Cryptococcal meningitis due to Cryptococcus neoformans genotype AFLP 1/ VNI in Iran: a review of the literature
Cryptococcal meningitis is the most important opportunistic fungal infection with a high mortality in HIV ‐patients in less developed regions. Here, we report a case of cryptococcal meningitis in a 49‐year‐old HIV ‐positive female due to Cryptococcus neoformans (serotype A, mating‐type alpha, genoty...
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| Veröffentlicht in: | Mycoses 2015-12, Vol.58 (12), p.689-693 |
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| container_title | Mycoses |
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| creator | Badali, Hamid Alian, Shahriar Fakhim, Hamed Falahatinejad, Mahsa Moradi, Ali Mohammad Davoudi, Mehrnaz Hagen, Ferry Meis, Jacques F. |
| description | Cryptococcal meningitis is the most important opportunistic fungal infection with a high mortality in
HIV
‐patients in less developed regions. Here, we report a case of cryptococcal meningitis in a 49‐year‐old
HIV
‐positive female due to
Cryptococcus neoformans
(serotype A, mating‐type alpha, genotype
AFLP
1/
VNI
) in Sari, Iran.
In vitro
antifungal susceptibility tests showed
MIC
s of isavuconazole (0.016 μg ml
−1
), voriconazole (0.031 μg ml
−1
), posaconazole (0.031 μg ml
−1
), itraconazole (0.063 μg ml
−1
), amphotericin B (0.125 μg ml
−1
) and fluconazole (8 μg ml
−1
). Despite immediate antifungal therapy, the patient died 4 days later due to respiratory failure. Cryptococcal infections have been infrequently reported from Iran and therefore we analysed all published cases of cryptococcosis in Iran since the first reported case from 1969. |
| doi_str_mv | 10.1111/myc.12415 |
| format | Article |
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HIV
‐patients in less developed regions. Here, we report a case of cryptococcal meningitis in a 49‐year‐old
HIV
‐positive female due to
Cryptococcus neoformans
(serotype A, mating‐type alpha, genotype
AFLP
1/
VNI
) in Sari, Iran.
In vitro
antifungal susceptibility tests showed
MIC
s of isavuconazole (0.016 μg ml
−1
), voriconazole (0.031 μg ml
−1
), posaconazole (0.031 μg ml
−1
), itraconazole (0.063 μg ml
−1
), amphotericin B (0.125 μg ml
−1
) and fluconazole (8 μg ml
−1
). Despite immediate antifungal therapy, the patient died 4 days later due to respiratory failure. Cryptococcal infections have been infrequently reported from Iran and therefore we analysed all published cases of cryptococcosis in Iran since the first reported case from 1969.</description><identifier>ISSN: 0933-7407</identifier><identifier>EISSN: 1439-0507</identifier><identifier>DOI: 10.1111/myc.12415</identifier><language>eng</language><ispartof>Mycoses, 2015-12, Vol.58 (12), p.689-693</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c745-4966e4e24818269976d06819cc2cbd09119e4d733f6fdd58b2dda70091af94503</citedby><cites>FETCH-LOGICAL-c745-4966e4e24818269976d06819cc2cbd09119e4d733f6fdd58b2dda70091af94503</cites><orcidid>0000-0003-3253-6080</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27926,27927</link.rule.ids></links><search><creatorcontrib>Badali, Hamid</creatorcontrib><creatorcontrib>Alian, Shahriar</creatorcontrib><creatorcontrib>Fakhim, Hamed</creatorcontrib><creatorcontrib>Falahatinejad, Mahsa</creatorcontrib><creatorcontrib>Moradi, Ali</creatorcontrib><creatorcontrib>Mohammad Davoudi, Mehrnaz</creatorcontrib><creatorcontrib>Hagen, Ferry</creatorcontrib><creatorcontrib>Meis, Jacques F.</creatorcontrib><title>Cryptococcal meningitis due to Cryptococcus neoformans genotype AFLP 1/ VNI in Iran: a review of the literature</title><title>Mycoses</title><description>Cryptococcal meningitis is the most important opportunistic fungal infection with a high mortality in
HIV
‐patients in less developed regions. Here, we report a case of cryptococcal meningitis in a 49‐year‐old
HIV
‐positive female due to
Cryptococcus neoformans
(serotype A, mating‐type alpha, genotype
AFLP
1/
VNI
) in Sari, Iran.
