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Non-Aspergillus fungal infections in chronic granulomatous disease.

TitleNon-Aspergillus fungal infections in chronic granulomatous disease.
Publication TypeJournal Article
Year of Publication2013
AuthorsDotis, J., Pana Z. Dorothea, & Roilides E.
JournalMycoses
Volume56
Issue4
Pagination449-62
Date Published2013 Jul
ISSN1439-0507
KeywordsAdolescent, Adult, Aged, Antifungal Agents, Child, Child, Preschool, Female, Fungi, Granulomatous Disease, Chronic, Humans, Infant, Lung, Male, Middle Aged, Mycoses, Young Adult
Abstract

Chronic granulomatous disease (CGD) is a congenital immunodeficiency, characterised by significant infections due to an inability of phagocyte to kill catalase-positive organisms including certain fungi such as Aspergillus spp. Nevertheless, other more rare fungi can cause significant diseases. This report is a systematic review of all published cases of non-Aspergillus fungal infections in CGD patients. Analysis of 68 cases of non-Aspergillus fungal infections in 65 CGD patients (10 females) published in the English literature. The median age of CGD patients was 15.2 years (range 0.1-69), 60% of whom had the X-linked recessive defect. The most prevalent non-Aspergillus fungal infections were associated with Rhizopus spp. and Trichosporon spp. found in nine cases each (13.2%). The most commonly affected organs were the lungs in 69.9%. In 63.2% of cases first line antifungal treatment was monotherapy, with amphotericin B formulations being the most frequently used antifungal agents in 45.6% of cases. The overall mortality rate was 26.2%. Clinicians should take into account the occurrence of non-Aspergillus infections in this patient group, as well as the possibility of a changing epidemiology in fungal pathogens. Better awareness and knowledge of these pathogens can optimise antifungal treatment and improve outcome in CGD patients.

DOI10.1111/myc.12049
Alternate JournalMycoses
PubMed ID23369076

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