Department of Medical Microbiology, College of Medicine, University of Lagos, Lagos, Nigeria.
Global Action Fund for Fungal Infections, Geneva, Switzerland.
Mycoses. 2019 Jan;62(1):16-21. doi: 10.1111/myc.12845. Epub 2018 Oct 8.
The discipline of medical mycology has become increasingly relevant in the face of the rising incidence of invasive fungal infections (IFI), which pose diagnostic and therapeutic challenges for contemporary medical practice. While firmly established in developed countries, medical mycology remains obscure in many low- and middle-income countries (LMICs). With a teeming vulnerable populace and an incidence rate of 11.8%, Nigeria has one of the highest estimated burdens of invasive fungal infections (IFIs) in the world. Regardless, the scourge of IFIs has remained silent due to a combination of factors principal amongst which are a lack of awareness and dearth in personnel skilled in diagnosis. The present narrative examines the status of medical mycology practice in Nigeria and chronicles the journey to change the status quo spurred by the Leading International Fungal Education (LIFE)-facilitated burden estimate paper and culminating in the birth of the Medical Mycology Society of Nigeria (MMSN), the pioneer national medical mycology society in Africa. The prospects of tackling the IFI challenge are highlighted from the perspective of the nascent society.
医学真菌学在面对不断增加的侵袭性真菌感染(IFI)发病率时变得越来越重要,这对当代医学实践提出了诊断和治疗方面的挑战。尽管在发达国家已经得到了充分的认可,但医学真菌学在许多低收入和中等收入国家(LMICs)仍然鲜为人知。尼日利亚人口众多,弱势群体庞大,侵袭性真菌感染(IFI)的发病率为 11.8%,是世界上估计IFI 负担最重的国家之一。尽管如此,IFI 的肆虐仍然没有被察觉,这是多种因素共同作用的结果,其中主要原因是缺乏认识以及缺乏诊断方面的专业人员。本文探讨了医学真菌学在尼日利亚的实践现状,并记录了在国际真菌教育领导(LIFE)促进的负担估计论文的推动下,改变现状的历程,最终诞生了尼日利亚医学真菌学会(MMSN),这是非洲第一个国家级医学真菌学会。本文还从新兴学会的角度强调了应对 IFI 挑战的前景。