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Overview of Invasive Fungal Infections

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Fungal Diagnostics

Part of the book series: Methods in Molecular Biology ((MIMB,volume 968))

Abstract

The incidence of invasive fungal infections (IFIs) has seen a marked increase in the last two decades. This is especially evident among transplant recipients, patients suffering from AIDS, in addition to those in receipt of immunosuppressive therapy. Worryingly, this increased incidence includes infections caused by opportunistic fungi and emerging fungal infections which are resistant to or certainly less susceptible than others to standard antifungal agents. As a direct response to this phenomenon, there has been a resolute effort over the past several decades to improve early and accurate diagnosis and provide reliable screening protocols thereby promoting the administration of appropriate antifungal therapy for fungal infections. Early diagnosis and treatment with antifungal therapy are vital if a patient is to survive an IFI. Substantial advancements have been made with regard to both the diagnosis and subsequent treatment of an IFI. In parallel, stark changes in the epidemiological profile of these IFIs have similarly occurred, often in direct response the type of antifungal agent being administered. The effects of an IFI can be far reaching, ranging from increased morbidity and mortality to increased length hospital stays and economic burden.

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References

  1. Blackwell M (2011) The Fungi: 1, 2, 3 … 5.1 million species? Am J Bot 98(3):426–438

    Article  PubMed  Google Scholar 

  2. Hibbett DS et al (2007) A higher-level phylogenetic classification of the Fungi. Mycol Res 111(5):509–547

    Article  PubMed  Google Scholar 

  3. Celio GJ et al (2006) Assembling the fungal tree of life: constructing the structural and biochemical database. Mycologia 98(6):850–859

    Article  PubMed  CAS  Google Scholar 

  4. Birren B, Fink G, Lander E. (2004) A white paper for fungal comparative genomics, in fungal genome initiative. Centre for Genome Research, 320 Charles Street, Cambridge

    Google Scholar 

  5. Wiebe V, Karriker M (2005) Therapy of systemic fungal infections: a pharmacologic perspective. Clin Tech Small Anim Pract 20(4): 250–257

    Article  PubMed  Google Scholar 

  6. May GS, Adams TH (1997) The importance of fungi to man. Genome Res 7(11):1041–1044

    PubMed  CAS  Google Scholar 

  7. Hazen KC (1995) New and emerging yeast pathogens. Clin Microbiol Rev 8(4):462–478

    PubMed  CAS  Google Scholar 

  8. Ainsworth GC (1986) The history of medical and veterinary mycology. Cambridge University Press

    Google Scholar 

  9. Ascioglu S et al (2002) Defining opportunistic invasive fungal infections in immunocompromised patients with cancer and hematopoietic stem cell transplants: an international consensus. Clin Infect Dis 34(1):7–14

    Article  PubMed  CAS  Google Scholar 

  10. Denning DW (2004) Antifungals. Where are we headed? Drug plus international http://pharmalicensing.com/articles/disp/1095693369_414ef439d6909

  11. Fridkin SK, Jarvis WR (1996) Epidemiology of nosocomial fungal infections. Clin Microbiol Rev 9(4):499–511

    PubMed  CAS  Google Scholar 

  12. Wheat LJ (2009) Approach to the diagnosis of the endemic mycoses. Clin Chest Med 30(2):379–389

    Article  PubMed  Google Scholar 

  13. McGinnis MR, Rinaldi MG (1995) Selected medically important fungi and some common synonyms and obsolete names. Clin Infect Dis 21(2):277–278

    Article  PubMed  CAS  Google Scholar 

  14. McGinnis MR, Sigler L, Rinaldi MG (1999) Some medically important fungi and their common synonyms and names of uncertain application. Clin Infect Dis 29(4):728–730

    Article  PubMed  CAS  Google Scholar 

  15. Carrasco L et al (2005) Isolation of Candida famata from a patient with acute zonal occult outer retinopathy. J Clin Microbiol 43(2): 635–640

