Cryptococcal Lung Infections

Clin Chest Med. 2017 Sep;38(3):451-464. doi: 10.1016/j.ccm.2017.04.007.

Abstract

Cryptococcus is among the most common invasive fungal pathogens globally and is one of the leading causes of acquired immunodeficiency virus-related deaths. Cryptococcus neoformans and Cryptococcus gattii are the most clinically relevant species and account for most cryptococcal disease. Pulmonary manifestations can range from mild symptoms to life-threatening infection. Treatment is tailored based on the severity of pulmonary infection, the presence of disseminated or central nervous system disease, and patient immune status. Amphotericin B and flucytosine followed by fluconazole remain the standard agents for the treatment of severe cryptococcal infection.

Keywords: Cryptococcosis; Cryptococcus; Endemic mycoses; Fungal lung infection; Treatment.

Publication types

  • Review

MeSH terms

  • Antifungal Agents / therapeutic use*
  • Cryptococcosis / complications*
  • Cryptococcosis / pathology
  • Cryptococcus gattii
  • Humans
  • Lung / pathology*
  • Respiratory Tract Infections / drug therapy
  • Respiratory Tract Infections / etiology*

Substances

  • Antifungal Agents