Epidemiology of Opportunistic Fungal Infections in Latin America

被引:185
|
作者
Nucci, Marcio [1 ,2 ]
Queiroz-Telles, Flavio [3 ]
Tobon, Angela M. [5 ]
Restrepo, Angela [5 ]
Colombo, Arnaldo L. [4 ]
机构
[1] Univ Fed Rio de Janeiro, Dept Internal Med, Hematol Unit, BR-21941913 Rio De Janeiro, Brazil
[2] Univ Fed Rio de Janeiro, Univ Hosp, Mycol Lab, BR-21941913 Rio De Janeiro, Brazil
[3] Univ Fed Parana, Hosp Clin, Dept Publ Hlth, BR-80060000 Curitiba, Parana, Brazil
[4] Univ Fed Sao Paulo, Div Infect Dis, Sao Paulo, Brazil
[5] CIB, Med & Expt Mycol Unit, Medellin, Colombia
关键词
BLOOD-STREAM INFECTIONS; POPULATION-BASED SURVEILLANCE; CELL TRANSPLANT RECIPIENTS; INTENSIVE-CARE UNITS; RISK-FACTORS; INVASIVE ASPERGILLOSIS; ANTIFUNGAL SUSCEPTIBILITY; CRYPTOCOCCUS-NEOFORMANS; SECULAR TRENDS; DISSEMINATED PHEOHYPHOMYCOSIS;
D O I
10.1086/655683
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
This review discusses the epidemiology of the most clinically relevant opportunistic fungal infections in Latin America, including candidiasis, cryptococcosis, trichosporonosis, aspergillosis, and fusariosis. The epidemiologic features, including incidence, of some of these mycoses are markedly different in Latin America than they are in other parts of the world. The most consistent epidemiologic data are available for candidemia, with a large prospective study in Brazil reporting an incidence that is 3- to 15-fold higher than that reported in studies from North America and Europe. Species distribution also differs: in Latin America, the most common Candida species (other than Candida albicans) causing bloodstream infections are Candida parapsilosis or Candida tropicalis, rather than Candida glabrata.
引用
收藏
页码:561 / 570
页数:10
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