Lino Rita, Guimarães André Rodrigues, Sousa Estela, Azevedo Mariana, Santos Lurdes
Infectious Diseases Department, Hospital de São João-Unidade Local de Saúde São João, 4200-319 Porto, Portugal.
Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal.
Infect Dis Rep. 2024 Oct 9;16(5):952-976. doi: 10.3390/idr16050076.
Invasive fungal infections affecting the central nervous system (CNS) are a major health concern worldwide associated with high mortality rates. Their increased incidence is largely due to an increase in the vulnerable immunocompromised population, changing environmental factors, and development of more accurate diagnostic methods. The aim of this article is to identify fungal causes of CNS infections that are recently emerging or have the potential to become emerging pathogens in the near future, as well as their clinical characteristics, including: , spp., spp., spp., , , and spp.
A review of the literature in PubMed in the last ten years was conducted to identify central nervous system infections caused by each of these fungi.
The review identified 10 cases caused by , 5 cases by spp., 82 cases by spp., 36 cases by spp., 21 cases by , 22 cases by and 42 cases by spp.
The exact burden of these diseases remains difficult to ascertain, but their apparent rise underscores the urgent need for improved diagnostic, treatment, and management strategies against CNS fungal pathogens to improve outcomes against these life-threatening infections.
侵袭性真菌性中枢神经系统(CNS)感染是全球主要的健康问题,死亡率很高。其发病率增加主要归因于免疫功能低下易感人群增多、环境因素变化以及更精确诊断方法的发展。本文旨在确定中枢神经系统感染的真菌病因,这些病因是最近出现的或在不久的将来有可能成为新兴病原体的,以及它们的临床特征,包括: 菌属、 菌属、 菌属、 、 、 和 菌属。
对过去十年PubMed上的文献进行综述,以确定由这些真菌各自引起的中枢神经系统感染。
综述确定了由 引起的10例病例、 菌属引起的5例病例、 菌属引起的82例病例、 菌属引起的36例病例、 引起的21例病例、 引起的22例病例以及 菌属引起的42例病例。
这些疾病的确切负担仍难以确定,但它们明显增多凸显了迫切需要改进针对中枢神经系统真菌病原体的诊断、治疗和管理策略,以改善针对这些危及生命感染的治疗效果。