    Article  PubMed  Google Scholar 

  16. Naggie S, Perfect JR (2009) Molds: hyalohyphomycosis, phaeohyphomycosis, and zygomycosis. Clin Chest Med 30(2):337–353, vii–viii

    Article  PubMed  Google Scholar 

  17. Guarner J, Brandt ME (2011) Histopathologic diagnosis of fungal infections in the 21st century. Clin Microbiol Rev 24(2):247–280

    Article  PubMed  Google Scholar 

  18. Castagnola E et al (2008) Invasive mycoses in children receiving hemopoietic SCT. Bone Marrow Transplant 41(Suppl 2):S107–S111

    Article  PubMed  Google Scholar 

  19. Castagnola E et al (2007) A prospective study on the epidemiology of febrile episodes during chemotherapy-induced neutropenia in children with cancer or after hemopoietic stem cell transplantation. Clin Infect Dis 45(10):1296–1304

    Article  PubMed  Google Scholar 

  20. Castagnola E et al (2010) Incidence of bacteremias and invasive mycoses in children with acute non-lymphoblastic leukemia: results from a multi-center Italian study. Pediatr Blood Cancer 55(6):1103–1107

    Article  PubMed  Google Scholar 

  21. Murray PR, Rosenthal KS, Pfaller MA (2009) Medical microbiology. 6th edn. Philadelphia, PA, USA, Elsevier Mosby

    Google Scholar 

  22. Oz Y, Kiraz N (2011) Diagnostic methods for fungal infections in pediatric patients: microbiological, serological and molecular methods. Expert Rev Anti Infect Ther 9(3):289–298

    Article  PubMed  Google Scholar 

  23. Scott LJ, Simpson D (2007) Voriconazole: A review of its use in the management of invasive fungal infections. Drugs 67(2):269–298

    Article  PubMed  CAS  Google Scholar 

  24. Pfaller MA (1996) Nosocomial candidiasis: emerging species, reservoirs, and modes of transmission. Clin Infect Dis 22(Suppl 2):S89–S94

    Article  PubMed  Google Scholar 

  25. Pfaller MA et al (2000) Bloodstream infections due to Candida species: SENTRY antimicrobial surveillance program in North America and Latin America, 1997–1998. Antimicrob Agents Chemother 44(3):747–751

    Article  PubMed  CAS  Google Scholar 

  26. Nucci M, Anaissie E (2001) Revisiting the source of Candidemia: skin or gut? Clin Infect Dis 33(12):1959–1967

    Article  PubMed  CAS  Google Scholar 

  27. Strausbaugh LJ et al (1994) High frequency of yeast carriage on hands of hospital personnel. J Clin Microbiol 32(9):2299–2300

    PubMed  CAS  Google Scholar 

  28. Pfaller MA, Diekema DJ (2007) Epidemiology of invasive candidiasis: a persistent public health problem. Clin Microbiol Rev 20(1):133–163

    Article  PubMed  CAS  Google Scholar 

  29. Denning DW (2003) Echinocandin antifungal drugs. Lancet 362(9390):1142–1151

    Article  PubMed  CAS  Google Scholar 

  30. Perea S, Patterson TF (2002) Antifungal resistance in pathogenic fungi. Clin Infect Dis 35(9):1073–1080

    Article  PubMed  Google Scholar 

  31. Krcmery V, Barnes AJ (2002) Non-albicans Candida spp. causing fungaemia: pathogenicity and antifungal resistance. J Hospital Infect 50(4):243–260

    Article  CAS  Google Scholar 

  32. Pfaller MA et al (2006) Candida rugosa, an emerging fungal pathogen with resistance to azoles: geographic and temporal trends from the ARTEMIS DISK antifungal surveillance program. J Clin Microbiol 44(10): 3578–3582

    Article  PubMed  CAS  Google Scholar 

  33. Hay RJ, Jones RM (2010) New molecular tools in the diagnosis of superficial fungal infections. Clin Dermatol 28(2):190–196

