侵袭性念珠菌感染的诊断和治疗综述

M. Dąbrowska, Monika Sienkiewicz, P. Kwiatkowski, M. Dąbrowski
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引用次数: 1

摘要

白色念珠菌是世界范围内真菌感染的最常见原因。侵袭性念珠菌病包括念珠菌病和深部念珠菌病。大多数酵母菌侵袭性感染是内源性的,死亡率高。念珠菌病的发病机制取决于避免宿主免疫反应,以及真菌的毒力因素,使定植和入侵组织。在短时间内进行充分的源头控制和抗真菌治疗对于获得更好的预后至关重要。耐药性的出现和目前可用的抗真菌药物的副作用正在成为念珠菌感染管理的主要问题。
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Diagnosis and treatment of invasive Candida infections – a review article
Candida albicans is the most common cause of fungal infections worldwide. Invasive candidiasis comprises candidemia and deep-seated candidiasis. Most yeast invasive infections are endogenous with a high mortality. Pathogenesis of candidiasis depends on avoiding host immune responses, as well as the virulence factors of the fungus enabling colonization and invasion of tissues. Adequate source control and antifungal therapy administered within a short time is critical to get a better prognosis. The emergence of drug resistance and the side effects of currently available antifungals are becoming the major problem in the management of Candida spp. infection.
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