组织胞浆菌病:中国流行病学和临床进展、综述和病例报告

IF 4.6 2区 生物学 Q1 MYCOLOGY
Lihua Chen, Danyang Hu, Congming Zhang, Tianrui Wu, Xiangning Cheng, Ferry Hagen, Hui Zhu, Shuwen Deng
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引用次数: 0

摘要

组织浆菌病是一种由组织浆菌属二形真菌引起的系统性真菌病。组织胞浆菌病在中国被忽视。本研究旨在通过文献综述,了解组织胞浆菌病在中国的流行病学和临床进展。我们回顾了近11年来报道的组织胞浆菌病病例,并描述了一例免疫功能正常患者的组织胞浆菌引发的噬血细胞淋巴组织细胞病(HLH)。本研究共纳入了2012年至2022年在中国诊断出的组织胞浆菌病225例,与1990年至2011年审查的300例相比,近11年来诊断出的组织胞浆菌病病例越来越多。组织胞浆菌病以本地病例为主,主要来自四川(56/225,24.9%)、湖南(50/225,22.2%)、广东(31/225,13.8%)和云南(24/225,10.7%)。组织胞浆菌病在免疫功能正常的患者中发病率较高(52.5%,53/99),这与过去21年的发病率相似,并且该疾病的患病率随时间变化不大。值得注意的是,组织胞浆菌病病例的数量正在增加,并且随着时间的推移,地理分布正在向南转移。提高认识对中国的临床实践至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Histoplasmosis: an epidemiological and clinical update in China, review and a case report
Histoplasmosis is a systemic mycosis caused by the dimorphic fungus in the genus Histoplasma. Histoplasmosis is overlooked in China. This study aims to provide an epidemiological and clinical update on histoplasmosis in China by literature review. We reviewed cases of histoplasmosis reported in recent 11 years and described a case of histoplasmosis-triggered hemophagocytic lymphohistiocytosis (HLH) in an immunocompetent patient. A total of 225 cases of histoplasmosis diagnosed in China between 2012 and 2022 were involved in this study, compared with 300 cases reviewed from 1990 to 2011, an increasing number of cases of histoplasmosis have been diagnosed in the last 11 years. The majority of cases of histoplasmosis were autochthonous cases, mainly from provinces Sichuan (56/225, 24.9%), Hunan (50/225, 22.2%), Guangdong (31/225, 13.8%), and Yunnan (24/225, 10.7%). Higher incidence (52.5%, 53/99) of histoplasmosis occurred in immunocompetent patients which is similar to those from the previous 21 years, and the prevalence of the disease did not vary highly over time. Of note, the number of histoplasmosis cases is increasing, and the geographic distribution is shifting southwards over time. Improved awareness is critically important for informing clinical practice in China.
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来源期刊
Mycology
Mycology Medicine-Infectious Diseases
CiteScore
9.10
自引率
0.00%
发文量
18
审稿时长
13 weeks
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