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Gil Ó, Hernández-Pabón JC, Tabares B, Lugo-Sánchez C, Firacative C. Rare Yeasts in Latin America: Uncommon Yet Meaningful. J Fungi (Basel) 2023; 9:747. [PMID: 37504735 PMCID: PMC10381163 DOI: 10.3390/jof9070747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 06/20/2023] [Accepted: 06/28/2023] [Indexed: 07/29/2023] Open
Abstract
Systemic infections caused by rare yeasts are increasing given the rise in immunocompromised or seriously ill patients. Even though globally, the clinical significance of these emerging opportunistic yeasts is increasingly being recognized, less is known about the epidemiology of rare yeasts in Latin America. This review collects, analyzes, and contributes demographic and clinical data from 495 cases of infection caused by rare yeasts in the region. Among all cases, 32 species of rare yeasts, distributed in 12 genera, have been reported in 8 Latin American countries, with Trichosporon asahii (49.5%), Rhodotorula mucilaginosa (11.1%), and Saccharomyces cerevisiae (7.8%) the most common species found. Patients were mostly male (58.3%), from neonates to 84 years of age. Statistically, surgery and antibiotic use were associated with higher rates of Trichosporon infections, while central venous catheter, leukemia, and cancer were associated with higher rates of Rhodotorula infections. From all cases, fungemia was the predominant diagnosis (50.3%). Patients were mostly treated with amphotericin B (58.7%). Crude mortality was 40.8%, with a higher risk of death from fungemia and T. asahii infections. Culture was the main diagnostic methodology. Antifungal resistance to one or more drugs was reported in various species of rare yeasts.
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Affiliation(s)
- Óscar Gil
- Group MICROS Research Incubator, School of Medicine and Health Sciences, Universidad de Rosario, Bogota 111221, Colombia
| | - Juan Camilo Hernández-Pabón
- Group MICROS Research Incubator, School of Medicine and Health Sciences, Universidad de Rosario, Bogota 111221, Colombia
| | - Bryan Tabares
- Group MICROS Research Incubator, School of Medicine and Health Sciences, Universidad de Rosario, Bogota 111221, Colombia
- Unidad de Extensión Hospitalaria, Hospital Universitario Mayor Méderi, Bogota 111411, Colombia
| | - Carlos Lugo-Sánchez
- Group MICROS Research Incubator, School of Medicine and Health Sciences, Universidad de Rosario, Bogota 111221, Colombia
| | - Carolina Firacative
- Studies in Translational Microbiology and Emerging Diseases (MICROS) Research Group, School of Medicine and Health Sciences, Universidad de Rosario, Bogota 111221, Colombia
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2
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Nowicka D, Nawrot U. Contribution of Malassezia spp. to the development of atopic dermatitis. Mycoses 2019; 62:588-596. [DOI: 10.1111/myc.12913] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Revised: 02/13/2019] [Accepted: 03/19/2019] [Indexed: 12/31/2022]
Affiliation(s)
- Danuta Nowicka
- Department of Dermatology, Venereology and Allergology Wrocław Medical University Wrocław Poland
| | - Urszula Nawrot
- Department of Pharmaceutical Microbiology and Parasitology Wrocław Medical University Wrocław Poland
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Gandra RM, Mc Carron P, Fernandes MF, Ramos LS, Mello TP, Aor AC, Branquinha MH, McCann M, Devereux M, Santos ALS. Antifungal Potential of Copper(II), Manganese(II) and Silver(I) 1,10-Phenanthroline Chelates Against Multidrug-Resistant Fungal Species Forming the Candida haemulonii Complex: Impact on the Planktonic and Biofilm Lifestyles. Front Microbiol 2017; 8:1257. [PMID: 28744261 PMCID: PMC5504357 DOI: 10.3389/fmicb.2017.01257] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Accepted: 06/23/2017] [Indexed: 12/12/2022] Open
