Investigation of invasive fungal infection in tuberculosis/hiv coinfected patients.

Publication date: May 20, 2025

Tuberculosis (TB) and human immunodeficiency virus (HIV) represent important public health problems. Suppression of the immune system, due to both diseases, predisposes to the development of opportunistic infections, such as invasive fungal infections (IFI). The aims of this study were to determine the frequence of investigation of invasive fungal infection (IFI) in TB/HIV co-infected patients, identify the most frequent IFI and evaluate the clinical-epidemiological characteristics of TB/HIV/IFI patients. A descriptive and retrospective study was conducted including patients assisted at Hospital Dr. Miguel Riet CorrcEAa Jr. (HU-FURG/Ebserh), in Rio Grande city, southern Brazil. All patients diagnosed with TB/HIV from 2017 to 2022 were included, and databases were analyzed for data regarding mycological exams for fungal diseases investigation. Of the 194 TB/HIV coinfected patients, 77. 8% (n = 151) were investigated for at least one IFI. Co-infection was confirmed in16. 7% (25/151), being 44% (n = 11) of the patients diagnosed with cryptococcosis, followed by histoplasmosis (40%; n = 10) and colonization/infection by Aspergillus (32%; n = 8). Furthermore, some patients presented more than one fungal co-infection (16%; n = 4). CD4 T cell count

Concepts Keywords
Brazil Aspergillosis
Cd4 Cryptococcosis
Immunodeficiency Histoplasmosis
Mycological HIV
Tuberculosis Mycobacterium tuberculosis

Semantics

Type Source Name
disease MESH invasive fungal infection
disease MESH tuberculosis
pathway KEGG Tuberculosis
disease IDO immunodeficiency
pathway REACTOME Immune System
disease MESH opportunistic infections
disease IDO infection
drug DRUGBANK Ribostamycin
disease MESH fungal diseases
disease MESH Co-infection
disease MESH cryptococcosis
disease MESH histoplasmosis
disease IDO cell
disease MESH Aspergillosis

Original Article

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