TABLE I. Major risk factors associated with the acquisition of an invasive fungal disease.
Risk factor | Specific conditions | Most common pathogens |
Medical intervention | Catheters, intravascular or intracranial devices | Candida albicans, Candida spp. |
Broad-spectrum antibiotics use | C. albicans, Candida spp. | |
Neurosurgical procedures, contaminated devices and drug preparations | Candida spp., saprophyte fungi | |
Treatment-induced immunosuppression | Severe prolonged neutropenia | Aspergillus fumigatus, Aspergillus spp. |
Solid organ transplantation | C. albicans, Candida spp., A. fumigatus, Cryptococcus neoformans | |
Haematopoietic stem cell transplantation | A. fumigatus, C. albicans, Candida spp., Pneumocystis jirovecii, Mucormycetes | |
Biological agents | Candida spp., Aspergillus spp., Cryptococcus spp., P. jirovecii, dimorphic fungi, Mucormycetes | |
Disease-induced immunosuppression | HIV infection | P. jirovecii, C. neoformans, Histoplasma capsulatum, Talaromyces marneffei |
Uncontrolled diabetes | Rhizopus oryzae, Mucormycetes | |
Chronic obstructive pulmonary disease | A. fumigatus | |
Co-infection | Tuberculosis | A. fumigatus, Aspergillus niger, H. capsulatum, C. neoformans, C. albicans |
Cytomegalovirus | P. jirovecii, Aspergillus spp., non-Aspergillus molds | |
SARS-CoV-2 infection | A. fumigatus | |
Environmental exposure | Trauma | R. oryzae, Mucormycetes |
HIV: human immunodeficiency virus; SARS-CoV-2: severe acute respiratory syndrome coronavirus 2.