Abstract
Candida haemulonii, Candida haemulonii var. vulnera and Candida duobushaemulonii, which form the C. haemulonii complex, are emerging etiologic agents of fungal infections known to be resistant to the most commonly used antifungals. The well-established anti-Candida potential of metal complexes containing 1,10-phenanthroline (phen) ligands encouraged us to evaluate different copper(II), manganese(II), and silver(I) phen chelates for their ability to inhibit planktonic growth and biofilm of C. haemulonii species complex. Two novel coordination complexes, {[Cu(3,6,9-tdda)(phen)2].3H2O.EtOH}n and [Ag2(3,6,9-tdda)(phen)4].EtOH (3,6,9-tddaH2 = 3,6,9-trioxaundecanedioic acid), were synthesized in a similar fashion to the other, previously documented, sixteen copper(II), manganese(II), and silver(I) chelates employed herein. Three isolates of each C. haemulonii species complex were used and the effect of the metal chelates on viability was determined utilizing the CLSI standard protocol and on biofilm-growing cells using the XTT assay. Cytotoxicity of the chelates was evaluated by the MTT assay, employing lung epithelial cells. The majority of the metal chelates were capable of interfering with the viability of planktonic-growing cells of all the fungal isolates. The silver complexes were the most effective drugs (overall geometric mean of the minimum inhibitory concentration (GM-MIC) ranged from 0.26 to 2.16 μM), followed by the manganese (overall GM-MIC ranged from 0.87 to 10.71 μM) and copper (overall GM-MIC ranged from 3.37 to >72 μM) chelates. The manganese chelates (CC50 values ranged from 234.51 to >512 μM) were the least toxic to the mammalian cells, followed by the silver (CC50 values ranged from 2.07 to 13.63 μM) and copper (CC50 values ranged from 0.53 to 3.86 μM) compounds. When tested against mature biofilms, the chelates were less active, with MICs ranging from 2- to 33-fold higher levels when compared to the planktonic MIC counterparts. Importantly, manganese(II), copper(II), and silver(I) phen chelates are relatively cheap and easy to synthesize and they offer significant antifungal chemotherapeutic potential for the treatment of highly resistant pathogens.
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Affiliation(s)
- Rafael M Gandra
- Laboratório de Investigação de Peptidases, Departamento de Microbiologia Geral, Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de JaneiroRio de Janeiro, Brazil.,Programa de Pós-Graduação em Bioquímica, Instituto de Química, Universidade Federal do Rio de JaneiroRio de Janeiro, Brazil.,The Inorganic Pharmaceutical and Biomimetic Research Centre, Focas Research Institute, Dublin Institute of TechnologyDublin, Ireland
| | - Pauraic Mc Carron
- The Inorganic Pharmaceutical and Biomimetic Research Centre, Focas Research Institute, Dublin Institute of TechnologyDublin, Ireland.,Chemistry Department, Maynooth University, National University of IrelandMaynooth, Ireland
| | - Mariana F Fernandes
- Laboratório de Investigação de Peptidases, Departamento de Microbiologia Geral, Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de JaneiroRio de Janeiro, Brazil
| | - Lívia S Ramos
- Laboratório de Investigação de Peptidases, Departamento de Microbiologia Geral, Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de JaneiroRio de Janeiro, Brazil
| | - Thaís P Mello
- Laboratório de Investigação de Peptidases, Departamento de Microbiologia Geral, Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de JaneiroRio de Janeiro, Brazil
