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Rodrigues Hoffmann A, Ramos MG, Walker RT, Stranahan LW. Hyphae, pseudohyphae, yeasts, spherules, spores, and more: A review on the morphology and pathology of fungal and oomycete infections in the skin of domestic animals. Vet Pathol 2023; 60:812-828. [PMID: 37222139 DOI: 10.1177/03009858231173715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Fungi are among the most common infectious agents affecting the skin of animals. The skin can serve as a port of entry for fungal infections, which can eventually become disseminated. In some regions of the world, oomycetes, such as Pythium and Lagenidium, are also responsible for a significant number of severe cutaneous infections. Histologic evaluation of fungal morphology, including size, shape, septation, branching, and budding characteristics, combined with the distribution of inflammatory infiltrates within different skin layers can potentially identify etiologic agents, guiding selection of antifungals and additional diagnostics. Fungal infections of the skin surface are typically caused by Malassezia and rarely Candida, with opportunistic fungi also capable of colonizing the skin surface, especially when the barrier is broken. Folliculocentric infections, caused by dermatophytes, result in mild to severe inflammation and can occasionally penetrate deep into the skin. A wide range of fungi, including agents of hyalohyphomycosis, phaeohyphomycosis, and dimorphic fungal infections, as well as oomycetes, result in nodular cutaneous and subcutaneous lesions. With the occasional exception of dimorphic fungi, fungal speciation often requires cultures performed on fresh tissues. However, molecular techniques such as pan-fungal polymerase chain reaction on paraffin blocks is becoming an increasingly useful tool to distinguish between cutaneous fungal pathogens. This review focuses on describing the clinical and histologic features of the most common fungal and oomycete infections affecting the skin of animals, divided according to distribution patterns of lesions and fungal or oomycete morphology.
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Dehghanpir SD. Cytomorphology of Deep Mycoses in Dogs and Cats. Vet Clin North Am Small Anim Pract 2023; 53:155-173. [DOI: 10.1016/j.cvsm.2022.07.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Jaffey JA, Hostnik ET, Hoffman AR, Jay M, Ferguson SH, Wiederhold NP. Case Report: Successful Management of Conidiobolus Lamprauges Rhinitis in a Dog. Front Vet Sci 2021; 8:633695. [PMID: 33614770 PMCID: PMC7892434 DOI: 10.3389/fvets.2021.633695] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 01/12/2021] [Indexed: 11/17/2022] Open
Abstract
This is a case of Conidiobolus lamprauges rhinitis in a Goldendoodle, that was presented for evaluation of sneezing, coughing, lethargy, as well as right-sided epistaxis and clear ocular discharge. Computed tomography revealed a large amount of soft tissue within the right nasal passage that obscured the osseous turbinates from the right maxillary canine tooth to the right side of the choanae. Biopsies revealed eosinophilic granulomas with variable number of basophilic to negatively staining, septate, fungal hyphae with non-parallel walls and irregular branching that were subsequently determined to be Conidiobolus lamprauges via panfungal PCR and sequencing. Complete and sustained resolution of clinical disease was achieved after 75 days of systemic antifungal therapy. This report describes for the first time, important clinical features of a dog with nasal conidiobolomycosis that will facilitate its recognition, prognostication, and treatment in clinical practice.
