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Phuna ZX, Madhavan P. A CLOSER LOOK AT THE MYCOBIOME IN ALZHEIMER'S DISEASE: FUNGAL SPECIES, PATHOGENESIS AND TRANSMISSION. Eur J Neurosci 2022; 55:1291-1321. [DOI: 10.1111/ejn.15599] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 01/17/2022] [Accepted: 01/18/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Zhi Xin Phuna
- School of Medicine, Faculty of Health & Medical Sciences, Taylor’s University Malaysia Subang Jaya Selangor
| | - Priya Madhavan
- School of Medicine, Faculty of Health & Medical Sciences, Taylor’s University Malaysia Subang Jaya Selangor
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2
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Maisons V, Desoubeaux G, Coustillères F, Lemaignen A, Chesnay A, Doman M, Lanternier F, Bernard L, Lacasse M. Intricate isavuconazole therapy of a subcutaneous nodule caused by Alternaria infectoria in a heart transplant recipient. J Mycol Med 2021; 32:101235. [PMID: 34954620 DOI: 10.1016/j.mycmed.2021.101235] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Revised: 12/11/2021] [Accepted: 12/14/2021] [Indexed: 01/09/2023]
Abstract
Invasive fungal infections have appeared to be increasingly emergent in immunocompromised patients, especially in solid organ transplant (SOT) recipients. The Alternaria genus encompasses more than 80 dematiaceus species. Among them, Alternaria alternata and Alternaria infectoria are the most frequent isolated as responsible for infection in humans. To our knowledge, we report the first case of a heart transplant recipient suffering from subcutaneous nodule caused by Alternaria infectoria and who was treated with isavuconazole. Despite all the promises of this new azole drug, one should keep in mind the potential great variability of the inter-individual responses for such complex patients. We demonstrate herein how it can be challenging to manage Alternaria infection in SOT recipients. More comprehensive studies and recommendations are expected in the context of Alternaria infections.
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Affiliation(s)
- Valentin Maisons
- Service de Néphrologie et d'Immunologie Clinique, CHU Bretonneau, CHRU Tours, France.
| | - Guillaume Desoubeaux
- Service de Parasitologie-Mycologie-Médecine tropicale, CHRU Tours, Tours, France
| | | | - Adrien Lemaignen
- Service de Médecine Interne - Maladies Infectieuses, CHRU Tours, Tours, France
| | - Adelaïde Chesnay
- Service de Parasitologie-Mycologie-Médecine tropicale, CHRU Tours, Tours, France
| | - Marc Doman
- Service de Maladies Infectieuses et Tropicales, Centre d'Infectiologie Necker Pasteur, APHP, Paris, France
| | - Fanny Lanternier
- Service de Maladies Infectieuses et Tropicales, Centre d'Infectiologie Necker Pasteur, APHP, Paris, France
| | - Louis Bernard
- Service de Médecine Interne - Maladies Infectieuses, CHRU Tours, Tours, France
| | - Marion Lacasse
- Service de Médecine Interne - Maladies Infectieuses, CHRU Tours, Tours, France
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Cutaneous lesions on the hand of a transplant recipient. Enferm Infecc Microbiol Clin 2019; 37:675-676. [PMID: 31130230 DOI: 10.1016/j.eimc.2019.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2019] [Revised: 04/01/2019] [Accepted: 04/04/2019] [Indexed: 11/23/2022]
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Bajwa R, Wojciechowski AL, Hsiao CB. Cutaneous alternariosis in a renal transplant patient successfully treated with posaconazole: Case report and literature review. Med Mycol Case Rep 2017; 15:16-20. [PMID: 28180057 PMCID: PMC5279863 DOI: 10.1016/j.mmcr.2017.01.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Revised: 01/12/2017] [Accepted: 01/17/2017] [Indexed: 11/20/2022] Open
Abstract
Cutaneous alternariosis is an uncommon fungal infection that most commonly presents in organ transplant patients on immunosuppressive therapy. There are no clinical trials or guidelines to guide treatment of this condition, however itraconazole is the most commonly used antifungal in published cases. Here we report on a case of cutaneous alternariosis in a renal transplant recipient treated with a newer antifungal, posaconazole. A review of published reports of cutaneous alternariosis since 2008 is also discussed.
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Affiliation(s)
- Rajinder Bajwa
- Niagara Falls Memorial Medical Center, 621 10th Street, Niagara Falls, NY 14302, USA
| | - Amy L. Wojciechowski
- Niagara Falls Memorial Medical Center, 621 10th Street, Niagara Falls, NY 14302, USA
- D’Youville College School of Pharmacy, 320 Porter Avenue, Buffalo, NY 14201, USA
- Corresponding author at: Niagara Falls Memorial Medical Center, 621 10th Street, Niagara Falls, NY 14302, USA.
| | - Chiu-Bin Hsiao
- Allegheny General Hospital, 320 East North Avenue, Pittsburgh, PA 15212, USA
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Lopes L, Borges-Costa J, Soares-Almeida L, Filipe P, Neves F, Santana A, Guerra J, Kutzner H. Cutaneous Alternariosis Caused by Alternaria infectoria: Three Cases in Kidney Transplant Patients. Healthcare (Basel) 2013; 1:100-6. [PMID: 27429134 PMCID: PMC4934509 DOI: 10.3390/healthcare1010100] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2013] [Revised: 10/14/2013] [Accepted: 10/21/2013] [Indexed: 11/26/2022] Open
Abstract
The genus Alternaria has more than 80 species. Alternaria alternata and Alternaria infectoria are the most frequent species associated with infections in humans. Their clinical importance lies in the growing number of cases reported in immunocompromised patients. Herein, we report three cases of kidney-transplanted patients with different clinical presentations of cutaneous alternariosis and we discuss the treatment options.
