ArticleFrontiers in medicine2026
Influence of chemotherapy intensity on opportunistic fungal infection risk in non-small cell lung carcinoma: a retrospective study.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Opportunistic fungal infections represent a serious treatment-related complication in patients with advanced non-small cell lung carcinoma (NSCLC) undergoing chemotherapy, closely associated with treatment intensity-induced immunosuppression. Objectives: To investigate the influence of relative dose intensity (RDI) of first-line platinum-based doublet chemotherapy on the risk of invasive fungal infection (IFI) in patients with stage IIIB-IV NSCLC and its underlying mechanisms. Methods: A total of 195 patients with stage IIIB-IV NSCLC who received first-line platinum-based doublet chemotherapy between January 2022 and December 2025 were enrolled. Based on the average RDI of chemotherapy, patients were categorized into high-intensity (RDI > 85%, Results: The incidence of IFI was higher in the high-intensity group than in the low-intensity group (χ Conclusion: In patients with advanced NSCLC, high relative dose intensity of first-line chemotherapy is independently associated with an increased risk of invasive fungal infection. This association is partly mediated by treatment-induced myelosuppression and is accompanied by a significant increase in clinical burden.
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