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Approach to Fungal Infections in Human Immunodeficiency Virus-Infected Individuals Pneumocystis and Beyond

Wang, RJ; Miller, RF; Huang, L; (2017) Approach to Fungal Infections in Human Immunodeficiency Virus-Infected Individuals Pneumocystis and Beyond. Clinics in Chest Medicine , 38 (3) pp. 465-477. 10.1016/j.ccm.2017.04.008. Green open access

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Abstract

Many fungi cause pulmonary disease in HIV-infected patients. Major pathogens include Pneumocystis jirovecii, Cryptococcus neoformans, Aspergillus species, Histoplasma capsulatum, Coccidioides species, Blastomyces dermatitidis, Paracoccidioides brasiliensis, Talaromyces marneffei, and Emmonsia species. Because symptoms are frequently non-specific, a high index of suspicion for fungal infection is required for diagnosis. Clinical manifestations of fungal infection in HIV-infected patients frequently depend on the degree of immunosuppression and the CD4 + TH cell count. Establishing definitive diagnosis is important because treatments differ. Primary and secondary prophylaxis depends on CD4+ TH cell counts as well as geographic location and local prevalence of disease.

Type: Article
Title: Approach to Fungal Infections in Human Immunodeficiency Virus-Infected Individuals Pneumocystis and Beyond
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.ccm.2017.04.008
Publisher version: https://doi.org/10.1016/j.ccm.2017.04.008
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Science & Technology, Life Sciences & Biomedicine, Respiratory System, Human immunodeficiency virus, Opportunistic infection, Pneumonia, Mycoses, Pneumocystis, PENICILLIUM-MARNEFFEI INFECTION, BRONCHOALVEOLAR LAVAGE FLUID, CARINII-PNEUMONIA, EMMONSIA-PASTEURIANA, JIROVECII PNEUMONIA, RISK-FACTORS, PULMONARY PARACOCCIDIOIDOMYCOSIS, DISSEMINATED HISTOPLASMOSIS, RADIOGRAPHIC FINDINGS, CLINICAL PRESENTATION
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/10044740
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