| | - Ana Carolina Aor
- Laboratório de Investigação de Peptidases, Departamento de Microbiologia Geral, Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de JaneiroRio de Janeiro, Brazil
| | - Marta H Branquinha
- Laboratório de Investigação de Peptidases, Departamento de Microbiologia Geral, Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de JaneiroRio de Janeiro, Brazil
| | - Malachy McCann
- Chemistry Department, Maynooth University, National University of IrelandMaynooth, Ireland
| | - Michael Devereux
- The Inorganic Pharmaceutical and Biomimetic Research Centre, Focas Research Institute, Dublin Institute of TechnologyDublin, Ireland
| | - André L S Santos
- Laboratório de Investigação de Peptidases, Departamento de Microbiologia Geral, Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de JaneiroRio de Janeiro, Brazil.,Programa de Pós-Graduação em Bioquímica, Instituto de Química, Universidade Federal do Rio de JaneiroRio de Janeiro, Brazil
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4
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Rojas FD, Córdoba SB, de los Ángeles Sosa M, Zalazar LC, Fernández MS, Cattana ME, Alegre LR, Carrillo-Muñoz AJ, Giusiano GE. Antifungal susceptibility testing ofMalasseziayeast: comparison of two different methodologies. Mycoses 2016; 60:104-111. [DOI: 10.1111/myc.12556] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2016] [Revised: 08/11/2016] [Accepted: 08/12/2016] [Indexed: 12/01/2022]
Affiliation(s)
- Florencia D. Rojas
- Departamento de Micología; Instituto de Medicina Regional; Universidad Nacional del Nordeste; Resistencia Chaco Argentina
| | - Susana B. Córdoba
- Departamento de Micología; Instituto Nacional de Enfermedades Infecciosas; ANLIS “Dr. Carlos G. Malbrán”; Buenos Aires Chaco Argentina
| | - María de los Ángeles Sosa
- Departamento de Micología; Instituto de Medicina Regional; Universidad Nacional del Nordeste; Resistencia Chaco Argentina
| | - Laura C. Zalazar
- Cátedra de Matemática Aplicada; Facultad de Humanidades; Universidad Nacional del Nordeste; Resistencia Chaco Argentina
| | - Mariana S. Fernández
- Departamento de Micología; Instituto de Medicina Regional; Universidad Nacional del Nordeste; Resistencia Chaco Argentina
| | - María E. Cattana
- Departamento de Micología; Instituto de Medicina Regional; Universidad Nacional del Nordeste; Resistencia Chaco Argentina
| | - Liliana R. Alegre
- Departamento de Micología; Instituto de Medicina Regional; Universidad Nacional del Nordeste; Resistencia Chaco Argentina
| | | | - Gustavo E. Giusiano
- Departamento de Micología; Instituto de Medicina Regional; Universidad Nacional del Nordeste; Resistencia Chaco Argentina
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Rojas FD, Sosa MDLA, Fernandez MS, Cattana ME, Cordoba SB, Giusiano GE. Antifungal susceptibility of Malassezia furfur, Malassezia sympodialis, and Malassezia globosa to azole drugs and amphotericin B evaluated using a broth microdilution method. Med Mycol 2014; 52:641-6. [DOI: 10.1093/mmy/myu010] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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6
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Kolecka A, Khayhan K, Arabatzis M, Velegraki A, Kostrzewa M, Andersson A, Scheynius A, Cafarchia C, Iatta R, Montagna M, Youngchim S, Cabañes F, Hoopman P, Kraak B, Groenewald M, Boekhout T. Efficient identification ofMalasseziayeasts by matrix‐assisted laser desorption ionization‐time of flight mass spectrometry (MALDI‐TOF MS). Br J Dermatol 2014; 170:332-41. [DOI: 10.1111/bjd.12680] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2013] [Indexed: 12/15/2022]
Affiliation(s)
- A. Kolecka
