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Fungal Infections Among Patients with AIDS

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Essentials of Clinical Mycology

Abstract

Fungal infections are the most frequent opportunistic ­diseases occurring during the course of HIV infection. Those mycoses that are usually controlled by cellular immunity are most commonly observed. However, in patients with AIDS, the immune deficit is complex and worsens with time in untreated patients, allowing mycotic diseases to develop [1–3]. Pneumocystis jiroveci and Candida albicans, which are responsible for mucosal candidiasis, and Cryptococcus neoformans, the most frequent cause of meningitis, are the three major fungal pathogens in patients with AIDS [4, 5]. In endemic areas, infections due to dimorphic fungi also ­represent an important group. Histoplasma capsulatum, Coccidioides species, and Penicillium marneffei are the most important endemic pathogens. In some AIDS patients, mycotic disease is often the consequence of reactivation ­several years after a primary infection [6].

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Correspondence to Olivier Lortholary .

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Lortholary, O., Dupont, B. (2011). Fungal Infections Among Patients with AIDS. In: Kauffman, C., Pappas, P., Sobel, J., Dismukes, W. (eds) Essentials of Clinical Mycology. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6640-7_31

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