Immune Parameters for Diagnosis and Treatment Monitoring in Invasive Mold Infection.

dc.contributor.author

Jenks, Jeffrey D

dc.contributor.author

Rawlings, Stephen A

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Garcia-Vidal, Carol

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Koehler, Philipp

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Mercier, Toine

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Prattes, Juergen

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Lass-Flörl, Cornelia

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Martin-Gomez, M Teresa

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Buchheidt, Dieter

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Pagano, Livio

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Gangneux, Jean-Pierre

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van de Veerdonk, Frank L

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Netea, Mihai G

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Carvalho, Agostinho

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Hoenigl, Martin

dc.date.accessioned

2023-08-01T17:53:44Z

dc.date.available

2023-08-01T17:53:44Z

dc.date.issued

2019-12

dc.date.updated

2023-08-01T17:53:44Z

dc.description.abstract

Infections caused by invasive molds, including Aspergillus spp., can be difficult to diagnose and remain associated with high morbidity and mortality. Thus, early diagnosis and targeted systemic antifungal treatment remains the most important predictive factor for a successful outcome in immunocompromised individuals with invasive mold infections. Diagnosis remains difficult due to low sensitivities of diagnostic tests including culture and other mycological tests for mold pathogens, particularly in patients on mold-active antifungal prophylaxis. As a result, antifungal treatment is rarely targeted and reliable markers for treatment monitoring and outcome prediction are missing. Thus, there is a need for improved markers to diagnose invasive mold infections, monitor response to treatment, and assist in determining when antifungal therapy should be escalated, switched, or can be stopped. This review focuses on the role of immunologic markers and specifically cytokines in diagnosis and treatment monitoring of invasive mold infections.

dc.identifier

jof5040116

dc.identifier.issn

2309-608X

dc.identifier.issn

2309-608X

dc.identifier.uri

https://hdl.handle.net/10161/28621

dc.language

eng

dc.publisher

MDPI AG

dc.relation.ispartof

Journal of fungi (Basel, Switzerland)

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10.3390/jof5040116

dc.subject

Aspergillus

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Mucormycosis

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immune response

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interleukin 10

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interleukin 6

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interleukin 8

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invasive aspergillosis

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invasive mold infections

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mold-reactive T-cells

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prognosis

dc.title

Immune Parameters for Diagnosis and Treatment Monitoring in Invasive Mold Infection.

dc.type

Journal article

duke.contributor.orcid

Jenks, Jeffrey D|0000-0001-6632-9587

pubs.begin-page

E116

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4

pubs.organisational-group

Duke

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School of Medicine

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Clinical Science Departments

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Medicine

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Medicine, Infectious Diseases

pubs.publication-status

Published

pubs.volume

5

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