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Published on: March 19, 2019
[Pathophysiology of invasive fungal infection in diabetic patients]
Yoichiro Okubo1, Haruo Nakayama, Chikako Hasegawa
1Department of Surgical Pathology, Toho University School of Medicine.
Abstract:
It has been known that diabetes mellitus impairs functioning of neutrophil, macrophage, cellular immunity, humoral immunity, and iron metabolism. In addition to them, diabetes-related angiopathy leads a patient to being at high-risk individual for several kinds of infectious diseases. Therefore, diabetes has been accepted as one of the important risk factors for invasive fungal infection. From the viewpoint of pathology, the present review describes both pathophysiology of immunosuppression induced by diabetes and histopathological characteristics of typical forms in invasive fungal infection when it occurred as an opportunistic infection; those are candidiasis, aspergillosis, and cryptococcosis. We wish to draw that pathophysiological explanation still remains obscuring of relationship between diabetes and invasive fungal infection.
Insights
Diabetes mellitus weakens immune defenses, increasing risks for invasive fungal infections like candidiasis, aspergillosis, and cryptococcosis. Further research is needed to fully understand the complex relationship between diabetes and these opportunistic infections.
Area of Science:
- Immunology
- Endocrinology
- Mycology
Context:
- Diabetes mellitus is a known risk factor for infectious diseases.
- Diabetes-related angiopathy exacerbates infection susceptibility.
- Invasive fungal infections are significant opportunistic infections in diabetic patients.
Purpose:
- To review the pathophysiology of diabetes-induced immunosuppression.
- To describe histopathological characteristics of common invasive fungal infections in diabetes.
- To highlight the obscured relationship between diabetes and invasive fungal infections.
Summary:
- Diabetes mellitus impairs neutrophil and macrophage function, cellular and humoral immunity, and iron metabolism.
- This review details the pathological mechanisms of immunosuppression in diabetes.
- Histopathological features of candidiasis, aspergillosis, and cryptococcosis in diabetic individuals are discussed.
Impact:
- Provides insights into the increased risk of invasive fungal infections in diabetic patients.
- Highlights the need for further research into the diabetes-fungal infection link.
- Aids clinicians in understanding and managing opportunistic infections in diabetes.
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