Survival after cryptococcosis in Germany: A retrospective multicenter cohort study of patients diagnosed between 2004 and 2021

Int J Med Microbiol. 2024 Mar:314:151614. doi: 10.1016/j.ijmm.2024.151614. Epub 2024 Feb 16.

Abstract

Cryptococcosis is the most prevalent fungal infection of the central nervous system worldwide. We performed a retrospective multicenter cohort study to gain insights into the epidemiology of cryptococcosis in Germany. We describe the use of diagnostic tests, clinical management and patient outcome. We included 64 patients with underlying HIV infection (55%) or other predispositions. Molecular typing by MLST documented 20 individual sequence types among 42 typed isolates. A fatal outcome was documented in 14% of patients in the first two months after diagnosis.

Keywords: AIDS related opportunistic infections; Cryptococcosis; Mortality; Multilocus sequence typing; Risk factor.

Publication types

  • Multicenter Study

MeSH terms

  • Cohort Studies
  • Cryptococcosis* / diagnosis
  • Cryptococcosis* / epidemiology
  • Cryptococcosis* / microbiology
  • Cryptococcus neoformans*
  • Germany / epidemiology
  • HIV Infections* / complications
  • HIV Infections* / epidemiology
  • Humans
  • Multilocus Sequence Typing
  • Retrospective Studies