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Erschienen in: Current Fungal Infection Reports 3/2019

22.07.2019 | Fungal Genomics and Pathogenesis (S Shoham, Section Editor)

Clinical Aspects of Immune Damage in Cryptococcosis

verfasst von: Seher Anjum, Peter R. Williamson

Erschienen in: Current Fungal Infection Reports | Ausgabe 3/2019

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Abstract

Purpose of Review

To perform an extensive review of recent literature and provide an update on the current epidemiology, clinical features, and management of cryptococcal disease with a focus on the differences between patients depending on their immune status.

Recent Findings

Emerging literature has highlighted the inflammatory pathophysiology and varied manifestations of cryptococcal infections in patients who are apparently healthy but paradoxically have a more critical clinical course compared with their immunosuppressed counterparts.

Summary

Non-HIV cryptococcal meningitis has greater mortality compared with that seen in HIV patients. Basic science experiments closely analyzing the underlying pathophysiological response to this infection have demonstrated the predominant role of T cell–mediated inflammatory injury in causing worse clinical outcomes. Further studies are needed to define the need for immunosuppressive agents in the treatment of this illness.
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Metadaten
Titel
Clinical Aspects of Immune Damage in Cryptococcosis
verfasst von
Seher Anjum
Peter R. Williamson
Publikationsdatum
22.07.2019
Verlag
Springer US
Erschienen in
Current Fungal Infection Reports / Ausgabe 3/2019
Print ISSN: 1936-3761
Elektronische ISSN: 1936-377X
DOI
https://doi.org/10.1007/s12281-019-00345-7

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