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Affiliation(s)
- Jared A. Jaffey
- Department of Specialty Medicine, Midwestern University College of Veterinary Medicine, Glendale, AZ, United States
| | - Eric T. Hostnik
- Department of Veterinary Clinical Sciences, Veterinary Medical Center, Ohio State University, Columbus, OH, United States
| | - Aline Rodrigues Hoffman
- Department of Veterinary Pathobiology, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX, United States
| | - Maureen Jay
- Department of Surgery, Animal Medical & Surgical Center, Scottsdale, AZ, United States
| | - Sylvia H. Ferguson
- Department of Pathology and Population Medicine, Midwestern University College of Veterinary Medicine, Glendale, AZ, United States
| | - Nathan P. Wiederhold
- Fungus Testing Laboratory, Department of Pathology and Laboratory Medicine, University of Texas Health Science Center, San Antonio, TX, United States
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Silva SMMS, Castro RS, Costa FAL, Vasconcelos AC, Batista MCS, Riet-Correa F, Carvalho EMS. Conidiobolomycosis in Sheep in Brazil. Vet Pathol 2016; 44:314-9. [PMID: 17491072 DOI: 10.1354/vp.44-3-314] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Conidiobolomycosis is reported in the state of Piauí, in the semiarid region of northeastern Brazil. Affected sheep had depression, weight loss, serous or mucohemorrhagic nasal discharge, and cranium-facial asymmetry from exophthalmos of 1 eye, generally with increased volume of the eyeball, keratitis, and corneal ulceration. At necropsy of 60 sheep, friable masses were observed in the posterior region of the nasal cavity, often destroying the ethmoturbinate bones. Frequently, the lesions invaded the nasal sinuses, cribiform plate, orbit, and brain. The masses were irregular, granular with moist surfaces, and soft and friable with white, yellow, or tan coloration. Dissemination of the lesion to lungs was observed in 27 sheep, to the brain in 26, to lymph nodes in 3, to the kidney in 2, and to the gallbladder and heart in 1. The microscopic examination showed granulomatous inflammation composed of central necrosis surrounded by lymphocytes, epithelioid and giant cells, and fibrous tissue. In all lesions, negatively stained structures representing hyphae were surrounded by Splendore-Hoeppli material. Coagulative necrosis, thrombosis, and vasculitis were also observed. Grocott methenamine silver stain showed 8–30-μm-thick hyphae, rarely septate or ramified, irregular in shape, and with black contoured wall, sometimes with bulbous dilatation in the extremities. On electron microscopy, the hyphae had a thick double wall surrounded by cellular remnants and an inflammatory exudate. Conidiobolus coronatus was isolated from the lesions of 6 sheep. Conidiobolomycosis is an important disease of sheep in the state of Piauí, and other regions of northeastern Brazil.
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Affiliation(s)
- S M M S Silva
- Departamento de Clínica e Cirugia, Centro de Ciências Agrárias, Universidade Federal do Piauí, Campus Universitário Petronio Portella s/n, Bairro Ininga, 640495-550, Teresina-Piauí, Brazil.
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Mackey PE, Cappe KG, Mani R, Rothenburg L, Sutton DA, Wiederhold NP, Lindner J, Ramachandran A, Wall CR, Snider T. Disseminated Conidiobolus incongruus in a dog: A case report and literature review. Med Mycol Case Rep 2015; 8:24-8. [PMID: 25830088 PMCID: PMC4354915 DOI: 10.1016/j.mmcr.2015.02.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2015] [Revised: 02/24/2015] [Accepted: 02/24/2015] [Indexed: 01/19/2023] Open
Abstract
Conidiobolomycosis is a rare fungal disease of both humans and animals, occurring mainly in tropical and subtropical climates. We describe a disseminated fungal infection in a young, apparently immunocompetent dog who initially presented for antibiotic resistant pneumonia. Histopathology and mycology identified a Conidiobolus sp., further confirmed as Conidiobolus incongruus through DNA sequencing of D1/D2 regions. This is the first report of this species causing disease in dogs and the fifth reported infection in animals.
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Affiliation(s)
- Paige E. Mackey
- Oklahoma State University, Department of Veterinary Clinical Sciences, 1 BVMTH, Stillwater, OK 74078, USA
| | - Katharine G. Cappe
- Oklahoma State University, Department of Veterinary Clinical Sciences, 1 BVMTH, Stillwater, OK 74078, USA
| | - Rinosh Mani
- Oklahoma Animal Disease Diagnostic Lab, Center for Veterinary Health Sciences, Stillwater, OK 74078, USA
| | - Lana Rothenburg
- Oklahoma State University, Department of Veterinary Clinical Sciences, 1 BVMTH, Stillwater, OK 74078, USA
| | - Deanna A. Sutton
- Department of Pathology, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
| | - Nathan P. Wiederhold
