Management of human immunodeficiency virus-associated cryptococcal meningitis: Current status and future directions.

Abstract:

:Cryptococcal meningitis (CM) is one of the most common opportunistic infections of acquired immunodeficiency syndrome (AIDS), as well as an important cause of hospitalisation and death. In recent years, the mortality of CM has remained high in HIV/AIDS population, with up to 30%, including within developed countries. The treatment usually encompasses controls of Cryptococcus, HIV, and increased intracranial pressure. Recent progress on the management of HIV-associated CM mainly centres in optimising induction regimens, looking for appropriate timing of initiating antiretroviral therapy and prevention of symptomatic onset and adverse consequences. This review compared several international guidelines combined with the results from some clinical researches to illustrate the similarities, differences and potential in CM treatment. The present practice is still far from satisfactory, and there remains much to explore due to our limited understanding of the pathogenesis of HIV-associated CM. Thus, screening and monitoring should be strengthened, and better therapies in line with the actual situation of each country should be discovered.

journal_name

Mycoses

journal_title

Mycoses

authors

Wu X,Shen Y

doi

10.1111/myc.12977

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

874-882

issue

10

eissn

0933-7407

issn

1439-0507

journal_volume

62

pub_type

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