    Google Scholar 

  34. Enoch DA, Ludlam HA, Brown NM (2006) Invasive fungal infections: a review of epidemiology and management options. J Med Microbiol 55(7):809–818

    Article  PubMed  CAS  Google Scholar 

  35. Rex JH et al (2000) Practice guidelines for the treatment of Candidiasis. Clin Infect Dis 30(4):662–678

    Article  PubMed  CAS  Google Scholar 

  36. Bicanic T, Harrison TS (2004) Cryptococcal meningitis. Br Med Bull 72(1):99–118

    Article  PubMed  Google Scholar 

  37. Denning DW (1998) Invasive aspergillosis. Clin Infect Dis 26(4):781–803

    Article  PubMed  CAS  Google Scholar 

  38. Kontoyiannis, Bodey (2002) Invasive aspergillosis in 2002: an update. Eur J Clin Microbiol Infecti Dis 21(3):161–172

    Google Scholar 

  39. Kontoyiannis DP, Mantadakis E, Samonis G (2003) Systemic mycoses in the immunocompromised host: an update in antifungal therapy. J Hosp Infect 53(4):243–258

    Article  PubMed  CAS  Google Scholar 

  40. Patterson TF et al (2000) Invasive aspergillosis: disease spectrum, treatment practices, and outcomes. Medicine 79(4):250–260

    Article  PubMed  CAS  Google Scholar 

  41. Haiduven D (2009) Nosocomial aspergillosis and building construction. Med Mycol 47(s1):S210–S216

    Article  PubMed  CAS  Google Scholar 

  42. Klont RR, Meis JFGM, Verweij PE (2001) Critical assessment of issues in the diagnosis of invasive aspergillosis. Clin Microbiol Infect 7:32–37

    Article  PubMed  Google Scholar 

  43. Metcalf SC, Dockrell DH (2007) Improved outcomes associated with advances in therapy for invasive fungal infections in immunocompromised hosts. J Infect 55(4):287–299

    Article  PubMed  CAS  Google Scholar 

  44. Nelson PE, Dignani MC, Anaissie EJ (1994) Taxonomy, biology, and clinical aspects of Fusarium species. Clin Microbiol Rev 7(4): 479–504

    PubMed  CAS  Google Scholar 

  45. Sampathkumar P, Paya CV (2001) Fusarium infection after solid-organ transplantation. Clin Infect Dis 32(8):1237–1240

    Article  PubMed  CAS  Google Scholar 

  46. Thursky KA et al (2008) Recommendations for the treatment of established fungal infections. Intern Med J 38(6b):496–520

    Article  PubMed  CAS  Google Scholar 

  47. Greenberg RN et al (2004) Zygomycosis (mucormycosis): emerging clinical importance and new treatments. Curr Opin Infect Dis 17(6):517–525

    Article  PubMed  CAS  Google Scholar 

  48. Petrikkos G, Drogari-Apiranthitou M (2011) Zygomycosis in immunocompromised nonhaematological patients. Mediterr J Hematol Infect Dis 3(1):e2011012

    Google Scholar 

  49. De Pauw B et al (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(12):1813–1821

    Article  PubMed  Google Scholar 

  50. Perea S, Patterson TF (2002) Invasive Aspergillus infections in hematologic malignancy patients. Semin Respir Infect 17(2): 99–105

    Article  PubMed  Google Scholar 

  51. Stevens DA (2002) Diagnosis of fungal infections: current status. J Antimicrob Chemother 49(Suppl 1):11–19

    Article  PubMed  CAS  Google Scholar 

  52. Ellepola AN, Morrison CJ (2005) Laboratory diagnosis of invasive candidiasis. J Microbiol 43:65–84

    PubMed  Google Scholar 

  53. Posteraro B et al (2011) Update on the laboratory diagnosis of invasive fungal infections. Mediterr J Hematol Infect Dis 3(1):e2011002

    Article  PubMed  Google Scholar 

  54. Sanguinetti M et al (2007) Evaluation of VITEK 2 and RapID yeast plus systems for yeast species identification: experience at a large clinical microbiology laboratory. J Clin Microbiol 45(4):1343–1346