- Department of Yeast and Basidiomycete Research CBS‐KNAW Fungal Biodiversity Centre Uppsalalaan 8 3584CT Utrecht the Netherlands
| | - K. Khayhan
- Department of Yeast and Basidiomycete Research CBS‐KNAW Fungal Biodiversity Centre Uppsalalaan 8 3584CT Utrecht the Netherlands
- Department of Microbiology and Parasitology Faculty of Medical Sciences University of Phayao Phayao Thailand
| | - M. Arabatzis
- Research Mycology Laboratory (K.A. 70/3/6915) Microbiology Department Medical School of University of Athens Athens Greece
| | - A. Velegraki
- Research Mycology Laboratory (K.A. 70/3/6915) Microbiology Department Medical School of University of Athens Athens Greece
| | - M. Kostrzewa
- Bioanalytical Development Bruker Daltonics GmbH Bremen Germany
| | - A. Andersson
- Translational Immunology Unit Department of Medicine Solna Karolinska Institutet Stockholm Sweden
| | - A. Scheynius
- Translational Immunology Unit Department of Medicine Solna Karolinska Institutet Stockholm Sweden
| | - C. Cafarchia
- Department of Veterinary Medicine Aldo Moro University of Bari Bari Italy
| | - R. Iatta
- Department of Veterinary Medicine Aldo Moro University of Bari Bari Italy
| | - M.T. Montagna
- Department of Biomedical Science and Human Oncology Section of Hygiene Aldo Moro University of Bari Bari Italy
| | - S. Youngchim
- Department of Microbiology Faculty of Medicine Chiang Mai University Chiang Mai Thailand
| | - F.J. Cabañes
- Department of Animal Health and Anatomy Universitat Autònoma de Barcelona Bellaterra Barcelona Spain
| | - P. Hoopman
- Department of Yeast and Basidiomycete Research CBS‐KNAW Fungal Biodiversity Centre Uppsalalaan 8 3584CT Utrecht the Netherlands
| | - B. Kraak
- Department of Yeast and Basidiomycete Research CBS‐KNAW Fungal Biodiversity Centre Uppsalalaan 8 3584CT Utrecht the Netherlands
| | - M. Groenewald
- Department of Yeast and Basidiomycete Research CBS‐KNAW Fungal Biodiversity Centre Uppsalalaan 8 3584CT Utrecht the Netherlands
| | - T. Boekhout
- Department of Yeast and Basidiomycete Research CBS‐KNAW Fungal Biodiversity Centre Uppsalalaan 8 3584CT Utrecht the Netherlands
- Department of Internal Medicine and Infectious Diseases University Medical Center Utrecht the Netherlands
- Department of Dermatology Shanghai Key Laboratory of Molecular Medical Mycology Second Military Medical University Changzheng Hospital Institute of Dermatology and Medical Mycology Shanghai China
- Institute of Microbiology Chinese Academy of Sciences Beijing China
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Sifuentes-Osornio J, Corzo-León DE, Ponce-de-León LA. Epidemiology of Invasive Fungal Infections in Latin America. CURRENT FUNGAL INFECTION REPORTS 2012; 6:23-34. [PMID: 22363832 PMCID: PMC3277824 DOI: 10.1007/s12281-011-0081-7] [Citation(s) in RCA: 64] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
The pathogenic role of invasive fungal infections (IFIs) has increased during the past two decades in Latin America and worldwide, and the number of patients at risk has risen dramatically. Working habits and leisure activities have also been a focus of attention by public health officials, as endemic mycoses have provoked a number of outbreaks. An extensive search of medical literature from Latin America suggests that the incidence of IFIs from both endemic and opportunistic fungi has increased. The increase in endemic mycoses is probably related to population changes (migration, tourism, and increased population growth), whereas the increase in opportunistic mycoses may be associated with the greater number of people at risk. In both cases, the early and appropriate use of diagnostic procedures has improved diagnosis and outcome.
