The outbreak of cryptococcus gattii in western North America: Epidemiology and clinical issues

被引:39
作者
Byrnes III E.J. [1 ,2 ]
Marr K.A. [3 ]
机构
[1] Department of Medicine, Johns Hopkins University, School of Medicine, Baltimore, MD 21205
[2] Division of Infectious Diseases, Johns Hopkins University, School of Medicine, Baltimore, MD 21205
[3] Transplant and Oncology Infectious Diseases Program, Johns Hopkins University, School of Medicine, Baltimore, MD 21205
关键词
Cryptococcosis; Fungal outbreak; Meningitis; Pacific Northwest; Pneumonia;
D O I
10.1007/s11908-011-0181-0
中图分类号
学科分类号
摘要
Over the previous decade, we observed the emergence of the fungal pathogen, Cryptococcus gattii, as a cause of disease in humans and animals in a temperate climate. This outbreak, first documented on Vancouver Island, has since expanded throughout Western North America, with non-travel-associated cases now in British Columbia, Washington, Oregon, and California. Additionally, a secondary outbreak, originating in and still restricted to Oregon, has also occurred. During the past several years, several studies detailing molecular typing, virulence, antifungal susceptibilities, epidemiology, and clinical issues have been published. These studies begin to address the complex dynamics of this novel emergence of a rare and fatal fungus, outline clinical characteristics of human cases, and also opened several new areas that should be explored in the upcoming years. © 2011 Springer Science+Business Media, LLC.
引用
收藏
页码:256 / 261
页数:5
相关论文
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