    Article  PubMed  CAS  Google Scholar 

  55. Alexander BD, Pfaller MA (2006) Contemporary tools for the diagnosis and management of invasive mycoses. Clin Infect Dis 43:S15–S27

    Article  CAS  Google Scholar 

  56. Marr KA, Patterson T, Denning D (2002) Aspergillosis. Pathogenesis, clinical manifestations and therapy. Infect Dis Clin North Am 16(4):875–894, vi

    Article  PubMed  Google Scholar 

  57. Chandrasekar P (2010) Diagnostic challenges and recent advances in the early management of invasive fungal infections. Eur J Haematol 84(4):281–290

    Article  PubMed  Google Scholar 

  58. Karageorgopoulos DE et al (2011) Beta-D-glucan assay for the diagnosis of invasive fungal infections: a meta-analysis. Clin Infect Dis 52(6):750–770

    Article  PubMed  CAS  Google Scholar 

  59. Cordonnier C et al (2009) Empirical versus preemptive antifungal therapy for high-risk, febrile, neutropenic patients: a randomized, controlled trial. Clin Infect Dis 48(8): 1042–1051

    Article  PubMed  CAS  Google Scholar 

  60. Almyroudis NG, Segal BH (2009) Prevention and treatment of invasive fungal diseases in neutropenic patients. Curr Opin Infect Dis 22(4):385–393

    Article  PubMed  Google Scholar 

  61. Dornbusch HJ, Groll A, Walsh TJ (2010) Diagnosis of invasive fungal infections in immunocompromised children. Clin Microbiol Infect 16(9):1328–1334

    Article  PubMed  CAS  Google Scholar 

  62. Klont RR, Mennink-Kersten MASH, Verweij PE (2004) Utility of Aspergillus antigen detection in specimens other than serum specimens. Clin Infect Dis 39(10):1467–1474

    Article  PubMed  Google Scholar 

  63. Maertens J et al (2001) Screening for circulating galactomannan as a noninvasive diagnostic tool for invasive aspergillosis in prolonged neutropenic patients and stem cell transplantation recipients: a prospective validation. Blood 97(6):1604–1610

    Article  PubMed  CAS  Google Scholar 

  64. Sanguinetti M et al (2003) Comparison of real-time PCR, conventional PCR, and galactomannan antigen detection by enzyme-linked immunosorbent assay using bronchoalveolar lavage fluid samples from hematology patients for diagnosis of invasive pulmonary aspergillosis. J Clin Microbiol 41(8):3922–3925

    Article  PubMed  CAS  Google Scholar 

  65. Viscoli C et al (2002) Aspergillus galactomannan antigen in the cerebrospinal fluid of bone marrow transplant recipients with probable cerebral aspergillosis. J Clin Microbiol 40(4): 1496–1499

    Article  PubMed  CAS  Google Scholar 

  66. Wheat LJ, Walsh TJ (2008) Diagnosis of invasive aspergillosis by galactomannan antigenemia detection using an enzyme immunoassay. Eur J Clin Microbiol Infect Dis 27(4):245–251

    Article  PubMed  CAS  Google Scholar 

  67. Marr KA et al (2005) Antifungal therapy decreases sensitivity of the Aspergillus galactomannan enzyme immunoassay. Clin Infect Dis 40(12):1762–1769

    Article  PubMed  CAS  Google Scholar 

  68. Adam O et al (2004) Treatment with piperacillin-tazobactam and false-positive Aspergillus galactomannan antigen test results for patients with hematological malignancies. Clin Infect Dis 38(6):917–920

    Article  PubMed  Google Scholar 

  69. Pfeiffer CD, Fine JP, Safdar N (2006) Diagnosis of invasive aspergillosis using a galactomannan assay: a meta-analysis. Clin Infect Dis 42(10):1417–1427

