CD4 count – mycolab.ai

Emerging Infections Network Survey of Screening for Cryptococcal Antigenemia, United States, 2024

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Researchers surveyed infectious disease doctors across the United States about their use of a blood test (cryptococcal antigen screening) to detect a serious fungal infection in HIV patients before symptoms appear. Only about one-third to two-thirds of doctors regularly perform this inexpensive and accurate test, depending on the patient’s immune system status. Many doctors were unsure about the benefits and guidelines for this screening, suggesting that education and clearer guidelines could help more patients catch this dangerous infection early and receive treatment before it becomes life-threatening.

Emerging Infections Network Survey of Screening for Cryptococcal Antigenemia, United States, 2024

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This survey asked infectious disease doctors across the United States about their use of a simple blood test (cryptococcal antigen screening) for HIV patients. The test can detect a dangerous fungal infection weeks before symptoms appear, allowing for early treatment. However, the survey found that many doctors are not using this recommended test regularly, primarily because they are unsure about its benefits and are confused about screening guidelines.

Access to diagnostic testing for invasive fungal diseases and other opportunistic infections in Mexican health care centers caring for patients living with HIV

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This study examined the availability of diagnostic tests for fungal and other serious infections in Mexican HIV clinics. Researchers found that most clinics, especially smaller primary care facilities, lack modern rapid testing equipment needed to quickly diagnose dangerous infections like cryptococcosis and histoplasmosis. These infections are common in people with advanced HIV and can be life-threatening, making access to rapid diagnosis crucial for treatment and survival.

mGem: Sepsis and antimicrobial resistance in the context of advanced HIV disease

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This review examines how serious infections (sepsis) from bacteria and fungi affect people with advanced HIV disease, particularly in hospitals. The infections have become more dangerous due to antimicrobial resistance, and many cases go undiagnosed because of limited laboratory capabilities. The paper calls for better diagnostic tools and treatment strategies tailored to resource-limited settings where most advanced HIV disease cases occur.

Emerging Infections Network Survey of Screening for Cryptococcal Antigenemia, United States, 2024

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Researchers surveyed infectious disease doctors across the United States about their use of a simple blood test that detects cryptococcal fungal infections in HIV patients before symptoms appear. The test, called cryptococcal antigen (CrAg) screening, can prevent serious illness and death if caught early, but the survey found that many doctors are not using it consistently. About 42% of doctors were unsure about the benefits of the test, and another 32% were confused about current screening recommendations, revealing a need for better education about this important preventive tool.

Emerging Infections Network Survey of Screening for Cryptococcal Antigenemia, United States, 2024

mycolabadmin

Researchers surveyed infectious disease doctors across the United States about how often they screen HIV patients for cryptococcal infections using a simple blood test. They found that only about one-third to two-thirds of doctors regularly perform this screening despite guidelines recommending it. Many doctors expressed uncertainty about whether the screening is beneficial or weren’t sure about the official recommendations, suggesting a need for better education about this potentially life-saving test.

Candida glabrata meningitis in a patient with newly diagnosed acquired immunodeficiency syndrome from Sikkim, India

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A middle-aged woman in India was admitted with severe headaches and was found to have a rare fungal infection of the brain (meningitis) caused by Candida glabrata, a type of yeast. She had recently been diagnosed with AIDS and had very low immune cell counts. Although doctors tried multiple antifungal medications, the yeast showed resistance to these drugs and the patient’s condition worsened, ultimately leading to her death. This case highlights how dangerous fungal infections can be in people with severely weakened immune systems.

Disseminated histoplasmosis with bone marrow infiltration in a newly diagnosed HIV patient

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A Colombian patient living in Spain developed a serious fungal infection (histoplasmosis) that spread throughout his body and affected his bone marrow, which was discovered during his HIV diagnosis. Doctors identified the infection by examining bone marrow cells under a microscope and confirmed it with fungal culture and genetic testing. The patient was treated with antifungal medication (liposomal amphotericin B) along with HIV medications and recovered well, highlighting the importance of bone marrow testing in severely immunocompromised HIV patients.

Photo Quiz: A cutaneous fungal infection with discordant biomarker results—a diagnostic challenge

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A woman with advanced HIV infection presented with skin sores and respiratory symptoms that were initially suspected to be a viral infection. Testing revealed she had histoplasmosis, a serious fungal infection caused by Histoplasma capsulatum that had spread throughout her body affecting her skin, lungs, and lymph nodes. While standard tests for this fungus were negative, other fungal markers and cultures eventually confirmed the diagnosis, and she was treated with antifungal medications.

Emerging Infections Network Survey of Screening for Cryptococcal Antigenemia, United States, 2024

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Researchers surveyed infectious disease doctors across the United States to understand how often they test HIV patients for cryptococcal antigen, a fungal infection that can be serious. The study found that doctors don’t consistently follow recommended screening guidelines, with many uncertain about the benefits of testing. Key barriers included confusion about testing recommendations and concerns about delaying HIV treatment, suggesting that doctors need better education about the importance of early detection.

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