Molecular typing of clinical Cryptococcus neoformans and C. gattii species complexes and cryptococcal antigen screening program in Iran-What can we do?...5th Iranian Congress in Medical Mycology, Tehran, Iran, Dec 4-6, 2018.

Cryptococcus is an encapsulated, basidiomycetous yeast causing lifethreatening disease affecting healthy and immunocompromised individuals, especially patients with AIDS. Among the 70 identified species of Cryptococcus, Cryptococcus neoformans and Cryptococcus gattii species complexes are the major...

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Publicado en:Current Medical Mycology Vol. 4; pp. 3 - 5
Autor principal: Shokohi, Tahereh
Formato: abstract proceedings Journal Article
Publicado: Mazandaran University of Medical Sciences 2018 Supplement 1
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Mazandaran University of Medical Sciences
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        10.18502/cmm.4.S1.2018.178
        133659340
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        atl: Molecular typing of clinical Cryptococcus neoformans and C. gattii species complexes and cryptococcal antigen screening program in Iran-What can we do?...5th Iranian Congress in Medical Mycology, Tehran, Iran, Dec 4-6, 2018.
      aug:
        au: Shokohi, Tahereh
        affil: Department of Medical Mycology, School of Medicine, and Invasive Fungi Research Center (IFRC) Mazandaran University of Medical Sciences, Sari, Iran
      sug:
        subj:
          Cryptococcus Analysis
          Mycological Typing Techniques
          Immunoassay Methods
          Iran
          Congresses and Conferences Iran
      ab: Cryptococcus is an encapsulated, basidiomycetous yeast causing lifethreatening disease affecting healthy and immunocompromised individuals, especially patients with AIDS. Among the 70 identified species of Cryptococcus, Cryptococcus neoformans and Cryptococcus gattii species complexes are the major causative agents of human cryptococcosis. Thought the epidemiologic studies help to evaluate the condition of the disease in each country, there is no extensive documented data about various aspects of cryptococcosis in Iran. In Middle East, the epidemiological data about cryptococcosis are restricted to a few report. In Iran, cryptococcosis is relatively rare disease to date and few cases were reported incidentally from 1969 to 2015, 13 cases have been published from Iran. Environmental survey of bird guano, soil for C. neoformans species complex showed between 0.8 and 34%, Eucalyptus trees has found to harbor C. gattii, while the survey of decaying wood has no results. It might be expected that the life style and cultural changes in Iran that increase HIV infection and associated immunosuppression would therefore allow C. neoformans /C. gattii species complex to becoming an emerging pathogen in this region. CrAg LFA (Cryptococcal Antigen Lateral Flow Assay) is an immunochromatographic dipstick assay for the qualitative and semiquantitative detection of CrAg in CSF, serum or plasma has that shown equivalent or superior overall sensitivity compared to that of enzyme immunoassay (EIA) and latex agglutination (LA) test. CrAg LFA is applicable for screening of the serum of HIV patients with CD4 < 100 with a sensitivity of 100% and a specificity of 99.8%. CrAg LFA is heat-stable, inexpensive and requires minimal training for optimal use particularly in resource-limited settings. This novel test has the potential of being a point-of-care test and may substantially reduce the universal burden of cryptococcal meningitis. In Iran, with high morbidity and mortality of cryptococcal meningitis in HIV+/AIDS patients, a surveillance study about molecular type of causative agents and implement CrAg LFA into existing ART programs and diagnostic algorithms may provide a rational framework for the design of prevention and control strategies within Iran.
      pubtype: Academic Journal
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        abstract
        proceedings
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      ougenre: Article
    language: English
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