Steinbach William J, Perfect John R
Division of Pediatric Infectious Diseases, Duke University Medical Center, Box 3499, Durham, NC 27710, USA.
Int J Infect Dis. 2003 Mar;7(1):5-20. doi: 10.1016/s1201-9712(03)90037-3.
As the number of immunocompromised patients increases, there is a concomitant increase in the number and diversity of fungal infections. Fungi that were once considered harmless or contaminants are now pathogenic in the immunocompromised host. Often these emerging pathogens are indistinguishable from the more familiar fungal infections; however, they are generally more recalcitrant to conventional antifungal therapies. With the antifungal armamentarium now expanding, the clinician now has many more options for these difficult-to-treat mycoses. We review many of the newer antifungal agents (second-generation triazoles, echinocandins, etc.) as therapeutic options for the recently emerging fungal pathogens.
随着免疫功能低下患者数量的增加,真菌感染的数量和种类也随之增加。曾经被认为无害或属于污染物的真菌,如今在免疫功能低下的宿主中具有致病性。通常,这些新出现的病原体与更为常见的真菌感染难以区分;然而,它们一般对传统抗真菌疗法更具抗性。随着抗真菌药物库的不断扩大,临床医生现在对于这些难以治疗的真菌病有了更多选择。我们将对许多新型抗真菌药物(第二代三唑类、棘白菌素等)作为近期新出现的真菌病原体的治疗选择进行综述。