In vitro
antifungal susceptibility tests showed
MIC
s of isavuconazole (0.016 μg ml
−1
), voriconazole (0.031 μg ml
−1
), posaconazole (0.031 μg ml
−1
), itraconazole (0.063 μg ml
−1
), amphotericin B (0.125 μg ml
−1
) and fluconazole (8 μg ml
−1
). Despite immediate antifungal therapy, the patient died 4 days later due to respiratory failure. Cryptococcal infections have been infrequently reported from Iran and therefore we analysed all published cases of cryptococcosis in Iran since the first reported case from 1969.</description><issn>0933-7407</issn><issn>1439-0507</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNpFkL1OwzAURi0EEqUw8AZ3ZUhrJ44ds1UVLZUqYKhYI9e-LkZNXNkuKG9P-ZH4lm840hkOIbeMTthp024wE1ZyVp-REeOVKmhN5TkZUVVVheRUXpKrlN4pZVKVYkTCPA6HHEwwRu-hw973O599AntEyAH-8TFBj8GF2Ok-wQ77kIcDwmyxfgE2hdenFfgeVlH396Ah4ofHTwgO8hvC3meMOh8jXpMLp_cJb_5-TDaLh838sVg_L1fz2bowktcFV0Igx5I3rCmFUlJYKhqmjCnN1lLFmEJuZVU54aytm21prZb0BLRTvKbVmNz9ak0MKUV07SH6TsehZbT9DtWeQrU_oaovf6JbeQ</recordid><startdate>201512</startdate><enddate>201512</enddate><creator>Badali, Hamid</creator><creator>Alian, Shahriar</creator><creator>Fakhim, Hamed</creator><creator>Falahatinejad, Mahsa</creator><creator>Moradi, Ali</creator><creator>Mohammad Davoudi, Mehrnaz</creator><creator>Hagen, Ferry</creator><creator>Meis, Jacques F.</creator><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0003-3253-6080</orcidid></search><sort><creationdate>201512</creationdate><title>Cryptococcal meningitis due to Cryptococcus neoformans genotype AFLP 1/ VNI in Iran: a review of the literature</title><author>Badali, Hamid ; Alian, Shahriar ; Fakhim, Hamed ; Falahatinejad, Mahsa ; Moradi, Ali ; Mohammad Davoudi, Mehrnaz ; Hagen, Ferry ; Meis, Jacques F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c745-4966e4e24818269976d06819cc2cbd09119e4d733f6fdd58b2dda70091af94503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Badali, Hamid</creatorcontrib><creatorcontrib>Alian, Shahriar</creatorcontrib><creatorcontrib>Fakhim, Hamed</creatorcontrib><creatorcontrib>Falahatinejad, Mahsa</creatorcontrib><creatorcontrib>Moradi, Ali</creatorcontrib><creatorcontrib>Mohammad Davoudi, Mehrnaz</creatorcontrib><creatorcontrib>Hagen, Ferry</creatorcontrib><creatorcontrib>Meis, Jacques F.</creatorcontrib><collection>CrossRef</collection><jtitle>Mycoses</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Badali, Hamid</au><au>Alian, Shahriar</au><au>Fakhim, Hamed</au><au>Falahatinejad, Mahsa</au><au>Moradi, Ali</au><au>Mohammad Davoudi, Mehrnaz</au><au>Hagen, Ferry</au><au>Meis, Jacques F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cryptococcal meningitis due to Cryptococcus neoformans genotype AFLP 1/ VNI in Iran: a review of the literature</atitle><jtitle>Mycoses</jtitle><date>2015-12</date><risdate>2015</risdate><volume>58</volume><issue>12</issue><spage>689</spage><epage>693</epage><pages>689-693</pages><issn>0933-7407</issn><eissn>1439-0507</eissn><abstract>Cryptococcal meningitis is the most important opportunistic fungal infection with a high mortality in
HIV
‐patients in less developed regions. Here, we report a case of cryptococcal meningitis in a 49‐year‐old
HIV
‐positive female due to
Cryptococcus neoformans
(serotype A, mating‐type alpha, genotype
AFLP
1/
VNI
) in Sari, Iran.
In vitro
antifungal susceptibility tests showed
MIC
s of isavuconazole (0.016 μg ml
−1
), voriconazole (0.031 μg ml
−1
), posaconazole (0.031 μg ml
−1
), itraconazole (0.063 μg ml
−1
), amphotericin B (0.125 μg ml
−1
) and fluconazole (8 μg ml
−1
). Despite immediate antifungal therapy, the patient died 4 days later due to respiratory failure. Cryptococcal infections have been infrequently reported from Iran and therefore we analysed all published cases of cryptococcosis in Iran since the first reported case from 1969.</abstract><doi>10.1111/myc.12415</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-3253-6080</orcidid></addata></record> |
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| ispartof | Mycoses, 2015-12, Vol.58 (12), p.689-693 |
| issn | 0933-7407 1439-0507 |
| language | eng |
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| source | Wiley Online Library - AutoHoldings Journals |
| title | Cryptococcal meningitis due to Cryptococcus neoformans genotype AFLP 1/ VNI in Iran: a review of the literature |
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