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Updated: Feb 6, 2026

Murine Corneal Transplantation: A Model to Study the Most Common Form of Solid Organ Transplantation
Published on: November 17, 2014
Yeast Infections in Solid Organ Transplantation
1Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai, One-Gustave L. Levy Place, New York, NY 10029, USA.
Abstract:
Invasive candidiasis (IC) remains the most common invasive fungal infection following solid-organ transplant (SOT), but risk factors are evolving. Current challenges include infection due to drug resistant non-albicans and emerging novel species such as Candida auris. Preventive antifungal use in SOT needs to be re-examined in light of these current challenges. Cryptococcosis is the second most common IFI following SOT. Cryptococcus gattii is an emerging pathogen that can have reduced in-vitro susceptibility to antifungal agents. Cryptococcus associated IRIS in SOT is a clinical entity that warrants heightened awareness for timely recognition and management.
Insights
Invasive fungal infections like candidiasis are increasing in solid-organ transplant recipients. Evolving drug resistance and new species necessitate re-evaluating antifungal strategies for better patient outcomes.
Area of Science:
- Mycology
- Transplant Infectious Diseases
- Antimicrobial Resistance
Background:
- Invasive candidiasis (IC) is the most frequent invasive fungal infection (IFI) post-solid-organ transplant (SOT).
- Emerging challenges include drug-resistant non-albicans species and novel pathogens like Candida auris.
- Cryptococcosis is the second most common IFI in SOT, with Cryptococcus gattii showing potential antifungal resistance.
Purpose of the Study:
- To highlight the evolving landscape of IFIs in SOT recipients.
- To underscore the need for re-examining preventive antifungal strategies.
- To raise awareness of Cryptococcus gattii and Cryptococcus-associated immune reconstitution inflammatory syndrome (IRIS) in SOT.
Main Methods:
- Review of current literature on IFIs in SOT.
- Analysis of emerging fungal pathogens and resistance patterns.
- Clinical case discussion of Cryptococcus-associated IRIS in SOT.
Main Results:
- Drug-resistant non-albicans Candida species and Candida auris pose significant threats in SOT.
- Cryptococcus gattii presents an emerging risk with potential for reduced antifungal susceptibility.
- Cryptococcus-associated IRIS requires prompt recognition and management in SOT patients.
Conclusions:
- Preventive antifungal strategies in SOT require urgent re-evaluation due to evolving resistance and species.
- Heightened clinical awareness for Cryptococcus gattii and associated IRIS is crucial for timely management in SOT.
- Addressing these challenges is vital for improving outcomes in SOT recipients with IFIs.
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