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Antifungal Drugs<br />

26<br />

■■<br />

Introduction to Antifungal Drugs<br />

Fungi rule their own kingdom. There are possibly<br />

millions of species of these saprophytic and parasitic<br />

organisms, but, as with bacteria, only a small<br />

minority are pathogens. Most pathogenic fungi<br />

are opportunistic and require a compromised host<br />

or disrupted barrier in order to cause infection in<br />

humans. In a way, the increase of systemic fungal<br />

infections can be seen as a medical advance, because<br />

improvements in transplantation, oncology, rheumatology,<br />

neonatology, geriatrics, and other fields<br />

have created more susceptible hosts for fungi. The<br />

practice of medical mycology has expanded greatly.<br />

Microscopic fungi exist in two basic forms:<br />

yeasts and molds. Table 26–1 highlights some of<br />

the medically important fungi. Yeasts are unicellular<br />

forms of fungi that reproduce by budding.<br />

Table 26–1<br />

Common Clinical Fungi<br />

Yeasts Dimorphic Fungi Molds<br />

Candida Histoplasma Aspergillus<br />

Cryptococcus Blastomyces Fusarium<br />

Coccidioides<br />

Scedosporium<br />

Paracoccidioides Zygomycetes

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