- Department of Pathology, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
| | - Jonathan Lindner
- Department of Pathology, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
| | - Akhilesh Ramachandran
- Oklahoma Animal Disease Diagnostic Lab, Center for Veterinary Health Sciences, Stillwater, OK 74078, USA
| | - Corey R. Wall
- Oklahoma State University, Department of Veterinary Clinical Sciences, 1 BVMTH, Stillwater, OK 74078, USA
| | - Timothy Snider
- Department of Veterinary Pathobiology, Center for Veterinary Health Sciences, Stillwater, OK 74078, USA
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Dykstra MJ, Sharp NJH, Olivry T, Hillier A, Murphy KM, Kaufman L, Kunkle GA, Pucheu-Haston C. A description of cutaneous-subcutaneous pythiosis in fifteen dogs. Med Mycol 2008. [DOI: 10.1111/j.1365-280x.1999.00248.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Hawkins EC, Grooters AM, Cowgill ES, Proulx DR, Davainis GM, Ruslander DM, Grindem CB. Treatment ofConidiobolussp. Pneumonia with Itraconazole in a Dog Receiving Immunosuppressive Therapy. J Vet Intern Med 2006. [DOI: 10.1111/j.1939-1676.2006.tb00769.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
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Grooters AM, Hodgin EC, Bauer RW, Detrisac CJ, Znajda NR, Thomas RC. Clinicopathologic Findings Associated withLagenidiumsp. Infection in 6 Dogs: Initial Description of an Emerging Oomycosis. J Vet Intern Med 2003; 17:637-46. [PMID: 14529129 DOI: 10.1111/j.1939-1676.2003.tb02494.x] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
An oomycotic pathogen in the genus Lagenidium was isolated from tissues obtained from 6 dogs with progressive cutaneous disease. Initial clinical findings in 5 dogs included multifocal cutaneous lesions, subcutaneous lesions, or both associated with regional lymphadenopathy: the 6th dog initially was presented for evaluation of mandibular lymphadenopathy. Cutaneous lesions were ulcerated, exudative regions (often with necrosis and draining tracts) or multiple firm dermal or subcutaneous nodules. Two dogs subsequently developed hemoabdomen from great vessel rupture and died acutely. Four dogs were euthanized because of progression of subcutaneous lesions or lymphadenopathy. On postmortem examination, regional granulomatous lymphadenitis was found in all 6 dogs, great vessel invasion in 3 dogs, pulmonary lesions in 2 dogs. ureteral obstruction in 1 dog, mediastinal lymphadenitis in 1 dog, and hilar lymphadenitis with invasion of the distal esophagus and trachea in 1 dog. Histologically, lesions were similar to those associated with pythiosis and zygomycosis and were characterized by severe eosinophilic granulomatous inflammation (often with numerous large multinucleated giant cells) centered around broad (7-25 micro), infrequently septate hyphae. Immunoblot analysis of the serologic response of 4 dogs to a soluble mycelial extract of Lagenidium giganteum indicated that each dog's serum recognized at least 10 different antigens of L. giganteum. Culture of infected tissues yielded rapid growth of colorless to white submerged colonies. Microscopically, mature hyphae in culture were broad (25-40 micro), segmented, and occasionally branching and produced motile laterally biflagellate zoospores in water culture. This report is the 1st description of infection caused by an oomycete other than Pythium insidiosum in any mammalian species.
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Affiliation(s)
- Amy M Grooters
- Department of Veterinary Clinical Sciences, Louisiana State University, Baton Rouge, LA 70803-8410, USA.
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Abstract
Pythiosis, lagenidiosis, and zygomycosis affect animals living in temperate, tropical, and subtropical climates, and these diseases are often fatal. Although Pythium insidiosum, Conidiobolus species, and Basidiobolus species have been recognized as pathogens for several years, members of the genus Lagenidium have been identified as a cause of oomycosis in dogs only recently. Pythiosis, lagenidiosis, and zygomycosis share similar clinical and histologic characteristics, making them difficult to distinguish from one another; however, distinguishing between these pathogens is important because of differences in epidemiology, choice and duration of therapy, and prognosis.
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Affiliation(s)
- Amy M Grooters
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA.
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Znajda NR, Grooters AM, Marsella R. PCR-based detection of Pythium and Lagendium DNA in frozen and ethanol-fixed animal tissues. Vet Dermatol 2002; 13:187-94. [PMID: 12229858 DOI: 10.1046/j.1365-3164.2002.00296.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Nadine R Znajda
- Department of Small Animal Clinical Sciences, PO Box 100126, College of Veterinary Medicine, University of Florida, Gainesville, 32610-0126, USA.
