{"id":"https://openalex.org/W2015229510","doi":"https://doi.org/10.1097/01.idc.0000121028.62151.f6","title":"Cunninghamella bertholletiae Endocarditis","display_name":"Cunninghamella bertholletiae Endocarditis","publication_year":2004,"publication_date":"2004-03-01","ids":{"openalex":"https://openalex.org/W2015229510","doi":"https://doi.org/10.1097/01.idc.0000121028.62151.f6","mag":"2015229510"},"language":"en","primary_location":{"id":"doi:10.1097/01.idc.0000121028.62151.f6","doi":"https://doi.org/10.1097/01.idc.0000121028.62151.f6","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.idc.0000121028.62151.f6","pdf_url":null,"source":{"id":"https://openalex.org/S172423242","display_name":"Infectious Diseases in Clinical Practice","issn_l":"1056-9103","issn":["1056-9103","1536-9943"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","norway-1","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Infectious Diseases in Clinical Practice","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5019995305","display_name":"Todd D. Barton","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799810409","display_name":"Hospital of the University of Pennsylvania","ror":"https://ror.org/02917wp91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799810409","https://openalex.org/I4210143392"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Todd D. Barton","raw_affiliation_strings":["Division of Infectious Diseases, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Infectious Diseases, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I2799810409"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113798478","display_name":"Matthew B. Hillis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799810409","display_name":"Hospital of the University of Pennsylvania","ror":"https://ror.org/02917wp91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799810409","https://openalex.org/I4210143392"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Matthew B. Hillis","raw_affiliation_strings":["Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I2799810409"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039578808","display_name":"Joel N. Maslow","orcid":"https://orcid.org/0000-0003-0305-5608","observed_orcids":["https://orcid.org/0000-0003-0305-5608"]},"institutions":[{"id":"https://openalex.org/I2799810409","display_name":"Hospital of the University of Pennsylvania","ror":"https://ror.org/02917wp91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799810409","https://openalex.org/I4210143392"]},{"id":"https://openalex.org/I2799886695","display_name":"Veterans Health Administration","ror":"https://ror.org/05eq41471","country_code":"US","type":"government","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695"]},{"id":"https://openalex.org/I4210133394","display_name":"Philadelphia VA Medical Center","ror":"https://ror.org/03j05zz84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210133394","https://openalex.org/I4210147340"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Joel N. Maslow","raw_affiliation_strings":["Division of Infectious Diseases, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA","Division of Infectious Diseases, Philadelphia Veterans Administration Hospital, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Infectious Diseases, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I2799810409"]},{"raw_affiliation_string":"Division of Infectious Diseases, Philadelphia Veterans Administration Hospital, Philadelphia, PA","institution_ids":["https://openalex.org/I2799886695","https://openalex.org/I4210133394"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025207850","display_name":"William J. Swiggard","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210091988","display_name":"Cooley