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Published on: July 1, 2020
Invasive fungal infections and the management in immunocompromised conditions
Garima Anandani1, Mayuri Bhise2, Ashwini Agarwal2
1Department of Pathology, AIIMS Rajkot, Gujarat, India.
Abstract:
Invasive fungal infections, being opportunistic, lead to severe disease in immunocompromised hosts with an increase in morbidity and mortality. The most common causative agents include Candida, Mucorales, Aspergillus, Cryptococcus, and Pneumocystis species. The common risk factors associated with invasive fungal infections are uncontrolled diabetes mellitus leading to hyperglycemia, neutropenia, immunosuppressive treatment like corticosteroids, and primary and secondary immunodeficiency disorders, especially acquired immunodeficiency syndrome. Various molecular therapeutic agents used for targeted therapy are also associated with an increase in opportunistic infections as they involve many signaling pathways related to immunity against pathogens. Prompt diagnosis of diseases caused by these invasive fungal infections is necessary because immunosuppression increases the risk of fatality, and treatment should be initiated immediately based on susceptibility and recommendations.
Insights
Invasive fungal infections pose severe risks to immunocompromised individuals, increasing mortality. Early diagnosis and prompt treatment are crucial for managing these opportunistic infections effectively.
Area of Science:
- Mycology
- Immunology
- Infectious Diseases
Background:
- Invasive fungal infections (IFIs) are opportunistic and cause significant morbidity and mortality in immunocompromised hosts.
- Common pathogens include Candida, Mucorales, Aspergillus, Cryptococcus, and Pneumocystis species.
- Risk factors include uncontrolled diabetes, neutropenia, immunosuppressive therapies (e.g., corticosteroids), and immunodeficiency disorders like acquired immunodeficiency syndrome.
Purpose of the Study:
- To highlight the critical nature of invasive fungal infections in immunocompromised patients.
- To emphasize the importance of prompt diagnosis and immediate treatment initiation.
- To underscore the link between certain therapies and increased susceptibility to IFIs.
Main Methods:
- This abstract is based on a review of current knowledge regarding invasive fungal infections.
- It synthesizes information on causative agents, risk factors, and therapeutic considerations.
- No specific experimental methods were detailed in the provided abstract.
Main Results:
- Invasive fungal infections lead to severe disease, increased mortality, and are often opportunistic.
- Specific patient populations and conditions significantly elevate the risk of developing IFIs.
- Molecular targeted therapies can inadvertently increase the risk of opportunistic infections.
Conclusions:
- Prompt diagnosis of invasive fungal infections is essential for timely intervention.
- Immediate treatment based on susceptibility data is critical due to increased fatality risk in immunosuppressed individuals.
- Understanding risk factors and pathogen profiles is key to managing IFIs in vulnerable populations.
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