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土曲霉物种复合体。

Aspergillus terreus Species Complex.

机构信息

Institute of Hygiene and Medical Microbiology, Medical University of Innsbruck, Innsbruck, Austria.

Department of Infectious Diseases, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

出版信息

Clin Microbiol Rev. 2021 Dec 15;34(4):e0031120. doi: 10.1128/CMR.00311-20. Epub 2021 Jun 30.

Abstract

Infections due to species are an acute threat to human health; members of the section are the most frequently occurring agents, but depending on the local epidemiology, representatives of section or section are the second or third most important. species complex is of great interest, as it is usually amphotericin B resistant and displays notable differences in immune interactions in comparison to . The latest epidemiological surveys show an increased incidence of as well as an expanding clinical spectrum (chronic infections) and new groups of at-risk patients being affected. Hallmarks of these non- invasive mold infections are high potential for tissue invasion, dissemination, and possible morbidity due to mycotoxin production. We seek to review the microbiology, epidemiology, and pathogenesis of species complex, address clinical characteristics, and highlight the underlying mechanisms of amphotericin B resistance. Selected topics will contrast key elements of with . We provide a comprehensive resource for clinicians dealing with fungal infections and researchers working on pathogenesis, aiming to bridge the emerging translational knowledge and future therapeutic challenges on this opportunistic pathogen.

摘要

种引起的感染对人类健康构成严重威胁;节的成员是最常发生的病原体,但根据当地的流行病学情况,节或节的代表是第二或第三重要的病原体。种复合体非常重要,因为它通常对两性霉素 B 具有抗性,并且与相比,在免疫相互作用方面存在显著差异。最新的流行病学调查显示,的发病率增加,临床谱(慢性感染)扩大,新的高危患者群体受到影响。这些非侵袭性霉菌感染的特点是具有很高的组织侵袭、传播和由于产霉菌毒素可能导致发病的潜力。我们旨在回顾种复合体的微生物学、流行病学和发病机制,讨论临床特征,并强调两性霉素 B 耐药的潜在机制。选定的主题将对比与的关键要素。我们为处理真菌感染的临床医生和研究种发病机制的研究人员提供了一个全面的资源,旨在弥合这一机会性病原体新兴的转化知识和未来治疗挑战之间的差距。

相似文献

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Aspergillus terreus Species Complex.土曲霉物种复合体。
Clin Microbiol Rev. 2021 Dec 15;34(4):e0031120. doi: 10.1128/CMR.00311-20. Epub 2021 Jun 30.
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Antifungal resistance in Aspergillus terreus: A current scenario.土曲霉的抗真菌耐药性:现状分析。
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