[Severe mycosis-factors with fungus and host].
The deep-seated mycosis occurred in immunocompromized patients. Normally, the deep-seated mycosis became sever infection because of the defects of host defense or the adverse effects of antifungal agents. The major factors of the reason on the severity of the deep-seated mycosis depends on the pathogenesity and the drug resistance for antifungal agents in infected fungi. The clinical factors related with hosts defenses are important to the other reason on the severity. We investigated that the multiple drug resistant (MDR) mechanism may be one of the major roles plays in the azole resistant Candida albicans strains isolated form the patients with oropharyngeal candidiasis infected HIV. We analyzed which clinical factors are related with the prognosis of the patients with pulmonary cryptococcosis and aspergilloma. The titer of cryptococcal capsular antigen was earlier improve in the patient without underline disease than in the patients with underline diseases diagnosed pulmonary cryptococcosis. CRP was higher in the death cases in the patients with pulmonary aspergilloma, compared with alive cases.
Maesaki
S
S
The Second Department of Internal Medicine, Nagasaki University School of Medicine, 1-7-1 Sakamoto machi Nagasaki, 852-8501.
Sasaki
E
E
Kakeya
H
H
Noda
T
T
Kawamura
S
S
Mitsutake
K
K
Tomono
K
K
Tashiro
T
T
Kohno
S
S
D017088:AIDS-Related Opportunistic Infections / Q000209:etiology; D004352:Drug Resistance, Microbial; D018432:Drug Resistance, Multiple; D006801:Humans; D009181:Mycoses / Q000209:etiology*; D009894:Opportunistic Infections / Q000209:etiology*