Dickinson Health Care","ror":"https://ror.org/00h92wx89","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210091988"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William J. Swiggard","raw_affiliation_strings":["Division of Infectious Diseases, Department of Medicine, Cooley Dickinson Hospital, Northampton, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Infectious Diseases, Department of Medicine, Cooley Dickinson Hospital, Northampton, MA","institution_ids":["https://openalex.org/I4210091988"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5027490618","display_name":"Mindy G. Schuster","orcid":"https://orcid.org/0009-0002-0597-7411","observed_orcids":["https://orcid.org/0009-0002-0597-7411"]},"institutions":[{"id":"https://openalex.org/I2799810409","display_name":"Hospital of the University of Pennsylvania","ror":"https://ror.org/02917wp91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799810409","https://openalex.org/I4210143392"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Mindy G. Schuster","raw_affiliation_strings":["Division of Infectious Diseases, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Infectious Diseases, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I2799810409"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5019995305","https://openalex.org/A5027490618","https://openalex.org/A5039578808"],"corresponding_institution_ids":["https://openalex.org/I2799810409","https://openalex.org/I2799886695","https://openalex.org/I4210133394"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.15988372,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"12","issue":"2","first_page":"114","last_page":"116"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11551","display_name":"Infective Endocarditis Diagnosis and Management","score":0.9351000189781189,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11551","display_name":"Infective Endocarditis Diagnosis and Management","score":0.9351000189781189,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10150","display_name":"Antifungal resistance and susceptibility","score":0.04569999873638153,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11037","display_name":"Fungal Infections and Studies","score":0.010300000198185444,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cunninghamella-bertholletiae","display_name":"Cunninghamella bertholletiae","score":0.9929999709129333},{"id":"https://openalex.org/keywords/fungal-endocarditis","display_name":"fungal endocarditis","score":0.9079999923706055},{"id":"https://openalex.org/keywords/mucormycosis","display_name":"mucormycosis","score":0.9490000009536743},{"id":"https://openalex.org/keywords/posaconazole","display_name":"posaconazole","score":0.8759999871253967},{"id":"https://openalex.org/keywords/amphotericin-b","display_name":"amphotericin B","score":0.9259999990463257},{"id":"https://openalex.org/keywords/immunosuppression","display_name":"immunosuppression","score":0.8270000219345093},{"id":"https://openalex.org/keywords/pure-red-cell-aplasia","display_name":"pure red cell aplasia","score":0.8899999856948853},{"id":"https://openalex.org/keywords/antithymocyte-globulin","display_name":"antithymocyte globulin","score":0.8220000267028809},{"id":"https://openalex.org/keywords/mucorales","display_name":"Mucorales","score":0.6679999828338623},{"id":"https://openalex.org/keywords/opportunistic-fungal-infection","display_name":"opportunistic fungal infection","score":0.699999988079071},{"id":"https://openalex.org/keywords/antifungal-therapy","display_name":"antifungal therapy","score":0.6990000009536743},{"id":"https://openalex.org/keywords/surgical-debridement","display_name":"surgical