1
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High MICs for antifungal agents in yeasts from an anthropized lagoon in South America. Microbiol Res 2022; 262:127083. [DOI: 10.1016/j.micres.2022.127083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 05/23/2022] [Accepted: 05/26/2022] [Indexed: 11/22/2022]
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2
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Mpakosi A, Siopi M, Demetriou M, Falaina V, Theodoraki M, Meletiadis J. Fungemia due to Moesziomyces aphidis (Pseudozyma aphidis) in a premature neonate. Challenges of species identification and antifungal susceptibility testing of rare yeasts. J Mycol Med 2022; 32:101258. [DOI: 10.1016/j.mycmed.2022.101258] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 02/02/2022] [Accepted: 02/18/2022] [Indexed: 11/28/2022]
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3
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Chang CC, Hall V, Cooper C, Grigoriadis G, Beardsley J, Sorrell TC, Heath CH. Consensus guidelines for the diagnosis and management of cryptococcosis and rare yeast infections in the haematology/oncology setting, 2021. Intern Med J 2021; 51 Suppl 7:118-142. [PMID: 34937137 DOI: 10.1111/imj.15590] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Cryptococcosis caused by the Cryptococcus neoformans-Cryptococcus gattii complex is an important opportunistic infection in people with immunodeficiency, including in the haematology/oncology setting. This may manifest clinically as cryptococcal meningitis or pulmonary cryptococcosis, or be detected incidentally by cryptococcal antigenemia, a positive sputum culture or radiological imaging. Non-Candida, non-Cryptococcus spp. rare yeast fungaemia are increasingly common in this population. These consensus guidelines aim to provide clinicians working in the Australian and New Zealand haematology/oncology setting with clear guiding principles and practical recommendations for the management of cryptococcosis, while also highlighting important and emerging rare yeast infections and their recommended management.
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Affiliation(s)
- Christina C Chang
- Department of Infectious Diseases, Alfred Hospital and Central Clinical School, Monash University, Melbourne, Victoria, Australia.,Therapeutic and Vaccine Research Programme, Kirby Institute, University of New South Wales, Sydney, New South Wales, Australia.,Centre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, KwaZulu Natal, South Africa
| | - Victoria Hall
- Department of Infectious Diseases, Alfred Hospital and Central Clinical School, Monash University, Melbourne, Victoria, Australia.,Transplant Infectious Diseases and Multi-Organ Transplant Program, University Health Network, Toronto, Ontario, Canada
| | - Celia Cooper
- Department of Microbiology and Infectious Diseases, Women's and Children's Hospital, North Adelaide, South Australia, Australia
| | - George Grigoriadis
- Monash Haematology, Monash Health, Melbourne, Victoria, Australia.,School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.,Centre for Cancer Research, Hudson Institute of Medical Research, Clayton, Victoria, Australia.,Department of Haematology, Alfred Hospital, Prahran, Victoria, Australia
| | - Justin Beardsley
- Marie Bashir Institute for Infectious Diseases & Biosecurity, University of Sydney, Sydney, New South Wales, Australia.,Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.,Department of Infectious Diseases, Prince of Wales Hospital, Randwick, New South Wales, Australia
| | - Tania C Sorrell
- Marie Bashir Institute for Infectious Diseases & Biosecurity, University of Sydney, Sydney, New South Wales, Australia.,Centre for Infectious Diseases and Microbiology, Westmead Institute for Medical Research, Westmead, New South Wales, Australia.,Infectious Diseases and Sexual Health, Western Sydney Local Health District, Parramatta, New South Wales, Australia
| | - Christopher H Heath
- Department of Microbiology, Fiona Stanley Hospital Network, PathWest Laboratory Medicine, Murdoch, Western Australia, Australia.,Department of Infectious Diseases, Fiona Stanley Hospital, Murdoch, Western Australia, Australia.,Department of Infectious Diseases, Royal Perth Hospital, Perth, Western Australia, Australia.,Faculty of Health and Medical Sciences, University of Western Australia, Murdoch, Western Australia, Australia
