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Three years ago when Professor Garry Cole visited our Mycology unit
at the Pasteur Institute we discussed the possibility of organizing
a small International Symposium on "Isolation, Purification and
Detection of Fungal Antigens" limited to 8 American/Canadian
scientists and to 8 French participants. The location chosen was
the Pasteur Institute because of the historical and current
importance of the Institute as a Center for Research in Immunology
and Medical Mycology. The interest demonstrated by all medical
mycolo gists we contacted led us to expand the small original
meeting to an international symposium in which all aspects of
antigens of pathogenic and allergenic fungi and actinomycetes
related to man, animals, and even plants would be discussed. Our
wish was also to hold this Symposium in the same week as the
Anniversary meeting of the French Society of Medical Mycology which
was founded at the Pasteur Institute 30 years ago with my
colleagues Gabriel Segretain and Francois Mariat."
The World Health Organization estimates that at least five million
people worldwide are infected with human immunodeficiency virus
(HIV) Of these about 100,000 are in Asia and Oceania, 500,000 in
Europe, 2 million in the Americas and 2.5 million in Africa (Mann,
1989). The acquired immunodeficiency syndrome is characterized by a
derangement in cell-mediated immunity leading to opportunistic
infections with for example Mycobacterium spp., Candida spp.,
Cryptococcus neoformans, Pneumocystis carinii, Toxoplasma gondii
and Cryptosporidium. The third symposium on "Topics in Mycology"
brought together 265 experts from 32 countries to discuss the
epidemiology, immmunological and pathogenetic aspects of AIDS and
its opportunistic infections in general and fungal infections in
particular. Pneumocystis carinii pneumonia is by far the commonest
opportunistic infection in AIDS patients. The nature and
classification of P. carinii is still controversial. In search for
its true taxonomic affinities an introductory paper formulates a
number of key questions. Candidosis is another frequent
opportunistic infection. A number of papers discuss the possibility
that selective pressures may operate on Candida albicans within the
AIDS population and influence its nature: this might have an impact
on prophylaxis and curative and/or suppressive therapy.
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