therapeutic action: immune reconstitution

Humans vs. Fungi: An Overview of Fungal Pathogens against Humans

Fungal infections are serious health threats that kill approximately 1.5 million people annually worldwide. This comprehensive review identifies over 280 different fungal species that can infect humans, with Aspergillus being the most dangerous genus. The study provides updated information on how these infections are diagnosed through various methods including cultures, microscopy, and molecular testing, as well as treatment options ranging from traditional antifungal drugs to newer therapies like nanotechnology-based formulations.

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Refractory fungal infection: Three case reports highlighting good practice

This case series examines three patients with serious fungal infections that did not respond well to standard antifungal treatments. The cases demonstrate how fungi can develop resistance to common antifungal drugs like azoles, making infections harder to treat. The authors emphasize that accurate identification of the fungus, testing its sensitivity to drugs, monitoring drug levels in the blood, and careful use of antifungal medications are essential for successfully treating these difficult infections.

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The dimorphic fungus Talaromyces marneffei: An opportunistic killer in Southeast Asia

Talaromyces marneffei is a dangerous fungus found in Southeast Asian soil that people inhale, causing a serious disease called talaromycosis. The fungus is particularly deadly for people with weakened immune systems like those with advanced HIV. The fungus has evolved clever tricks to hide from and manipulate the body’s immune system, allowing it to multiply inside immune cells called macrophages.

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Sarocladium implicatum: an unusual agent of opportunistic infection in a COVID-19 patient

A 64-year-old man hospitalized with COVID-19 developed a serious fungal infection from Sarocladium implicatum, an unusual fungus rarely found in humans. The infection appeared in his bloodstream and lungs while his immune system was severely weakened by the virus and medications. Doctors identified the fungus using genetic testing and successfully treated him with voriconazole antifungal medication. This case highlights how COVID-19 patients in intensive care are vulnerable to rare opportunistic infections that require specialized laboratory testing to identify and treat.

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