Tuberculosis/cryptococcosis co-infection in China between 1965 and 2016

Cases of tuberculosis/cryptococcosis co-infection are rapidly increasing in China. However, most studies addressing this co-infection have been published in Chinese journals, and this publication strategy has obscured this disease trend for scientists in other parts of the world. Our investigation f...

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Main Authors: Wenjie Fang, Lei Zhang, Jia Liu, David W Denning, Ferry Hagen, Weiwei Jiang, Nan Hong, Shuwen Deng, Xia Lei, Danqi Deng, Wanqing Liao, Jianping Xu, Teun Boekhout, Min Chen, Weihua Pan
Format: Article
Language:English
Published: Taylor & Francis Group 2017-01-01
Series:Emerging Microbes and Infections
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1038/emi.2017.61
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author Wenjie Fang
Lei Zhang
Jia Liu
David W Denning
Ferry Hagen
Weiwei Jiang
Nan Hong
Shuwen Deng
Xia Lei
Danqi Deng
Wanqing Liao
Jianping Xu
Teun Boekhout
Min Chen
Weihua Pan
author_facet Wenjie Fang
Lei Zhang
Jia Liu
David W Denning
Ferry Hagen
Weiwei Jiang
Nan Hong
Shuwen Deng
Xia Lei
Danqi Deng
Wanqing Liao
Jianping Xu
Teun Boekhout
Min Chen
Weihua Pan
author_sort Wenjie Fang
collection DOAJ
description Cases of tuberculosis/cryptococcosis co-infection are rapidly increasing in China. However, most studies addressing this co-infection have been published in Chinese journals, and this publication strategy has obscured this disease trend for scientists in other parts of the world. Our investigation found that 62.9% of all co-infection cases worldwide were reported in the Chinese population (n=197) between 1965 and 2016, and 56.3% of these Chinese cases were reported after 2010. Nearly all cases originated from the warm and wet monsoon regions of China. HIV-positive subjects tended to correlate with more severe manifestations of a tuberculosis/cryptococcosis co-infection than those without HIV. Notablely, dual tubercular/cryptococcal meningitis was the most frequent (54.0%) and most easily misdiagnosed (95.2%, n=40/42) co-infection. We also found that the combined use of cerebrospinal fluid pressure and concentrations of glucose, protein and chlorine might be an inexpensive and effective indicator to differentiate tubercular/cryptococcal co-infection meningitis from tubercular meningitis and cryptococcal meningitis.Emerging Microbes & Infections (2017) 6, e73; doi:10.1038/emi.2017.61; published online 23 August 2017
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spelling doaj.art-0fd89e154823430fa70124e2fcce0b2f2023-09-22T12:08:35ZengTaylor & Francis GroupEmerging Microbes and Infections2222-17512017-01-01611710.1038/emi.2017.61Tuberculosis/cryptococcosis co-infection in China between 1965 and 2016Wenjie Fang0Lei Zhang1Jia Liu2David W Denning3Ferry Hagen4Weiwei Jiang5Nan Hong6Shuwen Deng7Xia Lei8Danqi Deng9Wanqing Liao10Jianping Xu11Teun Boekhout12Min Chen13Weihua Pan14Department of Dermatology, Shanghai Key Laboratory of Molecular Medical Mycology, Shanghai Institute of Medical Mycology, Changzheng HospitalSecond Military Medical University, Shanghai 200003, ChinaDepartment of Dermatology, Shanghai Key Laboratory of Molecular Medical Mycology, Shanghai Institute of Medical Mycology, Changzheng HospitalSecond Military Medical University, Shanghai 200003, ChinaDepartment of Dermatology, Shanghai Key Laboratory of Molecular Medical Mycology, Shanghai Institute of Medical Mycology, Changzheng HospitalSecond Military Medical University, Shanghai 200003, ChinaNational Aspergillosis CentreUniversity Hospital of South Manchester and University of Manchester, Manchester M13 9PL, UKDepartment of Medical Microbiology and Infectious Diseases, Canisius-Wilhelmina Hospital, Nijmegen 6532, The NetherlandsDepartment of Dermatology, Shanghai Key Laboratory of Molecular Medical Mycology, Shanghai