Evidence map›Paper›PMID 42774582›Full record

ArticleEClinicalMedicine2026

Treatment and outcome of chronic disseminated candidiasis in the era of antifungal prophylaxis: a retrospective multicentre cohort of 111 patients.

Ilana Reinhold, Isabel Cristina Ramirez-Sanchez, Pao-Yu Chen, Yee-Chun Chen, Ankush Dhariwal, Jonathan Lambourne, Samir Agrawal, Maria Bastida, Carlota Gudiol, Serge Alfandari and 43 more

Registry-linked trialAbstract read
In one paragraph

Article in EClinicalMedicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01731353 (FungiScope - A Global Emerging Fungal Infection Registry), which is not on this map. Not yet cited in PubMed.

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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.

NCT01731353 recruitingnot on this map

FungiScope - A Global Emerging Fungal Infection Registry

TypeobservationalSponsorUniversity of CologneRan2003 to 2026Enrolled1,000ConditionsInvasive Fungal Disease
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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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

53 authors.

Ilana ReinholdDivision of Infectious Diseases, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), Faculty of Medicine, University Hospital Cologne, Cologne, Germany.
Isabel Cristina Ramirez-SanchezDivision of Infectious Diseases, Department of Internal Medicine, Universidad de Antioquia, Hospital Pablo Tobón Uribe, Medellín, Colombia.
Pao-Yu ChenDivision of Infectious Diseases, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Yee-Chun ChenDivision of Infectious Diseases, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Ankush DhariwalDepartment of Infection, Barts Health NHS Trust, London, United Kingdom.
Jonathan LambourneDepartment of Infection, Barts Health NHS Trust, London, United Kingdom.
Samir AgrawalDepartment of Haemato-Oncology, St Bartholomew's Hospital, United Kingdom.
Maria BastidaDepartment of Infectious Diseases, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.
Carlota GudiolDepartment of Infectious Diseases, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.
Serge AlfandariInfectious Diseases Department, Hospital Center Gustave Dron, Tourcoing, France.
Alessia Di PillaDepartment of Haematology, Agostino Gemelli University Hospital Foundation - IRCCS, Rome, Italy.
Sofya KhostelidiDepartment of Clinical Mycology, Allergology and Immunology, North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia.
Daniel Aguilar-ZapataHospital Médica Sur, Infectious Diseases and Hospital Epidemiology, Mexico City, Mexico.
Aleksandra BaracClinic for Infectious and Tropical Diseases, University Clinical Center of Serbia, Belgrade, Serbia.
Ana CiprianoDepartment of Infectious Diseases, University Hospital Center de Santo António, Portugal.
Sabine EhrlichDepartment of Medicine III, University Hospital, Ludwig Maximilian University (LMU) of Munich, Munich, Germany.
Jan GrotheDivision of Infectious Diseases, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), Faculty of Medicine, University Hospital Cologne, Cologne, Germany.
Jorge IllarramendiDepartment of Hematology and Cell Therapy, University Hospital Center of Bordeaux, Bordeaux, Nouvelle-Aquitaine, France.
Sara JennrichDepartment of Hematology and Stem Cell Transplantation, West German Cancer Center Essen, University Hospital Essen, Essen, Germany.
Reham KhedrDepartment of Pediatric Hematology/Oncology, National Cancer Institute- Cairo University, Egypt.
Dario LeottaHematology Unit with BMT, A.O.U. University Hospital "G. Rodolico-San Marco", Catania, Italy.
Gustavo-Adolfo MéndezInfectious Diseases Service, Teaching Hospital of Acute Care Dr. Ramón Madariaga, Posadas, Misiones, Argentina.
Julia A NacovDivision of Infectious Diseases, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), Faculty of Medicine, University Hospital Cologne, Cologne, Germany.
Miki NagaoDepartment of Clinical Laboratory Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Guray SaydamDepartment of Hematology, Ege University School of Medicine, Izmir, Turkey.
Stefan SchwartzDepartment of Hematology, Oncology and Cancer Immunology, Charité - University Hospital Berlin, Corporate Member of Free University of Berlin and Humboldt University of Berlin, Berlin, Germany.
Jörg SteinmannInstitute for Medical Microbiology, Infectious Diseases and Infection Control, Paracelsus Medical University, Nuremberg Hospital, Germany.
Kornelius ArnDepartment of Hematology, Cantonal Hospital Luzern, Luzern, Switzerland.
David A EnochClinical Microbiology & Public Health Laboratory, United Kingdom Health Security Agency (UKHSA), Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
Daniel FöhringHematology, Kliniken Essen Mitte, Germany.
Oana JoeanInstitute for Infectious Disease and Infection Control, Jena University Hospital, Friedrich-Schiller-University, Jena, Germany.
Philipp KoehlerDivision of Infectious Diseases, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), Faculty of Medicine, University Hospital Cologne, Cologne, Germany.
Robert KrauseDivision of Infectious Disease, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Johan MaertensDepartment of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.
