Risk Factors for Cryptococcus gattii Infection, British Columbia, Canada

To determine whether particular environmental, medical, or behavioral risk factors existed among Cryptcoccus gattii–infected persons compared with the general population, we conducted a sex-matched case−control study on a subset of case-patients in British Columbia (1999–2001). Exposures and underly...

Full description

Bibliographic Details
Main Authors: Laura MacDougall, Murray Fyfe, Marc Romney, Mike Starr, Eleni Galanis
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2011-02-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/17/2/10-1020_article
_version_ 1828974043078852608
author Laura MacDougall
Murray Fyfe
Marc Romney
Mike Starr
Eleni Galanis
author_facet Laura MacDougall
Murray Fyfe
Marc Romney
Mike Starr
Eleni Galanis
author_sort Laura MacDougall
collection DOAJ
description To determine whether particular environmental, medical, or behavioral risk factors existed among Cryptcoccus gattii–infected persons compared with the general population, we conducted a sex-matched case−control study on a subset of case-patients in British Columbia (1999–2001). Exposures and underlying medical conditions among all case-patients (1999–2007) were also compared with results of provincial population–based surveys and studies. In case−control analyses, oral steroids (matched odds ratio [MOR] 8.11, 95% confidence interval [CI] 1.74–37.80), pneumonia (MOR 2.71, 95% CI 1.05–6.98), and other lung conditions (MOR 3.21, 95% CI 1.08–9.52) were associated with infection. In population comparisons, case-patients were more likely to be >50 years of age (p<0.001), current smokers (p<0.001), infected with HIV (p<0.001), or have a history of invasive cancer (p<0.001). Although C. gattii is commonly believed to infect persons with apparently healthy immune systems, several immunosuppressive and pulmonary conditions seem to be risk factors.
first_indexed 2024-12-14T13:55:20Z
format Article
id doaj.art-4b3a56ec386340c49760a63d477cd220
institution Directory Open Access Journal
issn 1080-6040
1080-6059
language English
last_indexed 2024-12-14T13:55:20Z
publishDate 2011-02-01
publisher Centers for Disease Control and Prevention
record_format Article
series Emerging Infectious Diseases
spelling doaj.art-4b3a56ec386340c49760a63d477cd2202022-12-21T22:58:52ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592011-02-0117219319910.3201/eid1702.101020Risk Factors for Cryptococcus gattii Infection, British Columbia, CanadaLaura MacDougallMurray FyfeMarc RomneyMike StarrEleni GalanisTo determine whether particular environmental, medical, or behavioral risk factors existed among Cryptcoccus gattii–infected persons compared with the general population, we conducted a sex-matched case−control study on a subset of case-patients in British Columbia (1999–2001). Exposures and underlying medical conditions among all case-patients (1999–2007) were also compared with results of provincial population–based surveys and studies. In case−control analyses, oral steroids (matched odds ratio [MOR] 8.11, 95% confidence interval [CI] 1.74–37.80), pneumonia (MOR 2.71, 95% CI 1.05–6.98), and other lung conditions (MOR 3.21, 95% CI 1.08–9.52) were associated with infection. In population comparisons, case-patients were more likely to be >50 years of age (p<0.001), current smokers (p<0.001), infected with HIV (p<0.001), or have a history of invasive cancer (p<0.001). Although C. gattii is commonly believed to infect persons with apparently healthy immune systems, several immunosuppressive and pulmonary conditions seem to be risk factors.https://wwwnc.cdc.gov/eid/article/17/2/10-1020_articleCryptococcus neoformansCryptococcus gattiicryptococcosisrespiratory infectionfungiparasites
spellingShingle Laura MacDougall
Murray Fyfe
Marc Romney
Mike Starr
Eleni Galanis
Risk Factors for Cryptococcus gattii Infection, British Columbia, Canada
Emerging Infectious Diseases
Cryptococcus neoformans
Cryptococcus gattii
cryptococcosis
respiratory infection
fungi
parasites
title Risk Factors for Cryptococcus gattii Infection, British Columbia, Canada
title_full Risk Factors for Cryptococcus gattii Infection, British Columbia, Canada
title_fullStr Risk Factors for Cryptococcus gattii Infection, British Columbia, Canada
title_full_unstemmed Risk Factors for Cryptococcus gattii Infection, British Columbia, Canada
title_short Risk Factors for Cryptococcus gattii Infection, British Columbia, Canada
title_sort risk factors for cryptococcus gattii infection british columbia canada
topic Cryptococcus neoformans
Cryptococcus gattii
cryptococcosis
respiratory infection
fungi
parasites
url https://wwwnc.cdc.gov/eid/article/17/2/10-1020_article
work_keys_str_mv AT lauramacdougall riskfactorsforcryptococcusgattiiinfectionbritishcolumbiacanada
AT murrayfyfe riskfactorsforcryptococcusgattiiinfectionbritishcolumbiacanada
AT marcromney riskfactorsforcryptococcusgattiiinfectionbritishcolumbiacanada
AT mikestarr riskfactorsforcryptococcusgattiiinfectionbritishcolumbiacanada
AT elenigalanis riskfactorsforcryptococcusgattiiinfectionbritishcolumbiacanada