debridement","score":0.6620000004768372},{"id":"https://openalex.org/keywords/staphylococcus-aureus-endocarditis","display_name":"Staphylococcus aureus endocarditis","score":0.7089999914169312}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9616127014160156},{"id":"https://openalex.org/C2775872228","wikidata":"https://www.wikidata.org/wiki/Q82504","display_name":"Endocarditis","level":2,"score":0.6326791644096375},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.4144042134284973},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3357090950012207},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.2687329649925232}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/01.idc.0000121028.62151.f6","doi":"https://doi.org/10.1097/01.idc.0000121028.62151.f6","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.idc.0000121028.62151.f6","pdf_url":null,"source":{"id":"https://openalex.org/S172423242","display_name":"Infectious Diseases in Clinical Practice","issn_l":"1056-9103","issn":["1056-9103","1536-9943"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","norway-1","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Infectious Diseases in Clinical Practice","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":14,"referenced_works":["https://openalex.org/W111826357","https://openalex.org/W1040375401","https://openalex.org/W1567415500","https://openalex.org/W2064420621","https://openalex.org/W2085600765","https://openalex.org/W2104445943","https://openalex.org/W2127806652","https://openalex.org/W2138937494","https://openalex.org/W2140080190","https://openalex.org/W2147700225","https://openalex.org/W2147701558","https://openalex.org/W2148745494","https://openalex.org/W2162968708","https://openalex.org/W2325181442"],"related_works":["https://openalex.org/W2765426635","https://openalex.org/W136667195","https://openalex.org/W2162968708","https://openalex.org/W2017744344","https://openalex.org/W2118627410","https://openalex.org/W2085600765","https://openalex.org/W2032929574","https://openalex.org/W2028213852","https://openalex.org/W2469904812","https://openalex.org/W4327811807"],"abstract_inverted_index":{"Cunninghamella":[0,876,898,930,973,990,1029,1074,1105],"bertholletiae":[1,30,69,110,838,845],"is":[2,12,17,104,846,871,1005,1067,1087,1150],"an":[3,72,88,483,1000,1145],"opportunistic":[4,892],"fungal":[5,1197],"organism":[6],"of":[7,21,28,67,98,108,121,126,138,152,155,177,186,227,229,253,366,392,395,399,404,408,413,486,522,552,558,564,567,589,598,625,683,692,717,752,787,791,800,814,831,836,850,862,875,887,897,912,929,947,957,989,1010,1019,1022,1039,1073,1104,1117,1138,1161,1176,1181,1194,1220,1222,1238,1256],"the":[8,105,114,117,124,146,175,254,271,325,337,363,367,455,511,529,553,559,590,618,623,626,630,649,673,678,684,721,725,753,773,788,792,801,811,829,832,857,872,879,884,955,961,1045,1064,1077,1085,1136,1169,1192,1212,1254],"order":[9],"Mucorales":[10],"that":[11,172,464,504,1191,1271],"found":[13],"in":[14,71,92,113,174,283,358,454,672,734,840,878,901,927,952,1044,1153,1240],"soil":[15],"and":[16,36,52,116,157,199,201,219,239,245,307,320,343,416,429,438,441,482,500,536,550,635,651,680,686,740,762,785,807,820,822,866,883,941,995,1099,1128,1140,1166,1234,1250,1259],"a":[18,65,136,149,178,184,236,263,274,387,430,520,611,659,664,711,715,748,763,769,847,910,970,1034],"rare":[19,848],"cause":[20,849],"human":[22,851],"disease.1":[23],"The":[24,75,287,458,596,690,945,1069,1216],"few":[25,723],"reported":[26,112,119,926,1015,1043,1065,1071,1151],"cases":[27,896,948,1021,1056],"C.":[29,68,109,594,837,844],"have":[31,37,48,58,732,924,950,965,983,1047,1096,1121,1152,1276],"predominantly":[32],"involved":[33],"immunocompromised":[34],"hosts":[35,902],"been":[38,192,925,984,1097,1228],"associated":[39,1032],"with":[40,79,91,135,148,197,450,476,570,669,759,890,903,978