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穿越王国之后:人类群体中的传染病。

after crossing kingdoms: infections in human populations.

机构信息

Immunobiology Laboratory, Department of Biological Science, State University of Santa Cruz, Ilhéus, BA, Brazil.

出版信息

J Toxicol Environ Health B Crit Rev. 2023 Feb 17;26(2):97-126. doi: 10.1080/10937404.2023.2172498. Epub 2023 Feb 6.

Abstract

is a saprophytic fungus that is used worldwide as a biocontrol and biofertilizer agent. Although considered nonpathogenic until recently, reports of human infections produced by members of the genus are increasing. Numerous sources of infection were proposed based upon patient data and phylogenetic analysis, including air, agriculture, and healthcare facilities, but the deficit of knowledge concerning infections makes patient treatment difficult. These issues are compounded by isolates that present profiles which exhibit high minimum inhibitory concentration values to available antifungal drugs. The aim of this review is to present the global distribution and sources of infections that affect both immunocompetent and immunocompromised hosts, clinical features, therapeutic strategies that are used to treat patients, as well as highlighting treatments with the best responses. In addition, the antifungal susceptibility profiles of isolates that have emerged in recent decades were examined and which antifungal drugs need to be further evaluated as potential candidates to treat infections are also indicated.

摘要

是一种腐生真菌,在全世界范围内被用作生物防治和生物肥料剂。尽管直到最近才被认为是非致病性的,但越来越多的关于该属成员引起的人类感染的报告。根据患者数据和系统发育分析,提出了许多感染源,包括空气、农业和医疗保健设施,但对感染的认识不足使得患者的治疗变得困难。这些问题因具有高最小抑菌浓度值的分离株而更加复杂,这些分离株对现有抗真菌药物表现出高最小抑菌浓度值。本综述的目的是介绍影响免疫功能正常和免疫功能低下宿主的全球分布和感染源、临床特征、用于治疗患者的治疗策略,并强调具有最佳反应的治疗方法。此外,还检查了近年来出现的分离株的抗真菌药敏谱,指出哪些抗真菌药物需要进一步评估,作为治疗感染的潜在候选药物。

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