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4
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Hu F, Wang C, Wang P, Zhang L, Jiang Q, Al-Hatmi AMS, Blechert O, Zhan P. First Case of Subcutaneous Mycoses Caused by Dirkmeia churashimaensis and a Literature Review of Human Ustilaginales Infections. Front Cell Infect Microbiol 2021; 11:711768. [PMID: 34796121 PMCID: PMC8593038 DOI: 10.3389/fcimb.2021.711768] [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: 05/19/2021] [Accepted: 08/10/2021] [Indexed: 12/02/2022] Open
Abstract
Objective Dirkmeia churashimaensis, belonging to Ustilaginales fungi, has never been reported as clinical pathogenic until very recently. In this study, we report an unusual subcutaneous infection with Dirkmeia churashimaensis and reviewed all human Ustilaginales infections. The aim is to better understand their epidemiology, infection type, risk factors, and the sensitivity to antifungal agents. Methods An 80-year-old female farmer developed extensive plaques and nodules on her left arm within 2 years. Pathological and microbiological examinations identified a new pathological agent, Dirkmeia churashimaensis, as the cause of this infection. The patient was successfully cured by oral itraconazole. We reviewed a total of 31 cases of Ustilaginales cases, among of which only three were skin infections. Results Local barrier damage (i.e., surgery, trauma, and basic dermatosis) and systemic immunodeficiency (i.e., preterm and low birthweight, Crohn’s disease, malignant cancer, and chemotherapy) are risk factors for Ustilaginales infection. The D1/D2 and ITS regions are the frequently used loci for identifying the pathogens together with phenotype. Most patients could survive due to antifungal treatment, whereas seven patients died. Amphotericin B, posaconazole, itraconazole, and voriconazole showed good activity against these reported strains, whereas fluconazole, 5-flucytosine, and echinocandins usually showed low susceptibility. Itraconazole had good efficiency for subcutaneous infections. Conclusions The present case study and literature review reveal that Ustilaginales can be opportunistic pathogenic normally in immunocompromised and barrier damage people. A proper identification of fungi can be crucial for clinical treatment, and more data of antifungal are needed for choice of medication against this kind of infections.
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Affiliation(s)
- Fengming Hu
- Department of Integrated Chinese and Western Medicine, Dermatology Hospital of Jiangxi Province and Jiangxi Dermatology Institute, Nanchang, China
| | - Chong Wang
- Dermatology Department, Liaocheng People's Hospital, Liaocheng, China
| | - Peng Wang
- Department of Integrated Chinese and Western Medicine, Dermatology Hospital of Jiangxi Province and Jiangxi Dermatology Institute, Nanchang, China
| | - Lei Zhang
- Department of Integrated Chinese and Western Medicine, Dermatology Hospital of Jiangxi Province and Jiangxi Dermatology Institute, Nanchang, China.,Dermatology Department, The Second People's Hospital of Guiyang, Guiyang, China
| | - Qing Jiang
- Department of Integrated Chinese and Western Medicine, Dermatology Hospital of Jiangxi Province and Jiangxi Dermatology Institute, Nanchang, China
| | - Abdullah M S Al-Hatmi
- Natural & Medical Sciences Research Center, University of Nizwa, Nizwa, Oman.,Department of Biological Sciences & Chemistry, College of Arts and Sciences, University of Nizwa, Nizwa, Oman.,Centre of Expertise in Mycology Radboudumc/CWZ, Nijmegen, Netherlands
| | - Oliver Blechert
- The Institute of Clinical Medicine & Dermatology Department, Jiangxi Provincial People's Hospital Affiliated to Nanchang University, Nanchang, China
| | - Ping Zhan
- The Institute of Clinical Medicine & Dermatology Department, Jiangxi Provincial People's Hospital Affiliated to Nanchang University, Nanchang, China
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5
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Telles JP, Ribeiro VST, Kraft L, Tuon FF. Pseudozyma spp. human infections: A systematic review. Med Mycol 2021; 59:1-6. [PMID: 32343341 DOI: 10.1093/mmy/myaa025] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Revised: 03/13/2020] [Accepted: 04/01/2020] [Indexed: 12/13/2022] Open
Abstract