,992,999,1007,1033,1051,1093,1107,1224],"very":[41,60,1035],"poor":[42],"outcomes.2-6":[43],"To":[44,100],"date,":[45],"therapeutic":[46],"options":[47],"included":[49],"surgical":[50,1082,1265],"debridement":[51,551,1083,1266],"high-dose":[53],"amphotericin":[54,80,84,515,600,694,1113,1118,1167],"B":[55,81,85,516,601,695,1119],"deoxycholate,":[56],"which":[57],"shown":[59],"limited":[61,1057],"efficacy.":[62],"We":[63],"report":[64,870,1219],"case":[66,107,874,886,994,1218],"endocarditis":[70,111,171],"immunosuppressed":[73],"patient.":[74],"patient":[76,272,459,530,631,908,1231],"was":[77,143,164,273,282,290,334,349,360,517,537,602,615,696,708,826,1207],"treated":[78,165],"followed":[82],"by":[83],"plus":[86],"posaconazole,":[87],"investigational":[89,1146],"medication":[90],"vitro":[93,1154],"activity":[94,1155],"against":[95,1112,1156,1172,1210],"some":[96,1236],"agents":[97],"mucormycosis.7-11":[99],"our":[101,968,1260],"knowledge,":[102],"this":[103,209,993],"third":[106,858,885],"literature":[115,1046],"second":[118],"use":[120],"posaconazole":[122,706,1162,1202,1225,1233],"for":[123,166,386,539,967,1016,1079,1185,1201],"treatment":[125],"mucormycosis.":[127],"CASE":[128],"PRESENTATION":[129],"A":[130,249,329,353,423,469,488,777,1187],"32-year-old":[131],"male":[132,277],"landscape":[133,971],"architect":[134],"history":[137,151,185,911],"pure":[139,913],"red":[140,914],"cell":[141,390,915],"aplasia":[142,916],"admitted":[144],"to":[145,208,214,224,260,322,510,604,698,731,960,1026,1058,1124,1134,1262],"hospital":[147,493,526,584,608,656,702,745],"2-week":[150],"progressive":[153,533,798],"shortness":[154],"breath":[156,318],"chest":[158,231,255,424,764],"pain.":[159],"Four":[160],"years":[161],"previously,":[162],"he":[163,216,737,816],"Staphylococcus":[167],"aureus":[168],"aortic":[169,474,477,498,512,534,547,560,591,667,674,805,841],"valve":[170,478,548,561,592,668,842],"developed":[173,217,531,632],"setting":[176],"permanent":[179],"indwelling":[180],"catheter.":[181],"He":[182,190,543],"had":[183,191,909],"multiple":[187],"blood":[188,288,389],"transfusions.":[189],"receiving":[193],"long-term":[194],"immunosuppressive":[195],"therapy":[196,707],"prednisone":[198],"cyclosporine":[200],"received":[202,1232],"antithymocyte":[203],"globulin":[204],"6":[205,1038],"weeks":[206,212,222,258],"prior":[207,213,223,259],"admission.":[210],"Five":[211],"admission,":[215,225],"malaise":[218],"fatigue.":[220],"Three":[221],"because":[226],"complaints":[228],"left-sided":[230],"pain,":[232],"dyspnea":[233],"on":[234,311,492,583,617,648,710],"exertion,":[235],"nonproductive":[237],"cough,":[238],"night":[240],"sweats,":[241],"empiric":[242],"oral":[243,705],"ciprofloxacin":[244],"fluconazole":[246],"were":[247,346,379,384,436,443,646,1183,1199],"prescribed.":[248],"magnetic":[250],"resonance":[251],"imaging":[252],"obtained":[256],"2":[257,356,495,986,1204],"admission":[261],"revealed":[262,316,447,465,496,562,781],"small":[264],"left":[265,327,338,431,685],"pleural":[266,432],"effusion.":[267,433],"On":[268,525,607,655,701,744,810],"physical":[269],"examination,":[270],"well-nourished":[275],"Caucasian":[276],"who":[278],"appeared":[279,730],"fatigued,":[280],"but":[281],"no":[284,350],"acute":[285,1001],"distress.":[286],"pressure":[289],"110/50":[291],"mm":[292],"Hg;":[293],"pulse,":[294],"102":[295],"beats":[296],"per":[297,305],"minute;":[298,306],"temperature,":[299],"101.4\u00b0F;":[300],"respiratory":[301,541],"rate,":[302],"20":[303],"breaths":[304],"oxygen":[308],"saturation,":[309],"98%":[310],"room":[312],"air.":[313],"Pulmonary":[314],"examination":[315,557],"decreased":[317,733],"sounds":[319],"dullness":[321],"percussion":[323],"at":[324,336,362,519,714,828],"lower":[326,339,1200],"base.":[328],"grade":