Needles in a haystack: Extremely rare invasive fungal infections reported in FungiScopeⓇ-Global Registry for Emerging Fungal Infections
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Needles in a haystack: Extremely rare invasive fungal infections reported in FungiScopeⓇ-Global Registry for Emerging Fungal Infections. / ECMM/ISHAM working group ; Heinemann, Melina.
in: J INFECTION, Jahrgang 81, Nr. 5, 5, 11.2020, S. 802-815.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Needles in a haystack: Extremely rare invasive fungal infections reported in FungiScopeⓇ-Global Registry for Emerging Fungal Infections
AU - Salmanton-García, Jon
AU - Koehler, Philipp
AU - Kindo, Anupma
AU - Falces-Romero, Iker
AU - García-Rodríguez, Julio
AU - Ráčil, Zdeněk
AU - Chen, Sharon C-A
AU - Klimko, Nikolai
AU - Desoubeaux, Guillaume
AU - Thompson, George R
AU - Benítez-Peñuela, Miguel-Ángel
AU - Rodríguez, José-Yesid
AU - Sheppard, Donald C
AU - Hoenigl, Martin
AU - Le Govic, Yohann
AU - Badali, Hamid
AU - Baddley, John W
AU - Chander, Jagdish
AU - Ingram, Paul R
AU - Pakstis, Diana L
AU - Mellinghoff, Sibylle C
AU - Atıcı, Serkan
AU - Cesaro, Simone
AU - Chakrabarti, Arunaloke
AU - Dupont, Damien
AU - González, Gloria M
AU - Hatvani, Lóránt
AU - Herbrecht, Raoul
AU - Klyasova, Galina
AU - Lass-Flörl, Cornelia
AU - Mareș, Mihai
AU - Mullane, Kathleen
AU - Vinh, Donald C
AU - Wisplinghoff, Hilmar
AU - Lackner, Michaela
AU - Cornely, Oliver A
AU - Seidel, Danila
AU - ECMM/ISHAM working group
AU - Heinemann, Melina
N1 - Copyright © 2020 The British Infection Association. Published by Elsevier Ltd. All rights reserved.
PY - 2020/11
Y1 - 2020/11
N2 - OBJECTIVES: Emerging invasive fungal infections (IFI) have become a notable challenge. Apart from the more frequently described fusariosis, lomentosporiosis, mucormycosis, scedosporiosis, and certain dematiaceae or yeasts, little is known about extremely rare IFI.METHODS: Extremely rare IFI collected in the FungiScopeⓇ registry were grouped as Dematiaceae, Hypocreales, Saccharomycetales, Eurotiales, Dermatomycetes, Agaricales, and Mucorales.RESULTS: Between 2003 and June 2019, 186 extremely rare IFI were documented in FungiScopeⓇ. Dematiaceae (35.5%), Hypocreales (23.1%), Mucorales (11.8%), and Saccharomycetales (11.3%) caused most IFI. Most patients had an underlying malignancy (38.7%) with acute leukemia accounting for 50% of cancers. Dissemination was observed in 26.9% of the patients. Complete or partial clinical response rate was 68.3%, being highest in Eurotiales (82.4%) and in Agaricales (80.0%). Overall mortality rate was 29.3%, ranging from 11.8% in Eurotiales to 50.0% in Mucorales.CONCLUSIONS: Physicians are confronted with a complex variety of fungal pathogens, for which treatment recommendations are lacking and successful outcome might be incidental. Through an international consortium of physicians and scientists, these cases of extremely rare IFI can be collected to further investigate their epidemiology and eventually identify effective treatment regimens.
AB - OBJECTIVES: Emerging invasive fungal infections (IFI) have become a notable challenge. Apart from the more frequently described fusariosis, lomentosporiosis, mucormycosis, scedosporiosis, and certain dematiaceae or yeasts, little is known about extremely rare IFI.METHODS: Extremely rare IFI collected in the FungiScopeⓇ registry were grouped as Dematiaceae, Hypocreales, Saccharomycetales, Eurotiales, Dermatomycetes, Agaricales, and Mucorales.RESULTS: Between 2003 and June 2019, 186 extremely rare IFI were documented in FungiScopeⓇ. Dematiaceae (35.5%), Hypocreales (23.1%), Mucorales (11.8%), and Saccharomycetales (11.3%) caused most IFI. Most patients had an underlying malignancy (38.7%) with acute leukemia accounting for 50% of cancers. Dissemination was observed in 26.9% of the patients. Complete or partial clinical response rate was 68.3%, being highest in Eurotiales (82.4%) and in Agaricales (80.0%). Overall mortality rate was 29.3%, ranging from 11.8% in Eurotiales to 50.0% in Mucorales.CONCLUSIONS: Physicians are confronted with a complex variety of fungal pathogens, for which treatment recommendations are lacking and successful outcome might be incidental. Through an international consortium of physicians and scientists, these cases of extremely rare IFI can be collected to further investigate their epidemiology and eventually identify effective treatment regimens.
U2 - 10.1016/j.jinf.2020.08.015
DO - 10.1016/j.jinf.2020.08.015
M3 - SCORING: Journal article
C2 - 32798532
VL - 81
SP - 802
EP - 815
JO - J INFECTION
JF - J INFECTION
SN - 0163-4453
IS - 5
M1 - 5
ER -