Phylogenetic analysis reveals two genotypes of the emerging fungus Mucor indicus, an opportunistic human pathogen in immunocompromised patients

Saad J. Taj-Aldeen, Muna Almaslamani, B.J.F. Theelen, Teun Boekhout

Research output: Contribution to journal/periodicalArticleScientificpeer-review

7 Citations (Scopus)

Abstract

Mucormycosis is a rare fungal infection caused by Mucor indicus. Phylogenetic analysis of many M. indicus isolates, mainly sampled from different clinical and environmental specimens collected worldwide, revealed two genotypes, I and II, based on ITS and D1/D2 LSU rDNA sequences. A retrospective review of the literature revealed 13 cases. Eight (76.9 patients had disseminated infections, and the overall mortality rate was 30.7 A pulmonary infection caused by M. indicus genotype I in a liver transplant recipient was disseminated to include the skin and was successfully treated with liposomal amphotericin B and aggressive surgery. M. indicus can infect a wide variety of patients with no real preference for the site of infection. We concluded that M. indicus has emerged as a significant cause of invasive mycosis in severely immunocompromised patients worldwide. Early diagnosis and initiation of appropriate therapy could enhance survival in these immunocompromised patient populations.
Original languageEnglish
Pages (from-to)e63
JournalEmerging Microbes and Infections
Volume6
DOIs
Publication statusPublished - 01 Jul 2017

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