Haidar Ghady, Singh Nina
Division of Infectious Diseases, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA 15240, USA.
VA Pittsburgh Healthcare System, Infectious Diseases Section, and University of Pittsburgh, Pittsburgh, PA 15240, USA.
J Fungi (Basel). 2015 Jul 14;1(2):115-129. doi: 10.3390/jof1020115.
has emerged as a significant pathogen in immunocompromised patients. While the diagnostic testing and the antifungal treatment of cryptococcal infections have become firmly established in clinical practice, new developments and areas of ambiguity merit further consideration. These include the potential for donor transmission of ; cirrhosis-associated cryptococcosis, particularly during transplant candidacy; the utility of serum cryptococcal antigen testing of asymptomatic individuals in high-prevalence, poor-resource areas; pathogenesis and treatment of the immune reconstitution syndrome, specifically in relation to antiretroviral therapy and immunosuppressive medications; and new challenges posed by the emerging species of . In this article, we summarize the literature pertaining to these topics, focusing on recent progress.
已成为免疫功能低下患者的重要病原体。虽然隐球菌感染的诊断检测和抗真菌治疗在临床实践中已得到牢固确立,但新的进展和存在歧义的领域值得进一步探讨。这些包括:[此处原文缺失部分内容]的供体传播可能性;肝硬化相关隐球菌病,特别是在移植候选期间;在高流行率、资源匮乏地区对无症状个体进行血清隐球菌抗原检测的效用;免疫重建综合征的发病机制和治疗,特别是与抗逆转录病毒疗法和免疫抑制药物相关的;以及[此处原文缺失部分内容]新出现物种带来的新挑战。在本文中,我们总结了与这些主题相关的文献,重点关注近期进展。