfected with a fungal disease called mucormycosis (black fungus). India has already categorized the COVID-19 patient black fungus outbreak as an epidemic. Only a few reports are observed in other countries. The immune system is weakened by COVID-19 medication, rendering it more prone to illnesses like black fungus (mucormycosis). COVID-19, which is caused by a B.1.617 strain of the SARS-CoV-2 virus, has been circulating in India since April 2021. Mucormycosis is a rare fungal infection induced by exposure to a fungus called mucormycete. The most typically implicated genera are Mucor rhyzuprhizopusdia and Cunninghamella. Mucormycosis is also known as zygomycosis. The main causes of infection are soil, dumping sites, ancient building walls, and other sources of infection (reservoir words "mucormycosis" and "zygomycosis" are occasionally interchanged). Zygomycota, on the other hand, has been identified as polyphyletic and is not currently included in fungal classification systems; also, zygomycosis includes Entomophthorales, but mucormycosis does not. This current review will be focused on the etiology and virulence factors of COVID-19/mucormycosis coinfections in COVID-19-associated mucormycosis patients, as well as their prevalence, diagnosis, and treatment.

Keywords: Black fungus; Diagnosis; Etiology; Mucormycosis; SARS-CoV-2; Zygomycosis.

Publication types

  • Review

MeSH terms

  • COVID-19*
  • Humans
  • Mucor
  • Mucormycosis* / complications
  • Mucormycosis* / epidemiology
  • Mucormycosis* / microbiology
  • Pandemics
  • SARS-CoV-2
  • Soil
  • Virulence Factors

Substances

  • Soil
  • Virulence Factors