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Grooters AM, Whittington A, Lopez MK, Boroughs MN, Roy AF. Evaluation of microbial culture techniques for the isolation of Pythium insidiosum from equine tissues. J Vet Diagn Invest 2002; 14:288-94. [PMID: 12152807 DOI: 10.1177/104063870201400403] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The purpose of this study was to evaluate the effects of sample handling, storage, and culture techniques on the isolation of Pythium insidiosum from infected equine tissues. Tissue and kunker samples obtained immediately posteuthanasia from a horse with subcutaneous pythiosis were used to assess the effects of sample type (kunkers vs. tissues), media type (selective vs. nonselective), storage technique, and storage time on P. insidiosum isolation rate. Overall, isolation rates were higher from fresh kunkers (94.6%) and stored kunkers (76.4%) than from fresh tissues (8.3%) or stored tissues (4.6%). Isolation of P. insidiosum also occurred more often on antibiotic-containing media than on nonselective media for both fresh and stored samples. For samples that were stored for 1-3 days prior to culture, P. insidiosum isolation rates were highest for the following techniques: kunkers stored at room temperature and plated on selective media (100%), kunkers stored at 4 C and then plated on either nonselective (91.7%) or selective (95.8%) media, kunkers stored on cold packs and then plated on either nonselective (93.8%) or selective (100%) media, kunkers stored in ampicillin solution and plated on selective media (100%), and kunkers stored in ampicillin/gentocin solution and plated on selective media (87.5%). For samples stored for 4-5 days, P. insidiosum isolation rates were highest for kunkers stored at 4 C and then plated on either nonselective (81.3%) or selective (87.5%) media, kunkers stored in ampicillin solution and then plated on selective media (87.5%), and kunkers stored in ampicillin/gentocin solution and plated on selective media (87.5%). Results of this study suggest that optimal isolation rates of P. insidiosum from infected equine tissues are achieved by culturing fresh kunkers on selective media. For samples that cannot be processed immediately, acceptable handling techniques include storage at room temperature for up to 3 days, refrigeration for up to 5 days, shipping on cold packs, and storage in antibiotic solution, each combined with subsequent inoculation on selective media.
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Affiliation(s)
- Amy M Grooters
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge 70803-8410, USA
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Grooters AM, Gee MK. Development of a Nested Polymerase Chain Reaction Assay for the Detection and Identification ofPythium insidiosum. J Vet Intern Med 2002. [DOI: 10.1111/j.1939-1676.2002.tb02346.x] [Citation(s) in RCA: 67] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Grooters AM, Leise BS, Lopez MK, Gee MK, O'Reilly KL. Development and Evaluation of an Enzyme-Linked Immunosorbent Assay for the Serodiagnosis of Pythiosis in Dogs. J Vet Intern Med 2002. [DOI: 10.1111/j.1939-1676.2002.tb02345.x] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Dykstra MJ, Sharp NJ, Olivry T, Hillier A, Murphy KM, Kaufman L, Kunkle GA, Pucheu-Haston C. A description of cutaneous-subcutaneous pythiosis in fifteen dogs. Med Mycol 1999; 37:427-33. [PMID: 10647124 DOI: 10.1046/j.1365-280x.1999.00248.x] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Information regarding signalment, duration of clinical signs, history of swimming, results of CBC and serum biochemical analyses, biopsy findings and mycological results, together with treatments and outcome, was retrieved from the medical records of 15 dogs with a diagnosis of pythiosis made between 1985 and 1995 at the Colleges of Veterinary Medicine, North Carolina State University and the University of Florida. Most of the dogs were young (median age 22 months) and represented larger breeds (> 20 kg). Lesions were characteristically chronic, ulcerated, and nodular with multiple draining tracts on the limbs, thoracic wall or perineal regions. The median duration of these lesions was 3 months with a range of 2 weeks-6 months. Seven dogs had a history of swimming. Peripheral eosinophilia was observed in 14 of the dogs. Cytological evaluation of discharge, aspirates, or impression smears made from biopsy specimens revealed hyphae in five of 11 dogs (45%). Histopathological evaluation using the Gomori Methenamine-Silver (GMS) stain was the most useful test for providing presumptive evidence of cutaneous pythiosis. Immunotherapy or antifungal therapy using either amphotericin B, liposomal nystatin, itraconazole, or ketoconazole were all unsuccessful. The only dog to survive underwent amputation of the affected limb; thus, the prognosis for cutaneous pythiosis in the dog is poor.
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Affiliation(s)
- M J Dykstra
- Microbiology, Pathology and Parasitology Department, College of Veterinary Medicine, North Carolina State University, Raleigh 27606, USA
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Abstract
A case of Pythium insidiosum keratitis is described. It is an unusual organism that is difficult to isolate. Cases in animals and humans have been reported from tropical and subtropical parts of the world but this is the first case from a temperate region and was acquired from a hot pool. Although resembling a fungus, it is insensitive to all antifungals and requires wide surgical excision for cure.
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Affiliation(s)
- D Murdoch
- Department of Ophthalmology, Auckland Hospital, New Zealand
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