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Affiliation(s)
- Leonor Lopes
- Dermatology Center, Santa Maria Hospital, Avenida Prof. Egas Moniz, Lisboa 1649-028, Portugal.
| | - João Borges-Costa
- Dermatology Center, Santa Maria Hospital, Avenida Prof. Egas Moniz, Lisboa 1649-028, Portugal.
- Dermatology Research Unit, Institute of Molecular Medicine, Avenida Prof. Egas Moniz, Lisboa 1649-028, Portugal.
| | - Luís Soares-Almeida
- Dermatology Center, Santa Maria Hospital, Avenida Prof. Egas Moniz, Lisboa 1649-028, Portugal.
- Dermatology Research Unit, Institute of Molecular Medicine, Avenida Prof. Egas Moniz, Lisboa 1649-028, Portugal.
| | - Paulo Filipe
- Dermatology Center, Santa Maria Hospital, Avenida Prof. Egas Moniz, Lisboa 1649-028, Portugal.
- Dermatology Research Unit, Institute of Molecular Medicine, Avenida Prof. Egas Moniz, Lisboa 1649-028, Portugal.
| | - Fernanda Neves
- Dermatology Center, Oeste Hospital Center, Rua Diário de Notícias, Caldas da Rainha 2500-176, Portugal.
| | - Alice Santana
- Nefrology Center, Santa Maria Hospital, Avenida Prof. Egas Moniz, Lisboa 1649-028, Portugal.
| | - José Guerra
- Nefrology Center, Santa Maria Hospital, Avenida Prof. Egas Moniz, Lisboa 1649-028, Portugal.
| | - Heinz Kutzner
- Dermatopathology Center, Siemensstr. 6/1, Friedrichshafen D88048, Germany.
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Multilocus phylogeny and MALDI-TOF analysis of the plant pathogenic species Alternaria dauci and relatives. Fungal Biol 2013; 117:32-40. [DOI: 10.1016/j.funbio.2012.11.003] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2012] [Revised: 11/09/2012] [Accepted: 11/16/2012] [Indexed: 11/20/2022]
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Tambasco D, D'ettorre M, Bracaglia R, Massi G, Posteraro B, Torelli R, Simone CD, Capizzi R. A Suspected Squamous Cell Carcinoma in a Renal Transplant Recipient Revealing a Rare Cutaneous Phaeohyphomycosis by Alternaria infectoria. J Cutan Med Surg 2012; 16:131-4. [DOI: 10.2310/7750.2011.10129] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background: Squamous cell carcinoma of the skin is the most common neoplasm after organ transplantation. In addition, fungal infections are increasingly described in immunocompromised patients, such as kidney recipients. Method and Results: We report a case of a 64-year-old woman with a renal transplant presenting with 6-month-old skin lesions. In other centers, she had undergone previous biopsies, the results of which were suggestive of squamous cell carcinoma and aspecific inflammation. Therefore, she came to our center for surgical excision. Only our clinical experience and a detailed clinical history allowed us to doubt previous diagnoses and perform further examinations. Our investigation revealed an extremely rare fungus infection: phaeohyphomycosis by Alternaria infectoria. It was successfully treated with oral terbinafine until a complete regression of the lesions was achieved. At a 16-month follow-up visit, no recurrence of the skin lesion was observed. Conclusion: Despite a difficult diagnosis and rare occurrence, physicians and surgeons should be aware of infection with this emerging fungus in immunocompromised patients.
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Affiliation(s)
- Damiano Tambasco
- Departments of Plastic and Reconstructive Surgery, Microbiology, Histopathology, and Dermatology, Catholic University of the Sacred Heart, University Hospital A. Gemelli, Rome, Italy
| | - Marco D'ettorre
- Departments of Plastic and Reconstructive Surgery, Microbiology, Histopathology, and Dermatology, Catholic University of the Sacred Heart, University Hospital A. Gemelli, Rome, Italy
| | - Roberto Bracaglia
- Departments of Plastic and Reconstructive Surgery, Microbiology, Histopathology, and Dermatology, Catholic University of the Sacred Heart, University Hospital A. Gemelli, Rome, Italy
| | - Guido Massi
- Departments of Plastic and Reconstructive Surgery, Microbiology, Histopathology, and Dermatology, Catholic University of the Sacred Heart, University Hospital A. Gemelli, Rome, Italy
| | - Brunella Posteraro
- Departments of Plastic and Reconstructive Surgery, Microbiology, Histopathology, and Dermatology, Catholic University of the Sacred Heart, University Hospital A. Gemelli, Rome, Italy
| | - Riccardo Torelli
- Departments of Plastic and Reconstructive Surgery, Microbiology, Histopathology, and Dermatology, Catholic University of the Sacred Heart, University Hospital A. Gemelli, Rome, Italy
| | - Clara De Simone
- Departments of Plastic and Reconstructive Surgery, Microbiology, Histopathology, and Dermatology, Catholic University of the Sacred Heart, University Hospital A. Gemelli, Rome, Italy
| | - Rodolfo Capizzi
- Departments of Plastic and Reconstructive Surgery, Microbiology, Histopathology, and Dermatology, Catholic University of the Sacred Heart, University Hospital A. Gemelli, Rome, Italy
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