CNS Fungal Infections in Liver Transplantation

Rozita Khodashahi, Kambiz Akhavan Rezayat, Aref Abdollahzade, Mohammad-Hassan Arjmand, Ebrahim Bidi, H. Rahimi, Mohsen Aliakbarian
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Abstract

Context: Liver transplant recipients are highly susceptible to infections, including those affecting the central nervous system (CNS), due to their compromised immune systems and underlying chronic comorbidities. Results: Despite recent advancements in diagnostic and treatment modalities, post-transplant fungal infections continue to affect these patients. CNS fungal infections following liver transplantation pose a significant challenge in the diagnostic and therapeutic management of transplant recipients. Timely diagnosis and treatment are crucial because these infections are often identified late, leading to substantial morbidity and mortality in this patient population. Conclusions: This mini-review aims to explore the incidence of CNS fungal infections in liver transplant recipients, the key opportunistic pathogens involved, the associated risk factors, various clinical presentations, and the importance of preventive measures.
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肝移植中的中枢神经系统真菌感染
背景:肝移植受者由于免疫系统受损和潜在的慢性并发症,极易受到感染,包括影响中枢神经系统 (CNS) 的感染。结果:尽管最近在诊断和治疗方法上取得了进步,但移植后真菌感染仍然影响着这些患者。肝移植后中枢神经系统真菌感染对移植受者的诊断和治疗管理提出了重大挑战。及时诊断和治疗至关重要,因为这些感染往往很晚才被发现,从而导致这类患者大量发病和死亡。结论:本微型综述旨在探讨肝移植受者中枢神经系统真菌感染的发病率、涉及的主要机会性病原体、相关风险因素、各种临床表现以及预防措施的重要性。
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