Human immunodeficiency virus and fungal infections

Jeannette Guarner1

  • 1Department of Pathology and Laboratory Medicine, Emory University, Atlanta, GA, United States.

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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