Institute of Medical Mycology, Changzheng HospitalSecond Military Medical University, Shanghai 200003, ChinaDepartment of Dermatology, Shanghai Key Laboratory of Molecular Medical Mycology, Shanghai Institute of Medical Mycology, Changzheng HospitalSecond Military Medical University, Shanghai 200003, ChinaDepartment of Dermatology, Shanghai Key Laboratory of Molecular Medical Mycology, Shanghai Institute of Medical Mycology, Changzheng HospitalSecond Military Medical University, Shanghai 200003, ChinaDepartment of Dermatology, Daping HospitalThird Military Medical University, Chongqing 400042, ChinaDepartment of DermatologyThe Second Affiliated Hospital of Kunming Medical University, Kunming 650504, ChinaDepartment of Dermatology, Shanghai Key Laboratory of Molecular Medical Mycology, Shanghai Institute of Medical Mycology, Changzheng HospitalSecond Military Medical University, Shanghai 200003, ChinaDepartment of BiologyMcMaster University, Hamilton, Ontario L8S 4M1, CanadaDepartment of Dermatology, Shanghai Key Laboratory of Molecular Medical Mycology, Shanghai Institute of Medical Mycology, Changzheng HospitalSecond Military Medical University, Shanghai 200003, ChinaDepartment of Dermatology, Shanghai Key Laboratory of Molecular Medical Mycology, Shanghai Institute of Medical Mycology, Changzheng HospitalSecond Military Medical University, Shanghai 200003, ChinaDepartment of Dermatology, Shanghai Key Laboratory of Molecular Medical Mycology, Shanghai Institute of Medical Mycology, Changzheng HospitalSecond Military Medical University, Shanghai 200003, ChinaCases of tuberculosis/cryptococcosis co-infection are rapidly increasing in China. However, most studies addressing this co-infection have been published in Chinese journals, and this publication strategy has obscured this disease trend for scientists in other parts of the world. Our investigation found that 62.9% of all co-infection cases worldwide were reported in the Chinese population (n=197) between 1965 and 2016, and 56.3% of these Chinese cases were reported after 2010. Nearly all cases originated from the warm and wet monsoon regions of China. HIV-positive subjects tended to correlate with more severe manifestations of a tuberculosis/cryptococcosis co-infection than those without HIV. Notablely, dual tubercular/cryptococcal meningitis was the most frequent (54.0%) and most easily misdiagnosed (95.2%, n=40/42) co-infection. We also found that the combined use of cerebrospinal fluid pressure and concentrations of glucose, protein and chlorine might be an inexpensive and effective indicator to differentiate tubercular/cryptococcal co-infection meningitis from tubercular meningitis and cryptococcal meningitis.Emerging Microbes & Infections (2017) 6, e73; doi:10.1038/emi.2017.61; published online 23 August 2017https://www.tandfonline.com/doi/10.1038/emi.2017.61Chinaco-infectioncryptococcosistuberculosis
spellingShingle Wenjie Fang
Lei Zhang
Jia Liu
David W Denning
Ferry Hagen
Weiwei Jiang
Nan Hong
Shuwen Deng
Xia Lei
Danqi Deng
Wanqing Liao
Jianping Xu
Teun Boekhout
Min Chen
Weihua Pan
Tuberculosis/cryptococcosis co-infection in China between 1965 and 2016
Emerging Microbes and Infections
China
co-infection
cryptococcosis
tuberculosis
title Tuberculosis/cryptococcosis co-infection in China between 1965 and 2016
title_full Tuberculosis/cryptococcosis co-infection in China between 1965 and 2016
title_fullStr Tuberculosis/cryptococcosis co-infection in China between 1965 and 2016
title_full_unstemmed Tuberculosis/cryptococcosis co-infection in China between 1965 and 2016
title_short Tuberculosis/cryptococcosis co-infection in China between 1965 and 2016
title_sort tuberculosis cryptococcosis co infection in china between 1965 and 2016
topic China
co-infection
cryptococcosis
tuberculosis
url https://www.tandfonline.com/doi/10.1038/emi.2017.61
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