Francesco MarchesiClinical and Experimental Oncohematology Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Chizaram OnyeaghalaDepartment of Internal medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers, Nigeria.
Neil StoneDivision of Infection, Hospital for Tropical Diseases, University College London Hospitals NHS Foundation Trust, London, United Kingdom.
Yuri VanbiervlietDivision of Infectious Disease, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Nathan WolfensbergerDepartment I of Internal Medicine, Medical Faculty and University Hospital of Cologne University of Cologne, Cologne, Germany.
Luise HaenselDivision of Infectious Diseases, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), Faculty of Medicine, University Hospital Cologne, Cologne, Germany.
Julia HurraßInstitute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine, University of Cologne, Cologne, Germany.
Jens PanseCenter for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD) Aachen, Germany.
Ertan SalDivision of Infectious Diseases, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), Faculty of Medicine, University Hospital Cologne, Cologne, Germany.
Jannik StemlerDivision of Infectious Diseases, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), Faculty of Medicine, University Hospital Cologne, Cologne, Germany.
Daniel Sabanés BovéRCONIS/inferential.biostatistics GmbH, Friedrichstrasse 12, 4055 Basel, Switzerland.
Rosanne SpruteDivision of Infectious Diseases, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), Faculty of Medicine, University Hospital Cologne, Cologne, Germany.
Maricela Valerio MineroClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Antonio VenaDepartment of Health Sciences, University of Genoa, Genoa, Italy.
Livio PaganoDepartment of Haematology, Agostino Gemelli University Hospital Foundation - IRCCS, Rome, Italy.
Oliver A CornelyDivision of Infectious Diseases, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), Faculty of Medicine, University Hospital Cologne, Cologne, Germany.
Danila SeidelDivision of Infectious Diseases, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), Faculty of Medicine, University Hospital Cologne, Cologne, Germany.
FungiScope® Working Group of the European Confederation of Medical Mycology (ECMM) and the International Society for Human and Animal Mycology (ISHAM);
Fungal Infections Study Group of the European Society of Clinical Microbiology and Infectious Diseases (EFISG) and the ESCMID Study Group for Infections in Compromised Hosts (ESGICH)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic disseminated candidiasis (CDC) is a severe manifestation of invasive candidiasis predominantly affecting patients with haematological malignancies. Treatment recommendations are based on limited observational data, and the impact of widespread antifungal prophylaxis on CDC epidemiology and outcomes remains poorly characterised. We aimed to comprehensively characterise CDC and explore associations between antifungal treatment strategies and clinical outcomes. Methods: We performed a retrospective, multinational cohort study including adults with possible, probable, or proven CDC diagnosed between 2007 and 2025 identified through the FungiScope® registry (ClinicalTrials.gov: NCT01731353) and collaborating networks in 19 countries. Diagnostic findings, treatment strategies, and outcomes were analysed over 12 months. Exploratory comparative analyses assessed the association between antifungal treatment strategies and treatment response (composite of clinical, radiological, and mycological findings) and overall survival using inverse probability of treatment weighting to account for the time-varying confounders neutropenia and corticosteroid exposure. Findings: Of 111 patients, CDC was classified as possible in 23.4% (n = 26), probable in 50.5% (n = 56), and proven in 26.1% (n = 29) of patients. The predominant species were Interpretation: No statistically significant associations between antifungal treatment strategy and treatment response or survival were detected in this retrospective dataset. However, the comparative treatment analyses were exploratory and the study was not powered to exclude clinically meaningful differences between antifungal strategies. Median treatment duration was shorter than previously reported. Future prospective studies integrating immunological biomarkers and the use of PET/CT-guided strategies are needed to optimise individualised treatment decision-making. Funding: This study received no dedicated external funding. FungiScope® receives unrestricted grants for registry maintenance and infrastructure from Basilea Pharmaceutica, Melinta Therapeutics LLC, Mundipharma Ltd., and Pfizer Inc, which had no role in the study design, conduct analysis, interpretation, manuscript preparation, or the decision to submit for publication.

Indexed as

Antifungal therapyAzole resistanceCandidaHaematological malignancyHepatosplenic candidiasisNeutropenia

Identifiers

PMID42774582
PMCPMC13595010

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