Wanke B, Lazéra M dos S, Nucci M
Serviço de Micologia, Centro de Pesquisa Hospital Evandro Chagas-Fiocruz, Av. Brasil 4365, 21045-900 Rio de Janeiro, RJ, Brasil.
Mem Inst Oswaldo Cruz. 2000;95 Suppl 1:153-8. doi: 10.1590/s0074-02762000000700025.
In recent years many remarkable changes occurred in our way of life, producing opportunities for microbes. All these changes are related to the recent emergence of previously unrecognized diseases, or the resurgence of diseases that, at least in developed countries, were thought to be under control. This concept is reviewed regarding fungal infections and their agents in the immunocompromised host. The changing pattern of these infections, the portals of entry of fungi into the human host, fungal pathogenicity and the main predisposing factors are analyzed. Opportunistic fungal infections in cancer, organ transplant and acquired immunodeficiency syndrome patients are reviewed, specially candidiasis and aspergillosis.
近年来,我们的生活方式发生了许多显著变化,为微生物创造了机会。所有这些变化都与近期出现的以前未被认识的疾病,或至少在发达国家被认为已得到控制的疾病的再次流行有关。本文就免疫功能低下宿主中的真菌感染及其病原体进行综述。分析了这些感染的变化模式、真菌进入人体宿主的途径、真菌致病性及主要易感因素。对癌症、器官移植和获得性免疫缺陷综合征患者中的机会性真菌感染进行了综述,特别关注念珠菌病和曲霉病。