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Mould Infections: A Global Threat to Immunocompromised Patients

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Combating Fungal Infections

Abstract

The increase in critical care and immunosuppressed patients all over the world during recent decades is due to a general medical concern with regard to fungal infections, particularly regarding patients admitted at intensive care, haematological, stem cell and solid organ transplant and burn units. The wide use of intense suppressive therapies which affect patients’ immune status and frequently cause neutropenia represents an enormous risk of mould infections. Aspergillus, Fusarium, Scedosporium, and zygomycetes, particularly Rhizopus and Mucor, are invariably responsible for high morbidity and mortality in patients, even after the administration of proper antifungal therapy. These infections are often associated with longer stays in critical care units and extremely high healthcare costs. Other therapeutic drugs administered to high-risk patients may considerably promote or reduce the fungal growth and affect the development of the invasive disease. Thus, it is recommended that drug interactions be taken into account in patients receiving multiple medications.

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References

  • Abbasi S, Shenep JL, Hughes WT, Flynn PM (1999) Aspergillosis in children with cancer: a 34-year experience. Clin Infect Dis 29:1210–1219

    PubMed  CAS  Google Scholar 

  • Abzug MJ, Gardner S, Glode MP, Cymanski M, Roe MH, Odom LF (1992) Heliport-associated nosocomial mucormycoses. Infect Control Hosp Epidemiol 13:325–326

    PubMed  CAS  Google Scholar 

  • Al-Abdely HM (2004) Management of rare fungal infections. Curr Opin Infect Dis 17:527–532

    PubMed  Google Scholar 

  • Al-Ajam MR, Bizri AR, Mokhbat J, Weedon J, Lutwick L (2006) Mucormycosis in the Eastern Mediterranean: a seasonal disease. Epidemiol Infect 134:341–346

    PubMed  CAS  Google Scholar 

  • Alastruey-Izquierdo A, Cuenca-Estrella M, Monzón A, Rodriguez-Tudela JL (2007) Prevalence and susceptibility testing of new species of Pseudallescheria and Scedosporium in a collection of clinical mould isolates. Antimicrob Agents Chemother 51:748–751

    PubMed  CAS  Google Scholar 

  • Alastruey-Izquierdo A, Castelli MV, Cuesta I, Zaragoza O, Monzón A, Mellado E, Rodríguez-Tudela JL (2009) In vitro activity of antifungals against zygomycetes. Clin Microbiol Infect 15:71–76

    PubMed  CAS  Google Scholar 

  • Alcazar-Fuoli L, Mellado E, Alastruey-Izquierdo A, Cuenca-Estrella M, Rodriguez-Tudela JL (2008) Aspergillus section Fumigati: antifungal susceptibility patterns and sequence-based identification. Antimicrob Agents Chemother 52:1244–1251

    PubMed  CAS  Google Scholar 

  • Almyroudis NG, Sutton DA, Fothergill AW, Rinaldi MG, Kusne S (2007) In vitro susceptibilities of 217 clinical isolates of zygomycetes to conventional and new antifungal agents. Antimicrob Agents Chemother 51:2587–2590

    PubMed  CAS  Google Scholar 

  • Alvarez M, Lopez Ponga B, Rayon C, Garcia Gala J, Roson Porto MC, Gonzalez M, Martinez-Suarez JV, Rodriguez-Tudela JL (1995) Nosocomial outbreak caused by Scedosporium prolificans (inflatum): four fatal cases in leukemic patients. J Clin Microbiol 33:3290–3295

    PubMed  CAS  Google Scholar 

  • Ampel NM (2009) Coccidioidomycosis: a review of recent advances. Clin Chest Med 30:241–245

    PubMed  Google Scholar 

  • Araujo R, Pina-Vaz C, Rodrigues AG (2007) Susceptibility of environmental versus clinical strains of pathogenic Aspergillus. Int J Antimicrob Agents 29:108–111

