Cryptococcosis in Africa

作者: Nelesh P. Govender , Thomas G. Mitchell , Anastasia P. Litvintseva , Kathleen J. Miglia

DOI: 10.1128/9781555816858.CH20

关键词:

摘要: This chapter reviews the epidemiology, diagnosis, clinical manifestations, treatment, and prognosis of cryptococcosis in Africa ecology population genetics African isolates Cryptococcus. In pre-highly active antiretroviral therapy (HAART) era sub-Saharan Africa, was often a sentinel opportunistic infection among HIV-infected adults, heralding diagnosis AIDS more than 88% cryptococcal cases. The initial meningitis HAART naive, patients is relatively straightforward involves microscopy culture specimens, as well serology. Maintenance with fluconazole usually prescribed for those who survive their episode disease. disease HAART-treated paradoxical immune reconstitution inflammatory syndrome (IRIS) slightly difficult. formidable challenges involve significant problems management, prevention. cases due to C. neoformans far exceed number infections caused by gattii. Sub-Saharan global epicenter HIV/AIDS pandemic. It possible elucidate evolutionary relationships strains Cryptococcus ancestors.

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