Nikolai Klimko

Prof. Nikolai Klimko

Department of Clinical Mycology, Allergy and Immunology in I.Mechnikov North Western State Medical University, Saint Petersburg, Russia
orcid

Research Focus & Metrics

Academic Career Length

45Years (1982-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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5 November 2019 in The Lancet Infectious Diseases
Verified
Journal Article
Closed access
OCOliver A. Cornely
Oliver A. Cornely
AAAna Alastruey-Izquierdo
Ana Alastruey-Izquierdo
DADorothee Arenz
Dorothee Arenz
SCSharon C A Chen
Sharon C A Chen
Eric DannaouiEric Dannaoui
Eric Dannaoui
ACArunaloke Chakrabarti
Arunaloke Chakrabarti

1 May 2018 in Clinical Microbiology and Infection
Verified
Journal Article
Closed access
AUA.J. Ullmann
A.J. Ullmann
JAJ.M. Aguado
J.M. Aguado
SAS. Arikan-Akdagli
S. Arikan-Akdagli
DDD.W. Denning
D.W. Denning
AGA.H. Groll
A.H. Groll
OCOliver A. Cornely
Oliver A. Cornely

1 June 2021 in The Lancet Infectious Diseases
Verified
Journal Article
Closed access
PKPhilipp Koehler
Philipp Koehler
MBMatteo Bassetti
Matteo Bassetti
ACArunaloke Chakrabarti
Arunaloke Chakrabarti
SCSharon Chen
Sharon Chen
Arnaldo L. ColomboArnaldo L. Colombo
Arnaldo L. Colombo
OCOliver A. Cornely
Oliver A. Cornely

1 December 2011 in Clinical Microbiology and Infection
Verified
Journal Article
Closed access
PDF file
ASA. Skiada
A. Skiada
Livio PaganoLivio Pagano
Livio Pagano
AGA. Groll
A. Groll
SZS. Zimmerli
S. Zimmerli
BDB. Dupont
B. Dupont
GPG. Petrikkos
G. Petrikkos

1 July 2016 in The Lancet Infectious Diseases
Verified
Journal Article
Closed access
FMFrancisco M Marty
Francisco M Marty
LOLuis Ostrosky-Zeichner
Luis Ostrosky-Zeichner
OCOliver A. Cornely
Oliver A. Cornely
KMKathleen M Mullane
Kathleen M Mullane
JPJohn R Perfect
John R Perfect
MVMaria J G T Vehreschild
Maria J G T Vehreschild

10 March 2018 in Medical Mycology
Verified
Journal Article
Open access
PDF file
ASAnna Skiada
Anna Skiada
CLC Lass-Floerl
C Lass-Floerl
Nikolai KlimkoNikolai Klimko
Nikolai Klimko
AIA Ibrahim
A Ibrahim
ERE Roilides
E Roilides
GPG Petrikkos
G Petrikkos
The diagnosis and treatment of mucormycosis are challenging. The incidence of the disease seems to be increasing. Hematological malignancies are the most common underlying disease in countries with high income and uncontrolled diabetes in developing countries. Clinical approach to diagnosis lacks sensitivity and specificity. Radiologically, multiple (≥10) nodules and pleural effusion are reportedly associated with pulmonary mucormycosis. Another finding on computerized tomography (CT) scan, which seems to indicate the presence of mucormycosis, is the reverse halo sign. Microscopy (direct and on histopathology) and culture are the cornerstones of diagnosis. Molecular assays can be used either for detection or identification of mucormycetes, and they can be recommended as valuable add-on tools that complement conventional diagnostic procedures. Successful management of mucormycosis is based on a multimodal approach, including reversal or discontinuation of underlying predisposing factors, early administration of active antifungal agents at optimal doses, complete removal of all infected tissues, and use of various adjunctive therapies. Our armamentarium of antifungals is slightly enriched by the addition of two newer azoles (posaconazole and isavuconazole) to liposomal amphotericin B, which remains the drug of choice for the initial antifungal treatment, according to the recently published guidelines by ECIL-6, as well as those published by ECMM/ESCMID. Despite the efforts for better understanding of the pathogenesis, early diagnosis and aggressive treatment of mucormycosis, the mortality rate of the disease remains high.