An Overview of Diagnostic and Management Strategies for Talaromycosis, an Underrated Disease

Underrated and neglected, talaromycosis is a life-threatening fungal disease endemic to the tropical and subtropical regions of Asia. In China, it has been reported that talaromycosis mortality doubles from 24 to 50% when the diagnosis is delayed, and reaches 100% when the diagnosis is missed. Thus,...

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Main Authors: Silvere D. Zaongo, Fazhen Zhang, Yaokai Chen
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Journal of Fungi
Subjects:
Online Access:https://www.mdpi.com/2309-608X/9/6/647
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author Silvere D. Zaongo
Fazhen Zhang
Yaokai Chen
author_facet Silvere D. Zaongo
Fazhen Zhang
Yaokai Chen
author_sort Silvere D. Zaongo
collection DOAJ
description Underrated and neglected, talaromycosis is a life-threatening fungal disease endemic to the tropical and subtropical regions of Asia. In China, it has been reported that talaromycosis mortality doubles from 24 to 50% when the diagnosis is delayed, and reaches 100% when the diagnosis is missed. Thus, the accurate diagnosis of talaromycosis is of utmost importance. Herein, in the first part of this article, we provide an extensive review of the diagnostic tools used thus far by physicians in the management of cases of talaromycosis. The challenges encountered and the perspectives which may aid in the discovery of more accurate and reliable diagnostic approaches are also discussed. In the second part of this review, we discuss the drugs used to prevent and treat <i>T. marneffei</i> infection. Alternative therapeutic options and potential drug resistance reported in the contemporary literature are also discussed. We aim to guide researchers towards the discovery of novel approaches to prevent, diagnose, and treat talaromycosis, and therefore improve the prognosis for those afflicted by this important disease.
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spelling doaj.art-ad02deeebeba4fe0967afcff44801aed2023-11-18T11:08:53ZengMDPI AGJournal of Fungi2309-608X2023-06-019664710.3390/jof9060647An Overview of Diagnostic and Management Strategies for Talaromycosis, an Underrated DiseaseSilvere D. Zaongo0Fazhen Zhang1Yaokai Chen2Department of Infectious Diseases, Chongqing Public Health Medical Center, Chongqing 400036, ChinaFifth Unit for Tuberculosis, Chongqing Public Health Medical Center, Chongqing 400036, ChinaDepartment of Infectious Diseases, Chongqing Public Health Medical Center, Chongqing 400036, ChinaUnderrated and neglected, talaromycosis is a life-threatening fungal disease endemic to the tropical and subtropical regions of Asia. In China, it has been reported that talaromycosis mortality doubles from 24 to 50% when the diagnosis is delayed, and reaches 100% when the diagnosis is missed. Thus, the accurate diagnosis of talaromycosis is of utmost importance. Herein, in the first part of this article, we provide an extensive review of the diagnostic tools used thus far by physicians in the management of cases of talaromycosis. The challenges encountered and the perspectives which may aid in the discovery of more accurate and reliable diagnostic approaches are also discussed. In the second part of this review, we discuss the drugs used to prevent and treat <i>T. marneffei</i> infection. Alternative therapeutic options and potential drug resistance reported in the contemporary literature are also discussed. We aim to guide researchers towards the discovery of novel approaches to prevent, diagnose, and treat talaromycosis, and therefore improve the prognosis for those afflicted by this important disease.https://www.mdpi.com/2309-608X/9/6/647<i>T. marneffei</i>talaromycosisdiagnosistreatmentprognosis
spellingShingle Silvere D. Zaongo
Fazhen Zhang
Yaokai Chen
An Overview of Diagnostic and Management Strategies for Talaromycosis, an Underrated Disease
Journal of Fungi
<i>T. marneffei</i>
talaromycosis
diagnosis
treatment
prognosis
title An Overview of Diagnostic and Management Strategies for Talaromycosis, an Underrated Disease
title_full An Overview of Diagnostic and Management Strategies for Talaromycosis, an Underrated Disease
title_fullStr An Overview of Diagnostic and Management Strategies for Talaromycosis, an Underrated Disease
title_full_unstemmed An Overview of Diagnostic and Management Strategies for Talaromycosis, an Underrated Disease
title_short An Overview of Diagnostic and Management Strategies for Talaromycosis, an Underrated Disease
title_sort overview of diagnostic and management strategies for talaromycosis an underrated disease
topic <i>T. marneffei</i>
talaromycosis
diagnosis
treatment
prognosis
url https://www.mdpi.com/2309-608X/9/6/647
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