Cryptococcal infections in children: retrospective study and review from Australia.

Abstract:

:Aim: Cryptococcosis causes significant morbidity and mortality worldwide, but pediatric data are limited. Methods: A retrospective literature review of Australian pediatric cryptococcosis and additional 10-year audit of cases from a large pediatric network. Results: 22 cases of cryptococcosis in children were identified via literature review: median age was 13.5 years (IQR 7.8-16 years), 18/22 (82%) had meningitis or central nervous system infection. Where outcome was reported, 11/18 (61%) died. Of six audit cases identified from 2008 to 2017, 5 (83%) had C. gattii disease and survived. One child with acute lymphoblastic leukemia and C. neoformans infection died. For survivors, persisting respiratory or neurological sequelae were reported in 4/6 cases (67%). Conclusion: Cryptococcosis is uncommon in Australian children, but is associated with substantial morbidity.

journal_name

Future Microbiol

journal_title

Future microbiology

authors

Grimshaw A,Palasanthiran P,Huynh J,Marais B,Chen S,McMullan B

doi

10.2217/fmb-2019-0215

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

1531-1544

eissn

1746-0913

issn

1746-0921

journal_volume

14

pub_type

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