    PubMed  CAS  Google Scholar 

  • Araujo R, Cabral JP, Rodrigues AG (2008a) Air filtration systems and restrictive access conditions improve indoor air quality in clinical units: Penicillium as a general indicator of hospital indoor fungal levels. Am J Infect Control 36:129–134

    PubMed  Google Scholar 

  • Araujo R, Carneiro A, Costa-Oliveira S, Pina-Vaz C, Rodrigues AG, Guimaraes JE (2008b) Fungal infections after haematology unit renovation: evidence of clinical, environmental and economical impact. Eur J Haematol 80:436–443

    PubMed  Google Scholar 

  • Azor M, Gené J, Cano J, Sutton DA, Fothergill AW, Rinaldi MG, Guarro J (2008) In vitro antifungal susceptibility and molecular characterization of clinical isolates of Fusarium verticillioides (F. moniliforme) and Fusarium thapsinum. Antimicrob Agents Chemother 52:2228–2231

    PubMed  CAS  Google Scholar 

  • Azor M, Cano J, Gené J, Guarro J (2009) High genetic diversity and poor in vitro response to antifungals of clinical strains of Fusarium oxysporum. J Antimicrob Chemother 63:1152–1155

    PubMed  CAS  Google Scholar 

  • Balajee SA, Gribskov JL, Hanley E, Nickle D, Marr KA (2005) Aspergillus lentulus sp. nov., a new sibling species of A. fumigatus. Eukaryot Cell 4:625–632

    PubMed  CAS  Google Scholar 

  • Beck O, Topp MS, Koehl U, Roilides E, Simitsopoulou M, Hanisch M, Sarfati J, Latgé JP, Klingebiel T, Einsele H, Lehrnbecher T (2006) Generation of highly purified and functionally active human TH1 cells against Aspergillus fumigatus. Blood 107:2562–2569

    PubMed  CAS  Google Scholar 

  • Ben-Ami R, Lewis RE, Kontoyiannis DP (2009) Invasive mould infections in the setting of hematopoietic cell transplantation: current trends and new challenges. Curr Opin Infect Dis 22:376–384

    PubMed  Google Scholar 

  • Berger N, Wirmsberger R, Kafka R, Margreiter C, Ebenbichler C, Stelzmueller I, Margreiter R, Steurer W, Mark W, Bonatti H (2006) Infectious complications following 72 consecutive enteric-drained pancreas transplants. Transpl Int 19:549–557

    PubMed  CAS  Google Scholar 

  • Boutati EI, Anaissie EJ (1997) Fusarium, a significant emerging pathogen in patients with hematologic malignancy: ten years’ experience at a cancer center and implications for management. Blood 90:999–1008

    PubMed  CAS  Google Scholar 

  • Caillot D, Couaillier JF, Bernard A, Casasnovas O, Denning DW, Mannone L, Lopez J, Couillault G, Piard F, Vagner O, Guy H (2001) Increasing volume and changing characteristics of invasive pulmonary aspergillosis on sequential thoracic computed tomography scans in patients with neutropenia. J Clin Oncol 19:253–259

    PubMed  CAS  Google Scholar 

  • Castón-Osorio JJ, Rivero A, Torre-Cisneros J (2008) Epidemiology of invasive fungal infection. Int J Antimicrob Agents 32:S103–S109

    PubMed  Google Scholar 

  • Chamilos G, Luna M, Lexis GE, Bodey GP, Chemaly R, Tarrand JJ, Safdar A, Raad II, Kontoyiannis DP (2006) Invasive fungal infections in patients with hematologic malignancies in a tertiary care center: an autopsy over a 15 year period (1989–2003). Haematologica 91:986–989

    PubMed  Google Scholar 

  • Chandrasekar P (2009) Invasive mould infections: recent advances in management approaches. Leuk Lymphoma 50:703–715

    PubMed  CAS  Google Scholar 

  • Chayakulkeeree M, Ghannoum MA, Perfect JR (2006) Zygomycosis: the re-emerging fungal infection. Eur J Clin Microbiol Infect Dis 25:215–229

