Radentz W H
Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas.
J Am Acad Dermatol. 1989 Jun;20(6):989-1003. doi: 10.1016/s0190-9622(89)70124-9.
Fungal infections in immunocompromised hosts cause major morbidity and mortality. The Candida and Aspergillus species are the most common causes, but many rarer organisms, once considered "contaminants," are being reported. The number of patients who receive immunosuppressive agents for the treatment of malignancy or for organ transplantation is increasing as well as the potential for local or disseminated fungal infections. The diagnosis of these infections is often difficult and the existing methods for treatment are often ineffective. A high degree of suspicion to identify fungal infections and to prompt initiation of treatment must be maintained if the survival rate of these patients is expected to improve.
免疫功能低下宿主中的真菌感染会导致严重的发病和死亡。念珠菌和曲霉菌是最常见的病因,但许多曾经被视为“污染物”的罕见病原体也不断被报道。接受免疫抑制剂治疗恶性肿瘤或进行器官移植的患者数量在增加,局部或播散性真菌感染的可能性也在增加。这些感染的诊断往往很困难,现有的治疗方法往往无效。如果希望提高这些患者的生存率,就必须高度怀疑以识别真菌感染并及时开始治疗。