Research Article

[Retracted] Application Value of Metagenomics Next-Generation Sequencing (mNGS) in Detection of Mucormycosis after Chemotherapy in Childhood Acute Leukemia

Table 1

Overview of our 7 pediatric mucormycosis cases.

NumberAge/sexUnderlying diseasesMain clinical manifestationsSpecimen source/pathogenic bacteria/readsImaging performanceThe involved organsAntifungal drugsOperativeSurvival outcome

115/MAMLFever and coughPB/Rhizopus mi Crosporus/(reads 125)High-density shadow under the left lungLungsLAmB posaconazoleYesCure

211/FALLFever, cough, headache, and convulsionsPB/Rhizopus delemar/Reads 42 CSF/Rhizopus delemar/Reads 316Cranial MRI: diffuse and abnormal enhancement on the brain surface, sulcus and brainstem margin chest CT: shadow of left lungLungs brainLAmB posaconazoleNoDie

33/MALLFever and coughPB/Rhizopus microsporus/reads 10 BAL/Rhizopus Microsporus/reads 10High-density shadow in the lower lobe of both lungsLungsLAmB posaconazoleNoImproved

41/MALLFever, cough breathe fastBAL/Rhizomucor pusillus/reads 6Real changes in the upper lobe of the left lungLungsLAmB posaconazoleNoImproved

51/MALLFever, coughBAL/Rhizomucor pusillus/Reads 3742Double lung field multiple size unequal nodular sheet high-density shadowLungsLAmB posaconazoleNoImproved

63/MALLFever coughBAL/Rhizomucor pusillus/reads2 PB/Rhizomucor pusillus/reads 40Large upper lobe of the right lungLungsLAmB posaconazoleYesCure

77/FALLFever coughPB/Cunninghamella bertholletiae/reads 3High-density shadow of emerging nodules in the lower lobe of the right lungLungsLAmB posaconazoleNoImproved

ALL, acute lymphoblastic leukemia; AML, acute myeloid leukemia; CT, computerized tomography; MRI, magnetic resonance; PB, peripheral blood; BAL, bronchoalveolar lavage fluid; CSF, cerebral spinal fluid; LAmB, liposomal amphotericin B formulation.