    PubMed  CAS  Google Scholar 

  • Cimon B, Carrère J, Vinatier JF, Chazalette JP, Chabasse D, Bouchara JP (2000) Clinical significance of Scedosporium apiospermum in patients with cystic fibrosis. Eur J Clin Microbiol Infect Dis 19:53–56

    PubMed  CAS  Google Scholar 

  • Cornely OA (2008) Aspergillus to zygomycetes: causes, risk factors, prevention, and treatment of invasive fungal infections. Infection 36:296–313

    PubMed  CAS  Google Scholar 

  • Cortez KJ, Roilides E, Quiroz-Telles F, Meletiadis J, Antachopoulos C, Knudsen T, Buchanan W, Milanovich J, Sutton DA, Fothergill A, Rinaldi MG, Shea YR, Zaoutis T, Kottilil S, Walsh TJ (2008) Infections caused by Scedosporium spp. Clin Microbiol Rev 21:157–197

    PubMed  CAS  Google Scholar 

  • Costa-de-Oliveira S, Araujo R, Silva-Dias A, Pina-Vaz C, Rodrigues AG (2008a) Propofol lipidic infusion promotes resistance to antifungals by reducing drug input into the fungal cell. BMC Microbiol 8:9

    PubMed  Google Scholar 

  • Costa-de-Oliveira S, Pina-Vaz C, Mendonça D, Gonçalves Rodrigues A (2008b) A first Portuguese epidemiological survey of fungaemia in a university hospital. Eur J Clin Microbiol Infect Dis 27:365–374

    PubMed  CAS  Google Scholar 

  • Cuenca-Estrella M, Alastruey-Izquierdo A, Alcazar-Fuoli L, Bernal-Martinez L, Gomez-Lopez A, Buitrago MJ, Mellado E, Rodriguez-Tudela JL (2008) In vitro activities of 35 double combinations of antifungal agents against Scedosporium apiospermum and Scedosporium prolificans. Antimicrob Agents Chemother 52:1136–1139

    PubMed  CAS  Google Scholar 

  • Cutler JE, Deepe GS Jr, Klein BS (2007) Advances in combating fungal diseases: vaccines on the threshold. Nat Rev Microbiol 5:13–28

    PubMed  CAS  Google Scholar 

  • Dasbach EJ, Davies GM, Teutsch SM (2000) Burden of aspergillosis-related hospitalizations in the United States. Clin Infect Dis 31:1524–1528

    PubMed  CAS  Google Scholar 

  • de Pauw B, Walsh TJ, Donnelly JP, Stevens DA, Edwards JE, Calandra T, Pappas PG, Maertens J, Lortholary O, Kauffman CA, Denning DW, Patterson TF, Maschmeyer G, Bille J, Dismukes WE, Herbrecht R, Hope WW, Kibbler CC, Kullberg BJ, Marr KA, Muñoz P, Odds FC, Perfect JR, Restrepo A, Ruhnke M, Segal BH, Sobel JD, Sorrell TC, Viscoli C, Wingard JR, Zaoutis T, Bennett JE, European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group, National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) Consensus Group (2008) Revised definitions of invasive fungal disease from the European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) Consensus Group. Clin Infect Dis 46:1813–1821

    PubMed  Google Scholar 

  • Denning DW, Ribaud P, Milpied N, Caillot D, Herbrecht R, Thiel E, Haas A, Ruhnke M, Lode H (2002) Efficacy and safety of voriconazole in the treatment of acute invasive aspergillosis. Clin Infect Dis 34:563–571

    PubMed  CAS  Google Scholar 

  • Erjavec Z, Kluin-Nelemans H, Verweij PE (2009) Trends in invasive fungal infections, with emphasis on invasive aspergillosis. Clin Microbiol Infect 15:625–633

    PubMed  CAS  Google Scholar 

  • Fan YM, Huang WM, Li SF, Wu GF, Li W, Chen RY (2009) Cutaneous phaeohyphomycosis of foot caused by Curvularia clavata. Mycoses 52:544–546

