Evidence map›Paper›PMID 36547569›Full record

ArticleJournal of fungi (Basel, Switzerland)2022

Invasive Fungal Diseases in Africa: A Critical Literature Review.

Felix Bongomin, Bassey E Ekeng, Winnie Kibone, Lauryn Nsenga, Ronald Olum, Asa Itam-Eyo, Marius Paulin Ngouanom Kuate, Francis Pebalo Pebolo, Adeyinka A Davies, Musa Manga and 3 more

Abstract read
In one paragraph

Article in Journal of fungi (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Changing Climate, ChangingJournal of fungi (Basel, Switzerland) · 2025
    Review
  5. Review
  6. Review
  7. Review
  8. IDCases · 2025
    Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Frequency of fungal pathogens in autopsy studies of people who died with HIV in Africa: a scoping review.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2024
    Article
  14. Review
  15. Article
  16. Clinical Manifestations of Human Exposure to Fungi.Journal of fungi (Basel, Switzerland) · 2023
    Review
  17. Review
  18. Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Felix BongominDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Gulu University, Gulu P.O. Box 166, Uganda.ORCID 0000-0003-4515-8517
Bassey E EkengDepartment of Medical Microbiology and Parasitology, University of Calabar Teaching Hospital, Calabar P.O. Box 540281, Nigeria.ORCID 0000-0002-0509-2480
Winnie KiboneDepartment of Medicine, School of Medicine, Makerere University, Kampala P.O. Box 7072, Uganda.
Lauryn NsengaDepartment of Medicine, School of Medicine, Kabale University, Kabale P.O. Box 317, Uganda.ORCID 0000-0001-6155-4718
Ronald OlumDepartment of Medicine, St. Francis's Hospital Nsambya, Kampala P.O. Box 7176, Uganda.ORCID 0000-0003-1289-0111
Asa Itam-EyoDepartment of Internal Medicine, University of Calabar Teaching Hospital, Calabar P.O. Box 540281, Nigeria.
Marius Paulin Ngouanom KuateDepartment of Microbiology and Parasitology, Faculty of Science, University of Buea, Buea P.O. Box 63, Cameroon.ORCID 0000-0003-2745-0450
Francis Pebalo PeboloDepartment of Reproductive Health, Faculty of Medicine, Gulu University, Gulu P.O. Box 166, Uganda.
Adeyinka A DaviesDepartment of Medical Microbiology and Parasitology, Olabisi Onabanjo University Teaching Hospital, Sagamu P.O. Box 121102, Nigeria.
Musa MangaDepartment of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 4114 McGavran-Greenberg, 135 Dauer Drive, Chapel Hill, NC 27599, USA.
Bright OcanseyDivision of Evolution, Infection and Genomics, Faculty of Biology, Medicine and Health, University of Manchester, Manchester M13 9PL, UK.
Richard KwizeraTranslational Research Laboratory, Department of Research, Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala P.O. Box 22418, Uganda.ORCID 0000-0002-5270-3539
Joseph Baruch BalukuDivision of Pulmonology, Kiruddu National Referral Hospital, Kampala P.O. Box 7178, Uganda.ORCID 0000-0002-5852-9674

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Invasive fungal diseases (IFDs) are of huge concern in resource-limited settings, particularly in Africa, due to the unavailability of diagnostic armamentarium for IFDs, thus making definitive diagnosis challenging. IFDs have non-specific systemic manifestations overlapping with more frequent illnesses, such as tuberculosis, HIV, and HIV-related opportunistic infections and malignancies. Consequently, IFDs are often undiagnosed or misdiagnosed. We critically reviewed the available literature on IFDs in Africa to provide a better understanding of their epidemiology, disease burden to guide future research and interventions. Cryptococcosis is the most encountered IFD in Africa, accounting for most of the HIV-related deaths in sub-Saharan Africa. Invasive aspergillosis, though somewhat underdiagnosed and/or misdiagnosed as tuberculosis, is increasingly being reported with a similar predilection towards people living with HIV. More cases of histoplasmosis are also being reported with recent epidemiological studies, particularly from Western Africa, showing high prevalence rates amongst presumptive tuberculosis patients and patients living with HIV. The burden of pneumocystis pneumonia has reduced significantly probably due to increased uptake of anti-retroviral therapy among people living with HIV both in Africa, and globally. Mucormycosis, talaromycosis, emergomycosis, blastomycosis, and coccidiomycosis have also been reported but with very few studies from the literature. The emergence of resistance to most of the available antifungal drugs in Africa is yet of huge concern as reported in other regions. IFDs in Africa is much more common than it appears and contributes significantly to morbidity and mortality. Huge investment is needed to drive awareness and fungi related research especially in diagnostics and antifungal therapy.

Indexed as

Africacryptococcosisemergomycosishistoplasmosisinvasive aspergillosisinvasive candidiasisinvasive fungal diseasesmucormycosespneumocystosis

Identifiers

PMID36547569
PMCPMC9853333

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.