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Ex Vivo Infection of Human Lymphoid Tissue and Female Genital Mucosa with Human Immunodeficiency Virus 1 and Histoculture
Published on: October 12, 2018
Human immunodeficiency virus and fungal infections
1Department of Pathology and Laboratory Medicine, Emory University, Atlanta, GA, United States.
Abstract:
The discovery of HIV was largely due to the presence of Pneumocystis pneumonia (PCP) in young patients that did not have the usual known causes of immune deficiencies in the early 1980s. Currently, treatment with highly active anti-retroviral therapy (HAART) and the use of prophylaxis for PCP have lowered the frequency of fungal infections; however, these infections continue to cause morbidity and mortality in those patients that fall out or are not in care. The frequency of specific fungal diseases in HIV patients will depend on the prevalence of fungi in the particular geographic location. Nowadays, superficial and invasive Candida infections, PCP, and cryptococci are the most frequent fungal infections seen in HIV positive patients worldwide. The role of pathology in diagnosing fungal infections is crucial because a lesion may be biopsied without obtaining mycology cultures, certain organisms may take several weeks to grow, or the sample sent to the mycology laboratory may not have the organism. Following we will describe fungal infections that are particularly frequent in HIV infected patients and their key pathological features.
Insights
Fungal infections like Pneumocystis pneumonia remain a threat to HIV patients not in care. Pathology is key for diagnosing these opportunistic infections, especially in immunocompromised individuals.
Area of Science:
- Mycology
- Immunology
- Pathology
Background:
- The discovery of Human Immunodeficiency Virus (HIV) was linked to Pneumocystis pneumonia (PCP) in immunocompromised young patients.
- Highly Active Antiretroviral Therapy (HAART) and PCP prophylaxis have reduced fungal infections in HIV patients, but they persist in those not receiving care.
Purpose of the Study:
- To describe fungal infections frequently seen in HIV-infected patients.
- To highlight key pathological features of these infections.
Main Methods:
- Review of common fungal infections in HIV patients.
- Description of pathological diagnostic features.
Main Results:
- Superficial and invasive Candida infections, PCP, and cryptococcosis are the most common fungal infections in HIV patients globally.
- Geographic location influences the prevalence of specific fungal diseases.
- Pathological diagnosis is critical due to potential issues with mycology cultures.
Conclusions:
- Fungal infections continue to cause significant morbidity and mortality in HIV patients, particularly those not in care.
- Accurate pathological identification is essential for timely and effective management of fungal infections in HIV-positive individuals.
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