    PubMed  Google Scholar 

  • Genzen JR, Kenney B (2009) Central nervous system Aspergillus infection after epidural analgesia: diagnosis, therapeutic challenges, and literature review. Diagn Microbiol Infect Dis 65(3):312–318. doi:10.1016/j.diagmicrobio.2009.06.013

    PubMed  Google Scholar 

  • Ghebremedhin B, Bluemel A, Neumann KH, Koenig B, Koenig W (2009) Peritonitis due to Neosartorya pseudofischeri in an elderly patient undergoing peritoneal dialysis successfully treated with voriconazole. J Med Microbiol 58:678–682

    PubMed  CAS  Google Scholar 

  • Girmenia C, Pagano L, Corvatta L, Mele L, del Favero A, Martino P (2000) The epidemiology of fusariosis in patients with haematological diseases. Gimema Infection Programme. Br J Haematol 111:272–276

    PubMed  CAS  Google Scholar 

  • Gómez-López A, Cuenca-Estrella M, Monzón A, Rodriguez-Tudela JL (2001) In vitro susceptibility of clinical isolates of Zygomycota to amphotericin B, flucytosine, itraconazole and voriconazole. J Antimicrob Chemother 48:919–921

    PubMed  Google Scholar 

  • Hachem RY, Kontoyiannis DP, Chemaly RF, Jiang Y, Reitzel R, Raad I (2009) Utility of galactomannan enzyme immunoassay and (1, 3) beta-D-glucan in diagnosis of invasive fungal infections: low sensitivity for Aspergillus fumigatus infection in hematologic malignancy patients. J Clin Microbiol 47:129–133

    PubMed  CAS  Google Scholar 

  • Herbrecht R, Denning DW, Patterson TF, Bennett JE, Greene RE, Oestmann JW, Kern WV, Marr KA, Ribaud P, Lortholary O, Sylvester R, Rubin RH, Wingard JR, Stark P, Durand C, Caillot D, Thiel E, Chandrasekar PH, Hodges MR, Schlamm HT, Troke PF, de Pauw B, Invasive Fungal Infections Group of the European Organisation for Research and Treatment of Cancer and the Global Aspergillus Study Group (2002) Voriconazole versus amphotericin B for primary therapy of invasive aspergillosis. N Engl J Med 347:408–415

    PubMed  CAS  Google Scholar 

  • Horvath JA, Dummer S (1996) The use of respiratory-tract cultures in the diagnosis of invasive pulmonary aspergillosis. Am J Med 100:171–178

    PubMed  CAS  Google Scholar 

  • Kantarcioglu AS, Guarro J, de Hoog GS (2008) Central nervous system infections by members of the Pseudallescheria boydii species complex in healthy and immunocompromised hosts: epidemiology, clinical characteristics and outcome. Mycoses 51:275–290

    PubMed  Google Scholar 

  • Kantarcioglu AS, Celkan T, Yücel A, Mikami Y, Kurugoglu S, Mitani H, Altas K (2009) Fatal Trichoderma harzianum infection in a leukemic pediatric patient. Med Mycol 47:207–215

    PubMed  Google Scholar 

  • Kasai M, Harrington SM, Francesconi A, Petraitis V, Petraitiene R, Beveridge MG, Knudsen T, Milanovich J, Cotton MP, Hughes J, Schaufele RL, Sein T, Bacher J, Murray PR, Kontoyiannis DP, Walsh TJ (2008) Detection of a molecular biomarker for zygomycetes by quantitative PCR assays of plasma, bronchoalveolar lavage, and lung tissue in a rabbit model of experimental pulmonary zygomycosis. J Clin Microbiol 46:3690–3702

    PubMed  CAS  Google Scholar 

  • Kauffman CA (2004) Zygomycosis: reemergence of an old pathogen. Clin Infect Dis 39:588–590

    PubMed  Google Scholar 

  • Kauffman CA (2006) Endemic mycoses: blastomycosis, histoplasmosis, and sporotrichosis. Infect Dis Clin North Am 20:645–662

