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Meta-Analysis
. 2014 Mar;20(3):349-55.
doi: 10.3201/eid2003.131230.

Invasive fungal infections after natural disasters

Meta-Analysis

Invasive fungal infections after natural disasters

Kaitlin Benedict et al. Emerg Infect Dis. 2014 Mar.

Abstract

The link between natural disasters and subsequent fungal infections in disaster-affected persons has been increasingly recognized. Fungal respiratory conditions associated with disasters include coccidioidomycosis, and fungi are among several organisms that can cause near-drowning pneumonia. Wound contamination with organic matter can lead to post-disaster skin and soft tissue fungal infections, notably mucormycosis. The role of climate change in the environmental growth, distribution, and dispersal mechanisms of pathogenic fungi is not fully understood; however, ongoing climate change could lead to increased disaster-associated fungal infections. Fungal infections are an often-overlooked clinical and public health issue, and increased awareness by health care providers, public health professionals, and community members regarding disaster-associated fungal infections is needed.

Keywords: coccidioidomycosis; disasters; fungal infection; fungi; fungus; injuries; meningitis; mucormycosis; pneumonia; tornadoes; tsunamis.

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Figures

Figure
Figure
Necrotizing cutaneous mucormycosis, Joplin, Missouri, USA, 2011 (4). A left flank wound in a mucormycosis case-patient, with macroscopical fungal growth (tissue with white, fluffy appearance) and necrotic borders before repeated surgical debridement. Copyright 2012 Massachusetts Medical Society. Reprinted with permission.

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