Pseudozyma spp. are described as environmental yeasts but have also been identified as rare human pathogens found in immunocompromised patients. This systematic review details the clinical manifestations, diagnostic methodology, and empirical anti-fungal therapy for this rare yeast. PubMed, LILACS, Scielo, and Web of Science databases were searched for articles about Pseudozyma spp. infections from inception to June 2019. Inclusion criteria were any published studies that included patients with Pseudozyma spp. infection. Infections were identified using criteria set forth by the European Organization for Research and Treatment of Cancer, and were further classified according to clinical, laboratory, or radiologic findings, microbiologic confirmation, and response to therapy. Eleven articles were included with 15 patients. Oncological and/or hematological disorders were the most reported risk factors. Nontraditional microbiological methods correctly identified Pseudozyma spp., whereas traditional methods failed to identify fungal genus. Species were identified by sequencing, and most demonstrated a higher minimal inhibitory concentration (MIC) for fluconazole and echinocandins. MICs for itraconazole, voriconazole, and posaconazole varied by species. All isolates were susceptible to amphotericin B, which was the most used treatment. Pseudozyma spp. infections usually present with fever and are diagnosed by blood culture. Most species studied appeared to be resistant to fluconazole and echinocandin. Voriconazole, posaconazole, and amphotericin were effective in treating P. aphidis. However, more studies are needed to evaluate voriconazole and posaconazole in species other than P. aphidis.
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Affiliation(s)
- João Paulo Telles
- AC Camargo Cancer Center, Infectious Disease Department, São Paulo SP, Brazil
| | | | - Letícia Kraft
- Laboratory of Emerging Infectious Diseases, Pontifícia Universidade Católica do Paraná, Curitiba PR, Brazil
| | - Felipe Francisco Tuon
- Laboratory of Emerging Infectious Diseases, Pontifícia Universidade Católica do Paraná, Curitiba PR, Brazil
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6
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Maccaro A, Pascale R, Liberatore A, Turello G, Ambretti S, Viale P, Cricca M. Pseudozyma aphidis bloodstream infection in a patient with aggressive lymphoma and a history of intravenous drug use: Case report and review of the literature. Med Mycol Case Rep 2021; 33:5-8. [PMID: 34168955 PMCID: PMC8207174 DOI: 10.1016/j.mmcr.2021.05.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2021] [Revised: 05/26/2021] [Accepted: 05/29/2021] [Indexed: 02/07/2023] Open
Abstract
Pseudozyma aphidis is an environmental fungus which causes opportunistic infections in immunocompromised patients. Here we report the case of a 54-year-old, intravenous drug user woman, newly diagnosed to have an aggressive lymphoma, who developed a bloodstream infection caused by P. aphidis treated successfully with amphotericin-B therapy. The precise identification was assessed by sequencing. We propose to consider intravenous drug use as a risk factor for invasive infections due to this environmental yeast.
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Affiliation(s)
- Angelo Maccaro
- Infectious Diseases Unit, Department of Medical and Surgical Sciences, IRCCS S. Orsola-Malpighi Hospital, University of Bologna, 40138, Bologna, Italy
| | - Renato Pascale
- Infectious Diseases Unit, Department of Medical and Surgical Sciences, IRCCS S. Orsola-Malpighi Hospital, University of Bologna, 40138, Bologna, Italy
| | - Andrea Liberatore
- Center for Applied Biomedical Research (CRBA), University of Bologna, 40138, Bologna, Italy.,Unit of Microbiology, IRCCS S.Orsola-Malpighi Hospital, Via G. Massarenti, 9, 40138, Bologna, Italy
| | - Gabriele Turello
- Unit of Microbiology, IRCCS S.Orsola-Malpighi Hospital, Via G. Massarenti, 9, 40138, Bologna, Italy
| | - Simone Ambretti
- Unit of Microbiology, IRCCS S.Orsola-Malpighi Hospital, Via G. Massarenti, 9, 40138, Bologna, Italy
| | - Pierluigi Viale
- Infectious Diseases Unit, Department of Medical and Surgical Sciences, IRCCS S. Orsola-Malpighi Hospital, University of Bologna, 40138, Bologna, Italy
| | - Monica Cricca
