The yeast Candida albicans can live in people without producing symptoms, and is able to cause both superficial mild candidiasis in healthy people, such as oral thrush or vaginal yeast infection, and severe systemic candidiasis in those who cannot fight infection themselves.Diagnosis is generally based on signs and symptoms, microscopy, culture, sometimes requiring a biopsy and the aid of medical imaging. Some superficial fungal infections of the skin can appear similar to other skin conditions such as eczema and lichen planus. Treatment is generally performed using antifungal medicines, usually in the form of a cream or by mouth or injection, depending on the specific infection and its extent. Some require surgically cutting out infected tissue.Fungal infections have a world-wide distribution and are common, affecting more than one billion people every year. An estimated 1.7 million deaths from fungal disease were reported in 2020. Several, including sporotrichosis, chromoblastomycosis and mycetoma are neglected.A wide range of fungal infections occur in other animals, and some can be transmitted from animals to people. Classification
Mycoses are traditionally divided into superficial, subcutaneous, or systemic, where infection is deep, more widespread and involving internal body organs. They can affect the nails, vagina, skin and mouth. Some types such as blastomycosis, cryptococcus, coccidioidomycosis and histoplasmosis, affect people who live or visit certain parts of the world. Others such as aspergillosis, pneumocystis pneumonia, candidiasis, mucormycosis and talaromycosis, tend to affect people who are unable to fight infection themselves. Mycoses might not always conform strictly to the three divisions of superficial, subcutaneous and systemic.
They are everywhere and infection occurs after spores are either breathed in, come into contact with skin or enter the body through the skin such as via a cut, wound or injection. Candida albicans is the most common cause of fungal infection in people, particularly as oral or vaginal thrush, often following taking antibiotics. Risk factors
Fungal infections are more likely in people with weak immune systems. This includes people with illnesses such as HIV/AIDS, and people taking medicines such as steroids or cancer treatments. People with diabetes also tend to develop fungal infections. Very young and very old people, also, are groups at risk.Individuals being treated with antibiotics are at higher risk of fungal infections.Children whose immune systems are not functioning properly (such as children with cancer) are at risk of invasive fungal infections. COVID-19
During the COVID-19 pandemic some fungal infections have been associated with COVID-19. Fungal infections can mimic COVID-19, occur at the same time as COVID-19 and more serious fungal infections can complicate COVID-19. A fungal infection may occur after antibiotics for a bacterial infection which has occurred following COVID-19. The most common serious fungal infections in people with COVID-19 include aspergillosis and invasive candidiasis. COVID-19–associated mucormycosis is generally less common, but in 2021 was noted to be significantly more prevalent in India. Mechanism
Fungal infections occur after spores are either breathed in, come into contact with skin or enter the body through a wound. Diagnosis
Diagnosis is generally by signs and symptoms, microscopy, biopsy, culture and sometimes with the aid of medical imaging.