4.2 Article

Cryptococcosis

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W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.idc.2015.10.006

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Cryptococcosis; Opportunistic mycoses; HIV/AIDS; Solid organ transplantation (SOT); Central nervous system (CNS) infection; Immune reconstitution inflammatory syndrome (IRIS)

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Cryptococcosis is an invasive mycosis caused by pathogenic encapsulated yeasts in the genus Cryptococcus. Ctyptococcus gained prominence as a pathogen capable of widespread disease outbreaks in vulnerable populations. We have gained insight into the pathobiology of Ctyptococcus, including the yeast's capacity to adapt to environmental pressures, exploit new geographic environments, and cause disease in both immunocompromised and apparently immunocompetent hosts. Inexpensive, point-of-care testing makes diagnosis more feasible than ever. The associated worldwide burden and mortality remains unacceptably high. Novel screening strategies and preemptive therapy offer promise at making a sustained and much needed impact on this sugar-coated opportunistic mycosis.

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