[330],"II/VI":[331],"diastolic":[332],"murmur":[333],"heard":[335],"sternal":[340],"border.":[341],"Abdominal":[342],"neurologic":[344],"examinations":[345],"unremarkable.":[347],"There":[348,982],"peripheral":[351,727],"edema.":[352],"blackish":[354],"discoloration":[355],"cm":[357,508],"diameter":[359],"present":[361],"lateral":[364],"tip":[365],"right":[368,620,687,774],"index":[369],"finger.":[370],"No":[371,824],"Janeway":[372],"lesions,":[373],"Osler":[374],"nodes,":[375],"or":[376,922,1062],"splinter":[377],"hemorrhages":[378],"present.":[380],"Initial":[381],"laboratory":[382],"data":[383],"significant":[385,904],"white":[388],"count":[391],"4700/mm3,":[393],"hemoglobin":[394],"8.7":[396],"g/dL,":[397],"platelets":[398],"83,000/mm3,":[400],"erythrocyte":[401],"sedimentation":[402],"rate":[403],"151":[405],"mm/h,":[406],"creatinine":[407],"1.8":[409],"mg/dL,":[410],"creatine":[411],"kinase":[412],"794":[414],"U/L,":[415],"troponin":[417],"I":[418],"greater":[419],"than":[420,1203],"50":[421],"ng/mL.":[422],"radiograph":[425],"showed":[426,663,755,768,1235],"mild":[427],"cardiomegaly":[428],"Blood":[434,576],"cultures":[435,577,588],"drawn,":[437],"intravenous":[439],"vancomycin":[440],"ceftriaxone":[442],"given.":[444],"An":[445],"electrocardiogram":[446],"sinus":[448],"tachycardia":[449,634],"prominent":[451],"ST":[452],"elevations":[453],"inferolateral":[456],"leads.":[457],"underwent":[460,545],"urgent":[461],"cardiac":[462,1023],"catheterization":[463],"normal":[466,665],"coronary":[467,688,1002],"arteries.":[468,689],"transthoracic":[470],"echocardiogram":[471,490,662,780],"demonstrated":[472,1190],"moderate":[473],"regurgitation":[475,499,784],"thickening,":[479],"inferoapical":[480],"hypokinesis,":[481],"ejection":[484],"fraction":[485],"40%.":[487],"transesophageal":[489,661,779],"performed":[491,827],"day":[494,527,585,609,657,703,746,813],"severe":[497,782],"confluent":[501],"valvular":[502,1251],"vegetations":[503,671],"extended":[505],"approximately":[506],"3":[507,523,1017],"superior":[509],"root.":[513],"Liposomal":[514],"added":[518],"dose":[521,597,691,716],"mg/kg/day.":[524,606,700],"3,":[528],"rapidly":[532],"insufficiency":[535],"intubated":[538],"hypoxic":[540,819],"failure.":[542],"then":[544],"emergent":[546],"replacement":[549],"ascending":[554,802],"aorta.":[555],"Histologic":[556],"evidence":[563,1237],"extensive":[565],"invasion":[566],"broad":[568],"hyphae":[569],"short":[571],"irregular":[572],"branching":[573],"(Fig.":[574],"1).":[575],"did":[578],"not":[579],"yield":[580],"growth;":[581],"however,":[582],"7,":[586],"tissue":[587],"grew":[593],"bertholletiae.":[595],"liposomal":[599,693],"increased":[603,697],"5":[605,1179],"8,":[610],"new":[612,643,770,1129],"embolic":[613,644,728,1243,1248],"lesion":[614],"noted":[616,647],"patient's":[619,726],"thumbnail.":[621],"Over":[622,720],"course":[624],"next":[627,722],"several":[628,756,1102],"days,":[629,724],"ventricular":[633],"complete":[636],"heart":[637],"block":[638],"requiring":[639,917],"pacemaker":[640],"placement.":[641],"Many":[642],"lesions":[645,729,757,1244],"trunk":[650],"all":[652],"4":[653],"extremities.":[654],"15,":[658],"repeat":[660,778],"prosthetic":[666,804],"circumferential":[670],"root":[675],"extending":[676],"into":[677],"orifices":[679],"proximal":[681],"portions":[682],"10":[699],"18,":[704],"initiated":[709],"compassionate-use":[712],"basis":[713],"400":[718],"mg/day.":[719],"size,":[735],"although":[736,853],"remained":[738],"febrile":[739],"became":[741,817],"progressively":[742],"lethargic.":[743],"22,":[747],"computed":[749,765],"tomographic":[750,766],"scan":[751,767],"head":[754],"consistent":[758,1006],"septic":[760],"emboli,":[761],"infiltrate":[771],"within":[772],"middle":[775],"lobe.":[776],"