隐球菌病,免疫功能低下和免疫正常个体的风险

M. M. Costa, F. Teixeira, Mioni Thielli, F. M. Brito, É. Valério, M. Monteiro
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引用次数: 12

摘要

隐球菌属包括至少37种不同的物种,其中两种是重要的人类病原体:新型隐球菌和加蒂隐球菌。这些真菌是人类和动物隐球菌病的机会致病菌和病原学媒介。各种毒力因素干扰隐球菌感染的建立,通常是通过吸入环境中的担子孢子或干酵母获得的。由于艾滋病的流行,隐球菌病在过去十年中获得了医学上的重要性,并成为免疫能力强的个体,特别是儿童的新兴病原体。这种疾病在人类中可累及所有组织,包括皮肤和肺部位,但最严重的表现是脑膜脑炎累及中枢神经系统。本文就隐球菌病的分类、真菌生物学、流行病学及在免疫正常和免疫功能低下人群中的临床表现作一综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cryptococcosis, A Risk for Immunocompromised and Immunocompetent Individuals
The genus Cryptococcus includes at least 37 different species, of which, two are important human pathogens: Cryptococcus neoformans and Cryptococcus gattii. These fungi are opportunistic pathogens and etiologic agents of cryptococcosis disease in humans and animals. A variety of virulence factors interfere with the establishment of cryptococcal infection is usually acquired via inhalation of environmental basidiospores or desiccated yeasts. Cryptococcosis has gained medical importance over the last decade due to the AIDS pandemic, and become an emerging pathogen of immunocompetent individuals, especially in children. This disease in humans may involve every tissue, including cutaneous and pulmonary sites, but the most serious manifestation is central nervous system involvement with meningoencephalitis. In this review, we briefly described the taxonomy, the fungus biology, epidemiology and clinical manifestations of cryptococcosis in immunocompetent and immunocompromised individuals.
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