Microbiology Department, Hamilton Regional Laboratory Medicine Program, Hamilton General Hospital, Hamilton, ON, L8L 2X2, Canada.
Department of Pathology and Molecular Medicine, McMaster University, Hamilton, L8S 4K1, Canada.
Mycopathologia. 2021 Oct;186(5):717-728. doi: 10.1007/s11046-021-00575-9. Epub 2021 Jun 28.
Pulmonary cryptococcosis is a common but underdiagnosed opportunistic fungal infection in both immunocompromised and immunocompetent patients. The causal agents include at least eight evolutionary distinct haploid lineages as well as their hybrids of the human pathogenic Cryptococcus complex. In this update, we review recent advances in epidemiology, mode of transmission, risk factors, diagnostic methods, and therapy of pulmonary cryptococcosis. Our review suggests significant challenges and opportunities for research, from bedside to benchside and back to bedside.
肺隐球菌病是一种常见但诊断不足的机会性真菌感染,发生于免疫功能受损和免疫功能正常的患者。致病病原体至少包括八个进化上不同的单倍体谱系及其人类致病性隐球菌复合体的杂种。在本更新中,我们综述了肺隐球菌病的流行病学、传播方式、危险因素、诊断方法和治疗的最新进展。我们的综述表明,从床边到实验室再回到床边,研究都面临着重大的挑战和机遇。