mitral":[783,793],"perforation":[786],"anterior":[789],"leaflet":[790],"valve,":[794,806],"as":[795,797,963],"well":[796],"involvement":[799,980,1024,1053],"aorta,":[803],"pulmonic":[808],"valves.":[809],"24th":[812],"hospitalization,":[815],"acutely":[818],"hypotensive":[821],"expired.":[823],"autopsy":[825],"request":[830],"family.FIGURE":[833],"1:":[834],"Hyphae":[835],"seen":[839],"section.DISCUSSION":[843],"disease,":[852],"it":[854,1268],"may":[855,964],"be":[856],"most":[859,895,975],"common":[860,933],"agent":[861],"mucormycosis":[863,1223],"after":[864],"Rhizopus":[865],"Absidia":[867],"species.1,12":[868],"This":[869,1004],"36th":[873],"infection":[877,899,974],"English":[880],"language":[881],"literature,2-6":[882],"endocarditis.6,13":[888],"As":[889],"other":[891,987,1027,1141,1164],"mold":[893],"infections,":[894,1127],"occur":[900],"immune":[905],"compromise.":[906],"Our":[907,1230],"chronic":[918],"immunosuppression.":[919],"Hematologic":[920],"malignancies":[921],"dyscrasias":[923],"64%":[928],"cases.2":[931],"Other":[932],"underlying":[934],"conditions":[935],"include":[936],"solid":[937],"organ":[938],"transplantation":[939],"(11%)":[940],"diabetes":[942],"mellitus":[943],"(8%).2":[944],"majority":[946],"(86%)":[949],"occurred":[951,966],"males,":[953],"raising":[954],"possibility":[956],"occupational":[958],"exposure":[959],"organism,":[962],"patient,":[969],"architect.":[972],"frequently":[976],"presents":[977],"pulmonary":[979],"(78%).":[981],"only":[985,1213],"reports":[988,1009,1103],"endocarditis,":[991],"another":[996],"one":[997,1159],"presenting":[998],"syndrome.3":[1003],"previous":[1008],"major":[1011],"epicardial":[1012],"artery":[1013],"thrombosis":[1014],"(18%)":[1018],"17":[1020],"due":[1025],"zygomycetes.14":[1028],"infections":[1030,1075],"are":[1031,1101,1132],"high":[1036,1070,1108],"mortality-only":[1037],"36":[1040],"patients":[1041,1050],"(17%)":[1042],"survived.":[1048],"For":[1049],"visceral":[1052],"(ie,":[1054],"excluding":[1055],"skin,":[1059],"superficial":[1060],"wounds,":[1061],"sinuses),":[1063],"mortality":[1066,1072],"94%.":[1068],"emphasizes":[1076],"need":[1078],"early":[1080],"aggressive":[1081],"when":[1084],"diagnosis":[1086],"established":[1088],"antemortem.":[1089],"Results":[1090],"thus":[1091],"far":[1092],"medical":[1094],"therapies":[1095],"disappointing,":[1098],"there":[1100],"isolates":[1106,1175,1180,1198],"minimum":[1109],"inhibitory":[1110],"concentrations":[1111],"B.2":[1114],"High":[1115],"doses":[1116],"products":[1120],"repeatedly":[1122],"failed":[1123],"cure":[1125,1221],"these":[1126,1139],"antifungal":[1130,1148,1273],"therapeutics":[1131],"needed":[1133],"address":[1135],"problems":[1137],"invasive":[1142],"mucormycoses.":[1143],"Posaconazole,":[1144],"triazole":[1147],"agent,":[1149],"zygomycetes.7-11":[1157],"In":[1158],"comparison":[1160],"versus":[1163],"triazoles":[1165],"B,":[1168],"mean":[1170],"MICs":[1171,1193],"37":[1173],"clinical":[1174,1196],"zygomycetes,":[1177],"including":[1178],"Cunninghamella,":[1182],"lowest":[1184],"posaconazole.8":[1186],"separate":[1188],"study":[1189],"83":[1195],"echinocandins-this":[1205],"difference":[1206],"especially":[1208],"marked":[1209],"Rhizopus,":[1211],"zygomycete":[1214],"tested.10":[1215],"first":[1217],"has":[1226],"recently":[1227],"published.15":[1229],"improvement":[1239],"his":[1241,1257],"cutaneous":[1242],"before":[1245],"experiencing":[1246],"further":[1247,1264],"phenomena":[1249],"insufficiency.":[1252],"However,":[1253],"extent":[1255],"disease":[1258],"inability":[1261],"perform":[1263],"make":[1267],"overwhelmingly":[1269],"likely":[1270],"any":[1272],"regimen":[1274],"would":[1275],"failed.":[1277]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2016-06-24T00:00:00"}