    Article  PubMed  CAS  Google Scholar 

  70. Marty FM, Koo S (2009) Role of (1–  >  3)-beta-D-glucan in the diagnosis of invasive aspergillosis. Med Mycol 47(Suppl 1):S233–S240

    Article  PubMed  CAS  Google Scholar 

  71. Kohno S et al (1993) An evaluation of serodiagnostic tests in patients with candidemia: beta-glucan, mannan, candida antigen by Cand-Tec and D-arabinitol. Microbiol Immunol 37(3):207–212

    PubMed  CAS  Google Scholar 

  72. Ostrosky-Zeichner L et al (2005) Multicenter clinical evaluation of the (1-  >  3) beta-D-glucan assay as an aid to diagnosis of fungal infections in humans. Clin Infect Dis 41(5):654–659

    Article  PubMed  CAS  Google Scholar 

  73. Odabasi Z et al (2004) Beta-D-glucan as a diagnostic adjunct for invasive fungal infections: validation, cutoff development, and performance in patients with acute myelogenous leukemia and myelodysplastic syndrome. Clin Infect Dis 39(2):199–205

    Article  PubMed  CAS  Google Scholar 

  74. Morrissey CO et al (2008) Diagnostic and therapeutic approach to persistent or recurrent fevers of unknown origin in adult stem cell transplantation and haematological malignancy. Intern Med J 38(6b):477–495

    Article  PubMed  CAS  Google Scholar 

  75. Weiner MH, Coats-Stephen M (1979) Immunodiagnosis of systemic candidiasis: mannan antigenemia detected by radioimmunoassay in experimental and human infections. J Infect Dis 140(6):989–993

    Article  PubMed  CAS  Google Scholar 

  76. Yera H et al (2001) Contribution of serological tests and blood culture to the early diagnosis of systemic candidiasis. Eur J Clin Microbiol Infect Dis 20(12):864–870

    Article  PubMed  CAS  Google Scholar 

  77. Pasqualotto AC, Denning DW (2005) Diagnosis of invasive fungal infections – ­current limitations of classical methods and new diagnostic methods. Europ Oncol Rev REV:1–11

    Google Scholar 

  78. Hauggaard A, Ellis M, Ekelund L (2002) Early chest radiography and CT in the diagnosis, management and outcome of invasive pulmonary aspergillosis. Acta Radiol 43(3):292–298

    Article  PubMed  CAS  Google Scholar 

  79. Primack SL et al (1994) Pulmonary nodules and the CT halo sign. Radiology 190(2): 513–515

    PubMed  CAS  Google Scholar 

  80. Pinto PS (2004) The CT halo sign. Radiology 230(1):109–110

    Article  PubMed  Google Scholar 

  81. Caillot D et al (2001) Increasing volume and changing characteristics of invasive pulmonary aspergillosis on sequential thoracic computed tomography scans in patients with neutropenia. J Clin Oncol 19(1):253–259

    PubMed  CAS  Google Scholar 

  82. Bader O et al (2011) Improved clinical laboratory identification of human pathogenic yeasts by matrix-assisted laser desorption ionization time-of-flight mass spectrometry. Clin Microbiol Infect 17:1359–1365

    Google Scholar 

  83. Alanio A et al (2011) Matrix-assisted laser desorption ionization time-of-flight mass spectrometry for fast and accurate identification of clinically relevant Aspergillus species. Clin Microbiol Infect 17(5):750–755

    Article  PubMed  CAS  Google Scholar 

  84. White PL, Perry MD, Barnes RA (2009) An update on the molecular diagnosis of invasive fungal disease. FEMS Microbiol Lett 296(1):1–10

    Article  PubMed  CAS  Google Scholar 

  85. White PL et al (2006) The evolution and evaluation of a whole blood polymerase chain reaction assay for the detection of invasive aspergillosis in hematology patients in a routine clinical setting. Clin Infect Dis 42(4): 479–486

    Article  PubMed  CAS  Google Scholar 

  86. Dunyach C et al (2008) Detection and identification of Candida spp. in human serum by LightCycler real-time polymerase chain reaction. Diagn Microbiol Infect Dis 60(3):263–271

