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肺真菌病是否被结核病掩盖?直击要害的必要性——印度视角

Is Pulmonary Mycoses Shadowed by Tuberculosis? Mandate to Hit the Bull's Eye-An Indian Perspective.

作者信息

Regupathy Jeevarahini, Rajendran Priya, Kumar Vinod, Shanmugam Sivakumar

机构信息

ICMR National Institute for Research in Tuberculosis, Chennai 600031, India.

Institute of Thoracic Medicine, Madras Medical College, Chennai 600003, India.

出版信息

Pathogens. 2025 Apr 30;14(5):435. doi: 10.3390/pathogens14050435.

Abstract

Tuberculosis (TB) poses serious challenges to healthcare personnel as it continues to be highly prevalent in a developing country like India. Several prominent strategies have been adopted to control this contagious infection, but the incidence rate remains high. Many studies have linked fungal infections to TB, apparently elevating concerns in the TB elimination program. Hence, it is essential to understand the mechanisms underlying TB co-infection and pulmonary mycoses to combat the problems caused by these diseases successfully. In addition, differential diagnosis of TB and fungal infections is equally essential to initiate appropriate treatment. This review attempts to describe misdiagnosis of TB and fungal disease and their relative coexistence in the context of the Indian perspective.

摘要

结核病(TB)给医护人员带来了严峻挑战,因为在印度这样的发展中国家,结核病仍然高度流行。为控制这种传染性感染已采取了多项重要策略,但发病率仍然很高。许多研究将真菌感染与结核病联系起来,这显然增加了结核病消除计划中的担忧。因此,了解结核病合并感染和肺部真菌病的潜在机制对于成功应对这些疾病所造成的问题至关重要。此外,对结核病和真菌感染进行鉴别诊断对于启动适当治疗同样至关重要。本综述试图从印度的角度描述结核病和真菌病的误诊及其相对共存情况。

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