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oai:repisalud.isciii.es:20.500.12105/265652025-12-18T12:59:18Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19609

00925njm 22002777a 4500 dc Morris, Arthur J author Kim, Hannah Yejin author Nield, Blake author Dao, Aiken author McMullan, Brendan author Alastruey-Izquierdo, Ana author Colombo, Arnaldo Lopes author Heim, Jutta author Wahyuningsih, Retno author Le, Thuy author Chiller, Tom M author Forastiero, Agustina author Chakrabarti, Arunaloke author Harrison, Thomas S author Bongomin, Felix author Galas, Marcelo author Siswanto, Siswanto author Dagne, Daniel Argaw author Roitberg, Felipe author Gigante, Valeria author Beardsley, Justin author Sati, Hatim author Alffenaar, Jan-Willem author Morrissey, C Orla author 2024-06-27 The World Health Organization, in response to the growing burden of fungal disease, established a process to develop a fungal pathogen priority list. This systematic review aimed to evaluate the epidemiology and impact of infections caused by Talaromyces marneffei, Coccidioides species, and Paracoccidioides species. PubMed and Web of Sciences databases were searched to identify studies published between 1 January 2011 and 23 February 2021 reporting on mortality, complications and sequelae, antifungal susceptibility, preventability, annual incidence, and trends. Overall, 25, 17, and 6 articles were included for T. marneffei, Coccidioides spp. and Paracoccidioides spp., respectively. Mortality rates were high in those with invasive talaromycosis and paracoccidioidomycosis (up to 21% and 22.7%, respectively). Hospitalization was frequent in those with coccidioidomycosis (up to 84%), and while the duration was short (mean/median 3-7 days), readmission was common (38%). Reduced susceptibility to fluconazole and echinocandins was observed for T. marneffei and Coccidioides spp., whereas >88% of T. marneffei isolates had minimum inhibitory concentration values ≤0.015 μg/ml for itraconazole, posaconazole, and voriconazole. Risk factors for mortality in those with talaromycosis included low CD4 counts (odds ratio 2.90 when CD4 count <200 cells/μl compared with 24.26 when CD4 count <50 cells/μl). Outbreaks of coccidioidomycosis and paracoccidioidomycosis were associated with construction work (relative risk 4.4-210.6 and 5.7-times increase, respectively). In the United States of America, cases of coccidioidomycosis increased between 2014 and 2017 (from 8232 to 14 364/year). National and global surveillance as well as more detailed studies to better define sequelae, risk factors, outcomes, global distribution, and trends are required. Morris AJ, Kim HY, Nield B, Dao A, McMullan B, Alastruey-Izquierdo A, Colombo AL, Heim J, Wahyuningsih R, Le T, Chiller TM, Forastiero A, Chakrabarti A, Harrison TS, Bongomin F, Galas M, Siswanto S, Dagne DA, Roitberg F, Gigante V, Beardsley J, Sati H, Alffenaar JW, Morrissey CO. Talaromyces marneffei, Coccidioides species, and Paracoccidioides species-a systematic review to inform the World Health Organization priority list of fungal pathogens. Med Mycol. 2024 Jun 27;62(6):myad133. 10.1093/mmy/myad133 1460-2709 1369-3786 Medical mycology 38935909 https://hdl.handle.net/20.500.12105/26565 Coccidioides Paracoccidioides Penicillium marneffei Talaromyces marneffei Antifungal resistance Coccidioidomycosis Epidemiology Invasive fungal disease Mortality Paracoccidioidomycosis Penicilliosis Talaromycosis Talaromyces marneffei, Coccidioides species, and Paracoccidioides species-a systematic review to inform the World Health Organization priority list of fungal pathogens