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Immunocompromised Hosts: Cryptococcosis in Solid Organ Transplant Recipients: Current State of the Science
Author(s) -
Nina Singh,
Françoise Dromer,
John R. Perfect,
Olivier Lortholary
Publication year - 2008
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/592690
Subject(s) - cryptococcosis , immunosuppression , medicine , calcineurin , immunology , disease , opportunistic infection , antifungal , organ transplantation , intensive care medicine , immune system , immune reconstitution inflammatory syndrome , transplantation , human immunodeficiency virus (hiv) , dermatology , viral disease , antiretroviral therapy , viral load
Cryptococcosis remains a significant opportunistic infection in solid organ transplant recipients. Disease presentation and outcomes may be affected by, among other factors, the use of calcineurin inhibitor immunosuppressive agents. It is being increasingly recognized that rapid reversal of immunosuppression in transplant recipients treated for cryptococcosis incurs the risk of immune reconstitution inflammatory syndrome, which resembles worsening disease or relapse. This review summarizes the current state of knowledge regarding cryptococcosis in transplant recipients and highlights areas where future investigations are needed to further optimize outcomes for these patients.

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