    Article  PubMed  CAS  Google Scholar 

  87. Costa C et al (2002) Real-time PCR coupled with automated DNA extraction and detection of galactomannan antigen in serum by enzyme-linked immunosorbent assay for diagnosis of invasive aspergillosis. J Clin Microbiol 40(6):2224–2227

    Article  PubMed  CAS  Google Scholar 

  88. Landlinger C, Preuner S, Bašková L, van Grotel M, Hartwig NG, Dworzak M, Mann G, Attarbaschi A, Kager L, Peters C, Matthes-Martin S, Lawitschka A, van den Heuvel-Eibrink MM, Lion T (2010) Diagnosis of invasive fungal infections by a real-time panfungal PCR assay in immunocompromised pediatric patients. Leukemia 24:2032–2038

    Article  PubMed  CAS  Google Scholar 

  89. Khot PD, Fredricks DN (2009) PCR-based diagnosis of human fungal infections. Expert Rev Anti Infect Ther 7(10):1201–1221

    Article  PubMed  CAS  Google Scholar 

  90. Barnes RA (2008) Early diagnosis of fungal infection in immunocompromised patients. J Antimicrob Chemother 61(Suppl 1):i3–i6

    Article  PubMed  CAS  Google Scholar 

  91. Donnelly JP (2006) Polymerase chain reaction for diagnosing invasive aspergillosis: getting closer but still a ways to go. Clin Infect Dis 42(4):487–489

    Article  PubMed  CAS  Google Scholar 

  92. Buchheidt D et al (2004) Prospective clinical evaluation of a LightCycler-mediated polymerase chain reaction assay, a nested-PCR assay and a galactomannan enzyme-linked immunosorbent assay for detection of invasive aspergillosis in neutropenic cancer patients and haematological stem cell transplant recipients. Br J Haematol 125(2):196–202

    Article  PubMed  CAS  Google Scholar 

  93. Wheat LJ (2006) Antigen detection, serology, and molecular diagnosis of invasive mycoses in the immunocompromised host. Transpl Infect Dis 8(3):128–139

    Article  PubMed  CAS  Google Scholar 

  94. Mengoli C et al (2009) Use of PCR for diagnosis of invasive aspergillosis: systematic review and meta-analysis. Lancet Infect Dis 9(2):89–96

    Article  PubMed  CAS  Google Scholar 

  95. Archibald L et al (1997) Antimicrobial ­resistance in isolates from inpatients and outpatients in the United States: increasing importance of the intensive care unit. Clin Infect Dis 24(2):211–215

    Article  PubMed  CAS  Google Scholar 

  96. Ghimire A, Dela Cruz CS (2011) Fungal infections in the intensive care unit. The American College of Chest Physicians. PCCSU. Vol 25

    Google Scholar 

  97. Ruping MJGT, Vehreschild JJ, Cornely OA (2008) Patients at high risk of invasive fungal infections when and how to treat. Drugs 68(14):1941–1962

    Article  PubMed  Google Scholar 

  98. Viscoli C (2009) Antifungal prophylaxis ans preemptive therapy. Drugs 69(Suppl 1):75–78

    Article  PubMed  CAS  Google Scholar 

  99. Playford EG, Lipman J, Sorrell TC (2010) Management of invasive candidiasis in the intensive careunit. Drugs 70:823–839

    Article  PubMed  CAS  Google Scholar 

  100. Rubio-Terres C, Grau S (2010) Pharma-coeconomics of voriconazole. Expert Opin Pharmacother 11(6):877–887

    Article  PubMed  CAS  Google Scholar 

  101. Ashley ESD et al (2006) Pharmacology of systemic antifungal agents. Clin Infect Dis 43: S28–S39

    Article  Google Scholar 

  102. Loeffler J, Stevens DA (2003) Antifungal drug resistance. Clin Infect Dis 36(Suppl 1): S31–S41

    Article  PubMed  CAS  Google Scholar 

  103. Mohr J et al (2008) Current options in antifungal pharmacotherapy. Pharmacotherapy 28(5):614–645

    Article  PubMed  CAS  Google Scholar 

  104. Gallis HA, Drew RH, Pickard WW (1990) Amphotericin B: 30 years of clinical experience. Rev Infect Dis 12(2):308–329

    Article  PubMed  CAS  Google Scholar 

  105. Boucher HW et al (2004) Newer systemic antifungal agents: pharmacokinetics, safety and efficacy. Drugs 64(18):1997–2020

