College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Department of Medicine, Section of Hematology and Oncology, Baylor College of Medicine, Houston, Texas, USA.
Transpl Infect Dis. 2023 Nov;25 Suppl 1:e14160. doi: 10.1111/tid.14160. Epub 2023 Oct 4.
Hematopoietic stem cell transplantation (HSCT) is a vital treatment for various hematological disorders. However, HSCT recipients face increased risks of infectious complications due to immunosuppression. Parasitic infections are a significant concern in this vulnerable population and can lead to substantial morbidity and mortality. This review examines parasitic infections in HSCT recipients, focusing on major infections affecting different organ systems, including intestinal parasites (Giardia spp., Entamoeba histolytica, and Cryptosporidium spp.), hematologic parasites (Plasmodium spp. and Babesia spp.), and tissue/visceral parasites (Toxoplasma gondii, Leishmania spp., and Trypanosoma cruzi).
A systematic search of relevant literature was conducted and included studies up to August 2023. Databases included PubMed, Google Scholar, were queried using specific keywords related to parasitic infections in HSCT patients. The epidemiology, risk factors, clinical presentation, diagnostic methods, and treatment approaches for each infection were evaluated.
Knowing the epidemiology, risk factors, and clinical presentations are crucial for timely intervention and successful management. By emphasizing early detection, effective therapies, and the unique challenges posed by each of these infections, this review highlights the importance of tailored strategies for HSCT recipients. Future research can further refine management protocols to enhance care and outcomes for these patients.
造血干细胞移植(HSCT)是治疗各种血液系统疾病的重要手段。然而,由于免疫抑制,HSCT 受者面临更高的感染并发症风险。寄生虫感染是这一脆弱人群的一个重要关注点,可导致严重的发病率和死亡率。本综述探讨了 HSCT 受者中的寄生虫感染,重点关注影响不同器官系统的主要感染,包括肠道寄生虫(贾第虫属、溶组织内阿米巴和隐孢子虫属)、血液寄生虫(疟原虫属和巴贝斯虫属)和组织/内脏寄生虫(刚地弓形虫、利什曼原虫属和克氏锥虫)。
对相关文献进行了系统检索,纳入截至 2023 年 8 月的研究。检索的数据库包括 PubMed、Google Scholar,使用与 HSCT 患者寄生虫感染相关的特定关键词进行查询。评估了每种感染的流行病学、危险因素、临床表现、诊断方法和治疗方法。
了解流行病学、危险因素和临床表现对于及时干预和成功管理至关重要。通过强调早期检测、有效治疗以及这些感染各自带来的独特挑战,本综述突出了为 HSCT 受者制定个体化策略的重要性。未来的研究可以进一步完善管理方案,以提高这些患者的护理和预后。