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Updated: Jan 31, 2026

Murine Corneal Transplantation: A Model to Study the Most Common Form of Solid Organ Transplantation
Published on: November 17, 2014
Fungal infections in solid organ transplantation: An update on diagnosis and treatment
Vincent Kabir1, Johan Maertens2, Dirk Kuypers3
1KU Leuven, Leuven, Herestraat 49, 3000 Leuven, Belgium.
Abstract:
Invasive fungal infections constitute an important cause of morbidity and mortality in solid organ transplantation recipients. Since solid organ transplantation is an effective therapy for many patients with end-stage organ failure, prevention and treatment of fungal infections are of vital importance. Diagnosis and management of these infections, however, remain difficult due to the variety of clinical symptoms in addition to the lack of accurate diagnostic methods. The use of fungal biomarkers can lead to an increased diagnostic accuracy, resulting in improved clinical outcomes. The evidence for optimal prophylactic approaches remains inconclusive, which results in considerable variation in the administration of prophylaxis. The implementation of a standard protocol for prophylaxis remains difficult as previous treatment regimens, which can alter the distribution of different pathogens, affect the outcome of antifungal susceptibility testing. Furthermore, the increasing use of antifungals also contributes to incremental costs and the risk of development of drug resistance. This review will highlight risk factors, clinical manifestations and timing of fungal infections and will focus predominately on the current evidence for diagnosis and management of fungal infections.
Insights
Invasive fungal infections are a major threat to solid organ transplant recipients, with diagnosis and management remaining challenging. This review focuses on improving outcomes through better understanding of risk factors, diagnosis, and management strategies for these infections.
Area of Science:
- Transplantation Medicine
- Mycology
- Infectious Diseases
Background:
- Invasive fungal infections (IFIs) are a significant cause of morbidity and mortality in solid organ transplantation (SOT) recipients.
- Effective management of IFIs is crucial for patient outcomes, yet diagnosis and treatment are complicated by varied symptoms and limited diagnostic tools.
Purpose of the Study:
- To review current evidence on risk factors, clinical manifestations, and timing of IFIs in SOT recipients.
- To focus on the diagnosis and management of IFIs, emphasizing the role of fungal biomarkers.
Main Methods:
- Literature review of current evidence regarding IFIs in SOT.
- Analysis of diagnostic and management strategies, including prophylactic approaches and antifungal susceptibility testing.
Main Results:
- Fungal biomarkers show promise for increasing diagnostic accuracy and improving clinical outcomes.
- Optimal prophylactic strategies remain inconclusive, leading to varied clinical practices.
- Antifungal use increases costs and resistance risk, complicating treatment protocols.
Conclusions:
- Improved diagnostic accuracy through biomarkers is essential for better management of IFIs in SOT.
- Standardized protocols for prophylaxis and treatment are needed, considering pathogen resistance and cost-effectiveness.
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