    PubMed  Google Scholar 

  • Klingspor L, Loeffler J (2009) Aspergillus PCR formidable challenges and progress. Med Mycol 47:S241–S247

    PubMed  CAS  Google Scholar 

  • Kontoyiannis DP, Lionakis MS, Lewis RE, Chamilos G, Healy M, Perego C, Safdar A, Kantarjian H, Champlin R, Walsh TJ, Raad II (2005) Zygomycosis in a tertiary-care cancer center in the era of Aspergillus-active antifungal therapy: a case-control observational study of 27 recent cases. J Infect Dis 191:1350–1360

    PubMed  Google Scholar 

  • Krishnan-Natesan S, Chandrasekar PH, Manavathu EK, Revankar SG (2008) Successful treatment of primary cutaneous Aspergillus ustus infection with surgical debridement and a combination of voriconazole and terbinafine. Diagn Microbiol Infect Dis 62:443–446

    PubMed  CAS  Google Scholar 

  • Lagrange-Xélot M, Schlemmer F, Gallien S, Lacroix C, Molina JM (2008) Trichoderma fungaemia in a neutropenic patient with pulmonary cancer and human immunodeficiency virus infection. Clin Microbiol Infect 14:1190–1192

    PubMed  Google Scholar 

  • Lake FR, Tribe AE, McAleer R, Froudist J, Thompson PJ (1990) Mixed allergic bronchopulmonary fungal disease due to Pseudallescheria boydii and Aspergillus. Thorax 45:489–491

    PubMed  CAS  Google Scholar 

  • Lamaris GA, Chamilos G, Lewis RE, Safdar A, Raad II, Kontoyiannis DP (2006) Scedosporium infection in a tertiary care cancer center: a review of 25 cases from 1989–2006. Clin Infect Dis 43:1580–1584

    PubMed  Google Scholar 

  • Lee JG, Lee CY, Park IK, Kim DJ, Chang J, Kim SK, Chung KY (2009) Pulmonary aspergilloma: analysis of prognosis in relation to symptoms and treatment. J Thorac Cardiovasc Surg 138:820–825

    PubMed  Google Scholar 

  • Lin SJ, Schranz J, Teutsch SM (2001) Aspergillosis case-fatality rate: systematic review of the literature. Clin Infect Dis 32:358–366

    PubMed  CAS  Google Scholar 

  • Lionakis MS, Lewis RE, Torres HA, Albert ND, Raad II, Kontoyiannis DP (2005) Increased frequency of non-fumigatus Aspergillus species in amphotericin B- or triazole-pre-exposed cancer patients with positive cultures for aspergilli. Diagn Microbiol Infect Dis 52:15–20

    PubMed  CAS  Google Scholar 

  • Marr KA, Carter RA, Crippa F, Wald A, Corey L (2002) Epidemiology and outcome of mould infections in hematopoietic stem cell transplant recipients. Clin Infect Dis 34:909–917

    PubMed  Google Scholar 

  • McNeil MM, Nash SL, Hajjeh RA, Phelan MA, Conn LA, Plikaytis BD, Warnock DW (2001) Trends in mortality due to invasive mycotic diseases in the United States, 1980–1997. Clin Infect Dis 33:641–647

    PubMed  CAS  Google Scholar 

  • Miller MA, Greenberger PA, Amerian R, Toogood JH, Noskin GA, Roberts M, Patterson R (1993) Allergic bronchopulmonary mycosis caused by Pseudallescheria boydii. Am Rev Respir Dis 148:810–812

    PubMed  CAS  Google Scholar 

  • Mootsikapun P, Srikulbutr S (2006) Histoplasmosis and penicilliosis: comparison of clinical features, laboratory findings and outcome. Int J Infect Dis 10:66–71

    PubMed  Google Scholar 

  • Muñoz P, Burillo A, Bouza E (2001) Environmental surveillance and other control measures in the prevention of nosocomial fungal infections. Clin Microbiol Infect 7:38–45

