Clinical High Risk Factors And Prognosis Of 25 Pulmonary Mucormycosis Cases

Objective:To analyze high risk factors,therapeutic regimen and prognosis of patients with pulmonary mucormycosis.Methods:A retrospective analysis was performed on the clinical data of 25 patients who were diagnosed as pulmonary mucormycosis in the First Affiliated Hospital,School of Medicine,Zhejiang University,through January 2009 to December 2017.Results:Univariate analysis revealed no risk factor had significant effect on prognosis of these 25 cases,while multivariate logistic regression analysis confirmed that the exposure to antifungal drugs was correlated to worse prognosis(p=0.046).All 4 patients who had received surgical lesionectomy were cured,and 8 patients who had not received any therapy targete to mucormycosis were all dead.Seven of 13 patients received antifungal drug to mucormycosis were effective,with an effective rate of 54.0%.The mortality rate of the operative group was lower than that of the non operative group(p=0.026),the prognosis of the patients received drug treatment was better than patients without treatment(p=0.022).There was no significant difference in the prognosis between groups of single drug or combination of amphotericin B and posaconazole.Conclusion:Pulmonary mucormycosis is more likely to occur in patients with tumor of the hematopoietic and lymphoid tissues,immunosuppression after solid organ transplantation,long-term glucocorticoid usage and diabetes.Surgical lesionectomy can improve the survival rate,while the treatment of amphotericin B and/or posaconazole can also improve the prognosis of the patients.