Tortorano, A. M., Richardson, M., Roilides, E., van Diepeningen, A., Caira, M., Munoz, P., Johnson, E., Meletiadis, J., Pana, Z. -D., Lackner, M., Verweij, P., Freiberger, T., Cornely, O. A., Arikan-Akdagli, S., Dannaoui, E., Groll, A. H., Lagrou, K., Chakrabarti, A., Lanternier, F., Pagano, L., Skiada, A., Akova, M., Arendrup, M. C., Boekhout, T., Chowdhary, A., Cuenca-Estrella, M., Guinea, J., Guarro, J., de Hoog, S., Hope, W., Kathuria, S., Lortholary, O., Meis, J. F., Ullmann, A. J., Petrikkos, G. and Lass-Floerl, C. (2014). ESCMID and ECMM joint guidelines on diagnosis and management of hyalohyphomycosis: Fusarium spp., Scedosporium spp. and others. Clin. Microbiol. Infect., 20. S. 27 - 47. OXFORD: ELSEVIER SCI LTD. ISSN 1469-0691

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Abstract

Mycoses summarized in the hyalohyphomycosis group are heterogeneous, defined by the presence of hyaline (non-dematiaceous) hyphae. The number of organisms implicated in hyalohyphomycosis is increasing and the most clinically important species belong to the genera Fusarium, Scedosporium, Acremonium, Scopulariopsis, Purpureocillium and Paecilomyces. Severely immunocompromised patients are particularly vulnerable to infection, and clinical manifestations range from colonization to chronic localized lesions to acute invasive and/or disseminated diseases. Diagnosis usually requires isolation and identification of the infecting pathogen. A poor prognosis is associated with fusariosis and early therapy of localized disease is important to prevent progression to a more aggressive or disseminated infection. Therapy should include voriconazole and surgical debridement where possible or posaconazole as salvage treatment. Voriconazole represents the first-line treatment of infections due to members of the genus Scedosporium. For Acremonium spp., Scopulariopsis spp., Purpureocillium spp. and Paecilomyces spp. the optimal antifungal treatment has not been established. Management usually consists of surgery and antifungal treatment, depending on the clinical presentation.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Tortorano, A. M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Richardson, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Roilides, E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van Diepeningen, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Caira, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Munoz, P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Johnson, E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Meletiadis, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pana, Z. -D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lackner, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Verweij, P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Freiberger, T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cornely, O. A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Arikan-Akdagli, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dannaoui, E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Groll, A. H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lagrou, K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chakrabarti, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lanternier, F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pagano, L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Skiada, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Akova, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Arendrup, M. C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Boekhout, T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chowdhary, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cuenca-Estrella, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Guinea, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Guarro, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Hoog, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hope, W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kathuria, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lortholary, O.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Meis, J. F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ullmann, A. J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Petrikkos, G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lass-Floerl, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-442082
DOI: 10.1111/1469-0691.12465
Journal or Publication Title: Clin. Microbiol. Infect.
Volume: 20
Page Range: S. 27 - 47
Date: 2014
Publisher: ELSEVIER SCI LTD
Place of Publication: OXFORD
ISSN: 1469-0691
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
INVASIVE FUNGAL-INFECTIONS; COLONY-STIMULATING FACTOR; LIPOSOMAL AMPHOTERICIN-B; CENTRAL-NERVOUS-SYSTEM; IN-VITRO ACTIVITIES; CHRONIC GRANULOMATOUS-DISEASE; ANTIFUNGAL SUSCEPTIBILITY PATTERNS; IMMUNOCOMPETENT MALE-PATIENT; APIOSPERMUM BRAIN ABSCESSES; RENAL-TRANSPLANT RECIPIENTMultiple languages
Infectious Diseases; MicrobiologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/44208

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