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Fungal infections: diagnostic problems and choice of therapy

机译:真菌感染:诊断问题和治疗选择

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Fungi, notably Aspergillus and Candida species, are responsible for two-thirds of all superinfections that occur after a bone marrow transplantation.1 Fungal infections have evolved to be serious threats to the survival of immunocompromised patients. Fungi are very seldom responsible for infections in individuals with an intact immune system.Fungi are eukaryotic organisms that have a cell membrane with ergosterol as the main component, as well as a cell wall that contains chitin, mannoproteins and (3-glucan. Both ergosterol in the cell membrane and (3-glucan in the cell wall are potential targets for the major antifungal drugs. Of the infinitive number of fungi on this world, there are only a few that can cause disease in humans, and they are roughly subdivided into yeasts and molds. Candida species are part of the commensal flora of the skin and mucosal surfaces, and they may become the prevalent pathogen under the pressures of antimicrobial agents that reduce the coexisting bacterial flora.
机译:真菌,尤其是曲霉属和念珠菌属,占骨髓移植后发生的所有超级感染的三分之二。1真菌感染已演变成对免疫功能低下患者生存的严重威胁。真菌很少会对免疫系统完整的个体造成感染。真菌是真核生物,其细胞膜以麦角固醇为主要成分,细胞壁中含有几丁质,甘露糖蛋白和(3-葡聚糖。两种麦角固醇细胞膜中的(-)和细胞壁中的(3-葡聚糖)是主要的抗真菌药物的潜在靶标。在这个世界上无限数量的真菌中,只有少数几种会导致人类疾病,它们大致分为念珠菌属是皮肤和粘膜表面共生菌群的一部分,在减少共存细菌菌群的抗菌剂的压力下,它们可能成为流行的病原体。

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