    PubMed  Google Scholar 

  • Murray PR, Rosenthal KS, Pfaller MA (2009) Medical Microbiology, 6th edn. Mosby, Philadelphia

    Google Scholar 

  • Naeger-Murphy N, Pile JC (2009) Clinical indications for newer antifungal agents. J Hosp Med 4:102–111

    PubMed  Google Scholar 

  • Naggie S, Perfect JR (2009) Molds: hyalohyphomycosis, phaeohyphomycosis, and zygomycosis. Clin Chest Med 30:337–353

    PubMed  Google Scholar 

  • Nucci M (2003) Emerging moulds: Fusarium, Scedosporium and Zygomycetes in transplant recipients. Curr Opin Infect Dis 16:607–612

    PubMed  Google Scholar 

  • Nucci M, Anaissie E (2002) Cutaneous infection by Fusarium species in healthy and immunocompromised hosts: implications for diagnosis and management. Clin Infect Dis 35:909–920

    PubMed  Google Scholar 

  • Nucci M, Anaissie E (2007) Fusarium infections in immunocompromised patients. Clin Microbiol Rev 20:695–704

    PubMed  CAS  Google Scholar 

  • Nucci M, Anaissie EJ, Queiroz-Telles F, Martins CA, Trabasso P, Solza C, Mangini C, Simões BP, Colombo AL, Vaz J, Levy CE, Costa S, Moreira VA, Oliveira JS, Paraguay N, Duboc G, Voltarelli JC, Maiolino A, Pasquini R, Souza CA (2003) Outcome predictors of 84 patients with hematologic malignancies and Fusarium infection. Cancer 98:315–319

    PubMed  Google Scholar 

  • Nucci M, Marr KA, Queiroz-Telles F, Martins CA, Trabasso P, Costa S, Voltarelli JC, Colombo AL, Imhof A, Pasquini R, Maiolino A, Souza CA, Anaissie E (2004) Fusarium infection in hematopoietic stem cell transplant recipients. Clin Infect Dis 38:1237–1242

    PubMed  Google Scholar 

  • O’Donnell K, Sutton DA, Rinaldi MG, Magnon KC, Cox PA, Revankar SG, Sanche S, Geiser DM, Juba JH, van Burik JA, Padhye A, Anaissie EJ, Francesconi A, Walsh TJ, Robinson JS (2004) Genetic diversity of human pathogenic members of the Fusarium oxysporum complex inferred from multilocus DNA sequence data and amplified fragment length polymorphism analyses: evidence for the recent dispersion of a geographically widespread clonal lineage and nosocomial origin. J Clin Microbiol 42:5109–5120

    PubMed  Google Scholar 

  • Pagano L, Caira M, Candoni A, Offidani M, Fianchi L, Martino B, Pastore D, Picardi M, Bonini A, Chierichini A, Fanci R, Caramatti C, Invernizzi R, Mattei D, Mitra ME, Melillo L, Aversa F, Van Lint MT, Falcucci P, Valentini CG, Girmenia C, Nosari A (2006) The epidemiology of fungal infections in patients with hematologic malignancies: the SEIFEM-2004 study. Haematologica 91:1068–1075

    PubMed  Google Scholar 

  • Pastor FJ, Guarro J (2006) Clinical manifestations, treatment and outcome of Paecilomyces lilacinus infections. Clin Microbiol Infect 12:948–960

    PubMed  CAS  Google Scholar 

  • Pastor FJ, Guarro J (2008) Alternaria infections: laboratory diagnosis and relevant clinical features. Clin Microbiol Infect 14:734–746

    PubMed  CAS  Google Scholar 

  • Paterson DL, Singh N (1999) Invasive aspergillosis in transplant recipients. Medicine 78:123–138

    PubMed  CAS  Google Scholar 

  • Pfeiffer CD, Fine JP, Safdar N (2006) Diagnosis of invasive aspergillosis using a galactomannan assay: a meta-analysis. Clin Infect Dis 42:1417–1427