    Article  PubMed  CAS  Google Scholar 

  106. Ng AW, Wasan KM, Lopez-Berestein G (2003) Development of liposomal polyene antibiotics: an historical perspective. J Pharm Pharm Sci 6(1):67–83

    PubMed  CAS  Google Scholar 

  107. Kontoyiannis DP et al (2003) Sequential exposure of Aspergillus fumigatus to itraconazole and caspofungin: evidence of enhanced in vitro activity. Diagn Microbiol Infect Dis 47(2):415–419

    Article  PubMed  CAS  Google Scholar 

  108. Kauffman CA (2006) Fungal infections. Proc Am Thorac Soc 3(1):35–40

    Article  PubMed  CAS  Google Scholar 

  109. Fluckiger U et al (2006) Treatment options of invasive fungal infections in adults. Swiss Med Wkly 136(29–30):447–463

    PubMed  CAS  Google Scholar 

  110. McCoy D, Depestel DD, Carver PL (2009) Primary antifungal prophylaxis in adult hematopoietic stem cell transplant recipients: current therapeutic concepts. Pharmacotherapy 29:1306–1325

    Article  PubMed  CAS  Google Scholar 

  111. Lai CC et al (2008) Current challenges in the management of invasive fungal infections. J Infect Chemother 14(2):77–85

    Article  PubMed  CAS  Google Scholar 

  112. Letscher-Bru V, Herbrecht R (2003) Caspofungin: the first representative of a new antifungal class. J Antimicrob Chemother 51(3):513–521

    Article  PubMed  CAS  Google Scholar 

  113. Auberger J, Lass-Flörl C (2011) Current evidence for the treatment of invasive fungal infections in immunocompromised patients. Clin Infect 1(3):447–457

    Google Scholar 

  114. Richardson MD, Jones BL (2007) Therapeutic guidelines in systemic fungal infections. 3rd edn. Current Medical Literature.

    Google Scholar 

  115. Safdar A (2007) Antifungal immunity and adjuvant cytokine immune enhancement in cancer patients with invasive fungal infections. Clin Microbiol Infect 13(1):1–4

    Article  PubMed  CAS  Google Scholar 

  116. İkincioğulları A et al (2005) Granulocyte transfusions in children with chronic granulomatous disease and invasive aspergillosis. Ther Apher Dial 9(2):137–141

    Article  PubMed  Google Scholar 

  117. Ghannoum MA, Rice LB (1999) Antifungal agents: mode of action, mechanisms of resistance, and correlation of these mechanisms with bacterial resistance. Clin Microbiol Rev 12(4):501–517

    PubMed  CAS  Google Scholar 

  118. Kontoyiannis DP, Lewis RE (2002) Antifungal drug resistance of pathogenic fungi. Lancet 359(9312):1135–1144

    Article  PubMed  CAS  Google Scholar 

  119. Sheehan DJ, Hitchcock CA, Sibley CM (1999) Current and emerging azole antifungal agents. Clin Microbiol Rev 12(1):40–79

    PubMed  CAS  Google Scholar 

  120. Arikan S (2007) Current status of antifungal susceptibility testing methods. Med Mycol 45(7):569–587

    Article  PubMed  CAS  Google Scholar 

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Tuite, N.L., Lacey, K. (2013). Overview of Invasive Fungal Infections. In: O'Connor, L., Glynn, B. (eds) Fungal Diagnostics. Methods in Molecular Biology, vol 968. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-257-5_1

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