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Affiliation(s)
- Jose Sifuentes-Osornio
- Laboratory of Microbiology, Salvador Zubiran National Institute of Medical Science and Nutrition, 15 Vasco de Quiroga, sección XVI, Tlalpan, México City, ZC 14000 Mexico
| | - Dora E. Corzo-León
- Infectious Diseases, Salvador Zubiran National Institute of Medical Science and Nutrition, México City, Mexico
| | - L. Alfredo Ponce-de-León
- Laboratory of Microbiology, Salvador Zubiran National Institute of Medical Science and Nutrition, 15 Vasco de Quiroga, sección XVI, Tlalpan, México City, ZC 14000 Mexico
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Pereira GH, Müller PR, Szeszs MW, Levin AS, Melhem MSC. Five-year evaluation of bloodstream yeast infections in a tertiary hospital: the predominance of non-C. albicans Candidaspecies. Med Mycol 2010; 48:839-42. [DOI: 10.3109/13693780903580121] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
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9
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Passos XS, Costa CR, Araújo CR, Nascimento ES, e Souza LKH, Fernandes ODFL, Sales WS, Silva MDRR. Species distribution and antifungal susceptibility patterns of Candida spp. bloodstream isolates from a Brazilian tertiary care hospital. Mycopathologia 2007; 163:145-51. [PMID: 17334813 DOI: 10.1007/s11046-007-0094-5] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2006] [Accepted: 01/24/2007] [Indexed: 11/30/2022]
Abstract
In this work, we collect data from surveys of bloodstream Candida isolates performed in Brazil from 1996 to 2004. Besides, we analyzed the species distribution of bloodstream Candida isolates together with potential risk factors for candidemia and the susceptibility profile of these isolates in patients from Hospital das Clínicas in Goiânia city, Brazil. Blood samples were collected in the admission day and on every 7 days, in the intensive care unit (ICU) of a tertiary hospital. Candida isolates were identified by standard protocols that included germ tube formation, chlamydoconidia production on cornmeal agar and sugar fermentation and assimilation tests. Data of patients were recorded and analyzed according to age at the time of diagnosis, gender and presence of potential risk factors. Statistical analysis was used to determine if the time of hospital permanence increased Candida colonization in ICU patients' blood. The antifungal susceptibility testing was performed by broth microdilution method according to document NCCLS/CLSI M27-A2. Among the 345 blood samples cultured, candidemia was recovered in 33 patients, which were isolated 51.5% of Candida non-albicans. Fungemia was associated with long-term hospitalization. Fluconazole, itraconzole, voriconazole and amphotericin B exhibited a potent activity against all isolates of Candida. Voriconazole MICs were much low for all isolates tested. This work confirms data of increase of Candida non-albicans species in bloodstream in ICU and shows that voriconazole in vitro activity was higher than those of itraconazole, fluconazole and amphotericin B.
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Miranda KC, de Araujo CR, Costa CR, Passos XS, de Fátima Lisboa Fernandes O, do Rosário Rodrigues Silva M. Antifungal activities of azole agents against the Malassezia species. Int J Antimicrob Agents 2007; 29:281-4. [PMID: 17223320 DOI: 10.1016/j.ijantimicag.2006.09.016] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2006] [Revised: 09/06/2006] [Accepted: 09/19/2006] [Indexed: 10/23/2022]
Abstract
In this paper, we identified 95 Malassezia isolates by morphological and biochemical criteria and assessed the in vitro activity of fluconazole, itraconazole, ketoconazole and voriconazole by broth microdilution against these species using slightly modified Leeming-Notman medium. The Malassezia isolates were identified as M. furfur (74), M. sympodialis (11), M. obtusa (8) and M. globosa (2). The modified Leeming-Notman medium used for susceptibility testing allowed good growth of Malassezia spp. Visual reading of the minimal inhibitory concentration (MIC) was readily achieved until Day 5 of incubation at 32 degrees C. Although high MIC values of 16 microg/mL for fluconazole were observed in 9.5% of Malassezia isolates, in general these microorganisms were susceptible to all drugs studied. Interestingly, one M. globosa isolate showed high MIC values for voriconazole, itraconazole and fluconazole. For the 95 strains, the MIC ranges were <0.03-4 microg/mL for ketoconazole, <0.03 to >16 microg/mL for voriconazole, <0.125 to >64 microg/mL for fluconazole and <0.03-16 microg/mL for itraconazole. In summary, the good reproducibility and visual readings obtained using modified Leeming-Notman medium suggest that this medium should be proposed for antifungal testing of drugs against Malassezia spp.
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