    PubMed  CAS  Google Scholar 

  • Rinaldi MG, Phillips P, Schwartz JG, Winn RE, Holt GR, Shagets FW, Elrod J, Nishioka G, Aufdemorte TB (1987) Human Curvularia infections. Report of five cases and review of the literature. Diagn Microbiol Infect Dis 6:27–39

    PubMed  CAS  Google Scholar 

  • Rivera A, Hohl T, Pamer EG (2006) Immune responses to Aspergillus fumigatus infections. Biol Blood Marrow Transplant 12:47–49

    PubMed  CAS  Google Scholar 

  • Roden MM, Zaoutis TE, Buchanan WL, Knudsen TA, Sarkisova TA, Schaufele RL, Sein M, Sein T, Chiou CC, Chu JH, Kontoyiannis DP, Walsh TJ (2005) Epidemiology and outcome of zygomycosis: a review of 929 reported cases. Clin Infect Dis 41:634–653

    PubMed  Google Scholar 

  • Rodrigues AG, Araujo R, Pina-Vaz C (2005) Human albumin promotes germination, hyphal growth and antifungal resistance by Aspergillus fumigatus. Med Mycol 43:711–717

    PubMed  CAS  Google Scholar 

  • Segal BH (2009) Aspergillosis. N Engl J Med 360:1870–1884

    PubMed  CAS  Google Scholar 

  • Singh N, Paterson DL (2005) Aspergillus infections in transplant recipients. Clin Microbiol Rev 18:44–69

    PubMed  CAS  Google Scholar 

  • Singh N, Avery RK, Munoz P, Pruett TL, Alexander B, Jacobs R, Tollemar JG, Dominguez EA, Yu CM, Paterson DL, Husain S, Kusne S, Linden P (2003) Trends in risk profiles for and mortality associated with invasive aspergillosis among liver transplant recipients. Clin Infect Dis 36:46–52

    PubMed  Google Scholar 

  • Sipsas NV, Kontoyiannis DP (2008) Occupation, lifestyle, diet, and invasive fungal infections. Infection 36:515–525

    PubMed  CAS  Google Scholar 

  • Siwek GT, Dodgson KJ, de Magalhaes-Silverman M, Bartelt LA, Kilborn SB, Hoth PL, Diekema DJ, Pfaller MA (2004) Invasive zygomycosis in hematopoietic stem cell transplant recipients receiving voriconazole prophylaxis. Clin Infect Dis 39:584–587

    PubMed  Google Scholar 

  • Spellberg B, Walsh TJ, Kontoyiannis DP, Edwards J Jr, Ibrahim AS (2009) Recent advances in the management of mucormycosis: from bench to bedside. Clin Infect Dis 48:1743–1751

    PubMed  CAS  Google Scholar 

  • Steinbach WJ, Benjamin DK Jr, Kontoyiannis DP, Perfect JR, Lutsar I, Marr KA, Lionakis MS, Torres HA, Jafri H, Walsh TJ (2004) Infections due to Aspergillus terreus: a multicenter retrospective analysis of 83 cases. Clin Infect Dis 39:192–198

    PubMed  Google Scholar 

  • Stelzmueller I, Lass-Floerl C, Geltner C, Graziadei I, Schneeberger S, Antretter H, Mueller L, Zelger B, Singh N, Pruett TL, Margreiter R, Bonatti H (2008) Zygomycosis and other rare filamentous fungal infections in solid organ transplant recipients. Transpl Int 21:534–546

    PubMed  Google Scholar 

  • Stergiopoulou T, Meletiadis J, Sein T, Papaioannidou P, Tsiouris I, Roilides E, Walsh TJ (2009) Comparative pharmacodynamic interaction analysis between ciprofloxacin, moxifloxacin and levofloxacin and antifungal agents against Candida albicans and Aspergillus fumigatus. J Antimicrob Chemother 63:343–348

