Evidence map›Paper›PMID 38935909›Full record

SynthesisMedical mycology2024

Talaromyces marneffei, Coccidioides species, and Paracoccidioides species-a systematic review to inform the World Health Organization priority list of fungal pathogens.

Arthur J Morris, Hannah Yejin Kim, Blake Nield, Aiken Dao, Brendan McMullan, Ana Alastruey-Izquierdo, Arnaldo Lopes Colombo, Jutta Heim, Retno Wahyuningsih, Thuy Le and 14 more

Abstract readSystematic Review
In one paragraph

Synthesis in Medical mycology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Development and Clinical Evaluation of a Novel Talaromyces marneffei Mp1p Lateral Flow Assay for Rapid Diagnosis of Talaromycosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  2. Article
  3. Review
  4. Special pathogen infections presenting with neck mass as the initial manifestation.Frontiers in cellular and infection microbiology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. 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

24 authors.

Arthur J MorrisDepartment of Microbiology, Auckland City Hospital, Te Toku Tumai, Grafton, Auckland, New Zealand.
Hannah Yejin KimThe University of Sydney, Infectious Diseases Institute (Sydney ID), New South Wales, Australia.
Blake NieldDepartment of Infectious Diseases and Microbiology, Royal Prince Alfred Hospital, Sydney, Australia.
Aiken DaoThe University of Sydney, Infectious Diseases Institute (Sydney ID), New South Wales, Australia.ORCID 0000-0002-0631-2975
Brendan McMullanSchool of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Ana Alastruey-IzquierdoMycology Reference Laboratory, National Centre for Microbiology, Instituto de Salud Carlos III, Majadahonda, Madrid, Spain.ORCID 0000-0001-8651-4405
Arnaldo Lopes ColomboDepartamento de Medicina, Division of Infectious Diseases, Hospital São Paulo, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
Jutta HeimGlobal Antibiotics Research and Development Partnership, Drugs for Neglected Diseases Initiative, Geneva, Switzerland.
Retno WahyuningsihDepartment of Parasitology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.ORCID 0000-0002-3294-5792
Thuy LeDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0002-3393-6580
Tom M ChillerMycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Agustina ForastieroDepartment of Communicable Diseases Prevention, Control and Elimination, Pan American Health Organization,Washington, DC, USA.
Arunaloke ChakrabartiDoodhadhari Burfani Hospital and Research Institute, Haridwar, India.ORCID 0000-0003-1555-3807
Thomas S HarrisonInstitute for Infection and Immunity, and Clinical Academic Group in Infection and Immunity, St. George's, University of London, and St. George's University Hospitals NHS Foundation Trust, London, UK.
Felix BongominDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Gulu University, Gulu, Uganda.
Marcelo GalasAntimicrobial Resistance Special Program, Communicable Diseases and Environmental Determinants of Health, Pan American Health Organization, Washington, DC, USA.
Siswanto SiswantoWorld Health Organization, South-East Asia Region Office, New Delhi, India.
Daniel Argaw DagneDepartment of Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland.
Felipe RoitbergDepartment of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland.
Valeria GiganteImpact Initiatives and Research Coordination Unit, Global Coordination Department, Antimicrobial Resistance Division, World Health Organization, Geneva, Switzerland.
Justin BeardsleyThe University of Sydney, Infectious Diseases Institute (Sydney ID), New South Wales, Australia.ORCID 0000-0003-1978-1559
Hatim SatiImpact Initiatives and Research Coordination Unit, Global Coordination Department, Antimicrobial Resistance Division, World Health Organization, Geneva, Switzerland.
Jan-Willem AlffenaarThe University of Sydney, Infectious Diseases Institute (Sydney ID), New South Wales, Australia.ORCID 0000-0001-6703-0288
Catherine Orla MorrisseyDepartment of Infectious Diseases, The Alfred and Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-9970-9575

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
Liposomal Amphotericin B and Flucytosine Antifungal Strategies for Talaromycosis (LAmB-FAST)R01AI181764 · NIAID · DUKE UNIVERSITY · PI Thuy Le · 2024 to 2026
$3.9M
Development, Clinical Validation, and Readiness for Implementation of a Novel Mp1p D4 Poin Diagnosis of Talaromycosist of Care Test for RapidR01AI177098 · NIAID · DUKE UNIVERSITY · PI Ashutosh Chilkoti, Thuy Le · 2023 to 2026
$2.8M
Making an early diagnosis of talaromycosis - an approach to reduce morbidity and mortality in advanced HIV disease in Southeast AsiaR01AI143409 · NIAID · DUKE UNIVERSITY · PI LE, THUY · 2019 to 2024
$2.8M
NIAID NIH HHS P30 AI064518NIAID NIH HHS R01 AI143409NIAID NIH HHS R01 AI177098NIAID NIH HHS R01 AI181764World Health Organization 001
6 · The paper itself

Abstract

The World Health Organization, in response to the growing burden of fungal disease, established a process to develop a fungal pathogen priority list. This systematic review aimed to evaluate the epidemiology and impact of infections caused by Talaromyces marneffei, Coccidioides species, and Paracoccidioides species. PubMed and Web of Sciences databases were searched to identify studies published between 1 January 2011 and 23 February 2021 reporting on mortality, complications and sequelae, antifungal susceptibility, preventability, annual incidence, and trends. Overall, 25, 17, and 6 articles were included for T. marneffei, Coccidioides spp. and Paracoccidioides spp., respectively. Mortality rates were high in those with invasive talaromycosis and paracoccidioidomycosis (up to 21% and 22.7%, respectively). Hospitalization was frequent in those with coccidioidomycosis (up to 84%), and while the duration was short (mean/median 3-7 days), readmission was common (38%). Reduced susceptibility to fluconazole and echinocandins was observed for T. marneffei and Coccidioides spp., whereas >88% of T. marneffei isolates had minimum inhibitory concentration values ≤0.015 μg/ml for itraconazole, posaconazole, and voriconazole. Risk factors for mortality in those with talaromycosis included low CD4 counts (odds ratio 2.90 when CD4 count <200 cells/μl compared with 24.26 when CD4 count <50 cells/μl). Outbreaks of coccidioidomycosis and paracoccidioidomycosis were associated with construction work (relative risk 4.4-210.6 and 5.7-times increase, respectively). In the United States of America, cases of coccidioidomycosis increased between 2014 and 2017 (from 8232 to 14 364/year). National and global surveillance as well as more detailed studies to better define sequelae, risk factors, outcomes, global distribution, and trends are required.

Indexed as

Antifungal AgentsCoccidioidesParacoccidioidesTalaromycesWorld Health OrganizationCoccidioidomycosisHumansMicrobial Sensitivity TestsMycosesParacoccidioidomycosisAntifungal Agentsantifungal resistanceCoccidioidescoccidioidomycosisepidemiologyinvasive fungal diseasemortalityParacoccidioidesparacoccidioidomycosispenicilliosisPenicillium marneffeiTalaromyces marneffeitalaromycosis

Identifiers

PMID38935909
PMCPMC11210613

What OpenQuestion holds

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Registered trials

None linked

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.