    PubMed  CAS  Google Scholar 

  • Stevens DA, Schwartz HJ, Lee JY, Moskovitz BL, Jerome DC, Catanzaro A, Bamberger DM, Weinmann AJ, Tuazon CU, Judson MA, Platts-Mills TA, DeGraff AC Jr (2000) A randomized trial of itraconazole in allergic bronchopulmonary aspergillosis. N Engl J Med 342:756–762

    PubMed  CAS  Google Scholar 

  • Sutton DA, Wickes BL, Romanelli AM, Rinaldi MG, Thompson EH, Fothergill AW, Dishop MK, Elidemir O, Mallory GB, Moonnamakal SP, Adesina AM, Schecter MG (2009) Cerebral aspergillosis caused by Aspergillus granulosus. J Clin Microbiol 47(10):3386–3390. doi:10.1128/JCM.00588-09

    PubMed  CAS  Google Scholar 

  • Symoens F, Knoop C, Schrooyen M, Denis O, Estenne M, Nolard N, Jacobs F (2006) Disseminated Scedosporium apiospermum infection in a cystic fibrosis patient after double-lung transplantation. J Heart Lung Transplant 25:603–607

    PubMed  Google Scholar 

  • Tintelnot K, Just-Nübling G, Horré R, Graf B, Sobottka I, Seibold M, Haas A, Kaben U, de Hoog GS (2009) A review of German Scedosporium prolificans cases from 1993 to 2007. Med Mycol 47:351–358

    PubMed  CAS  Google Scholar 

  • Tortorano AM, Prigitano A, Dho G, Esposto MC, Gianni C, Grancini A, Ossi C, Viviani MA (2008) Species distribution and in vitro antifungal susceptibility patterns of 75 clinical isolates of Fusarium spp. from northern Italy. Antimicrob Agents Chemother 52:2683–2685

    PubMed  CAS  Google Scholar 

  • Uçkay I, Chalandon Y, Sartoretti P, Rohner P, Berney T, Hadaya K, van Delden C (2007) Invasive zygomycosis in transplant recipients. Clin Transplant 21:577–582

    PubMed  Google Scholar 

  • Varga J, Houbraken J, van der Lee HA, Verweij PE, Samson RA (2008) Aspergillus calidoustus sp. nov., causative agent of human infections previously assigned to Aspergillus ustus. Eukaryot Cell 7:630–638

    PubMed  CAS  Google Scholar 

  • Vinh DC, Shea YR, Sugui JA, Parrilla-Castellar ER, Freeman AF, Campbell JW, Pittaluga S, Jones PA, Zelazny A, Kleiner D, Kwon-Chung KJ, Holland SM (2009) Invasive aspergillosis due to Neosartorya udagawae. Clin Infect Dis 49:102–111

    PubMed  Google Scholar 

  • Walsh TJ, Lutsar I, Driscoll T, Dupont B, Roden M, Ghahramani P, Hodges M, Groll AH, Perfect JR (2002) Voriconazole in the treatment of aspergillosis, scedosporiosis and other invasive fungal infections in children. Pediatr Infect Dis J 21:240–248

    PubMed  Google Scholar 

  • Zaas A, Liao G, Chien J, Weinberg C, Shore D, Giles SS, Marr KA, Usuka J, Burch LH, Perera L, Perfect JR, Peltz G, Schwartz DA (2008) Plasminogen alleles influence susceptibility to invasive aspergillosis. PLoS Genet 4:e1000101

    PubMed  Google Scholar 

  • Zaoutis TE, Heydon K, Chu JH, Walsh TJ, Steinbach WJ (2006) Epidemiology, outcomes, and costs of invasive aspergillosis in immunocompromised children in the United States, 2000. Pediatrics 117:e711–e716

    PubMed  Google Scholar 

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Correspondence to Ricardo Araujo .

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Araujo, R., Pina-Vaz, C., Rodrigues, A.G. (2010). Mould Infections: A Global Threat to Immunocompromised Patients. In: Ahmad, I., Owais, M., Shahid, M., Aqil, F. (eds) Combating Fungal Infections. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-12173-9_1

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