- Center for Applied Biomedical Research (CRBA), University of Bologna, 40138, Bologna, Italy.,Unit of Microbiology, IRCCS S.Orsola-Malpighi Hospital, Via G. Massarenti, 9, 40138, Bologna, Italy.,Department of Experimental, Diagnostic and Specialty Medicine - DIMES, Alma Mater Studiorum, University of Bologna, 40138, Bologna, Italy
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7
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Liu Y, Zou Z, Hu Z, Wang W, Xiong J. Morphology and Molecular Analysis of Moesziomyces antarcticus Isolated From the Blood Samples of a Chinese Patient. Front Microbiol 2019; 10:254. [PMID: 30828326 PMCID: PMC6384246 DOI: 10.3389/fmicb.2019.00254] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2018] [Accepted: 01/30/2019] [Indexed: 11/13/2022] Open
Abstract
Objective: To identify the pathogen causing fungemia in a Chinese patient and describe its morphological and molecular characterizes. Methods: Samples of central and peripheral venous blood were collected for blood culture. Morphology and drug sensitivities of the isolated yeast-like fungus were analyzed. rDNA sequencing and molecular phylogenetic analysis of the isolated strains were performed using DNAMAN and MEGA software. Results: A strain of yeast-like fungi was repeatedly isolated from blood samples of a Chinese patient. The isolates grew well on sabouraud medium broth plate. The colonies were smooth and round at 28°C, and were of rough surface and irregular shape at 35°C. Molecular phylogenetic trees constructed based on the internal transcribed spacer (ITS) and D1/D2 domains of 28S rDNA gene demonstrated the isolated yeast-like fungus was Moesziomyces antarcticus. Drug susceptibility test showed that this isolated M. antarcticus was resistant or had relatively low susceptibility to flucytosine, fluconazole, voriconazole, and itraconazole, and only sensitive to amphotericin. Conclusion: This study provided more information for the molecular and morphology characteristics of M. antarcticus and reviewed the species information of Moesziomyces associated with human infections, which will contribute to the identification and diagnosis of Moesziomyces infections.
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Affiliation(s)
- Yuan Liu
- Clinical Laboratory, The General Hospital of Western Theater Command, Chengdu, China
| | - Ziying Zou
- Clinical Laboratory, The General Hospital of Western Theater Command, Chengdu, China
| | - Zonghai Hu
- Clinical Laboratory, The General Hospital of Western Theater Command, Chengdu, China
| | - Wenbo Wang
- Centers for Disease Control and Prevention, Western Theater Command, Chengdu, China
| | - Jie Xiong
- Clinical Laboratory, The General Hospital of Western Theater Command, Chengdu, China
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8
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Cheng MP, Nguyen TT, Parkes LO, Dufresne PJ, Sheppard DC. Cross-Reacting Ustilago maydis Causing False-Positive Cryptococcal Antigen Test Results. J Clin Microbiol 2017; 55:3135-3137. [PMID: 28747366 PMCID: PMC5625399 DOI: 10.1128/jcm.00920-17] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Matthew P Cheng
- Division of Infectious Diseases and Department of Medical Microbiology, McGill University Health Centre, Montreal, Quebec, Canada
| | - Tien T Nguyen
- Division of Infectious Diseases and Department of Medical Microbiology, McGill University Health Centre, Montreal, Quebec, Canada
| | - Leighanne O Parkes
- Division of Infectious Diseases and Department of Medical Microbiology, McGill University Health Centre, Montreal, Quebec, Canada
| | - Philippe J Dufresne
- Institute National de Santé Publique du Québec, Laboratoire de Santé Publique du Québec, Montreal, Quebec, Canada
| | - Donald C Sheppard
- Division of Infectious Diseases and Department of Medical Microbiology, McGill University Health Centre, Montreal, Quebec, Canada
- Infectious Diseases in Global Health Program, Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada
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9
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Byrne DD, Reboli AC. Rare Yeast Infections: Risk Factors, Clinical Manifestations, Treatment, and Special Considerations. CURRENT CLINICAL MICROBIOLOGY REPORTS 2017. [DOI: 10.1007/s40588-017-0073-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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10
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Kruse J, Doehlemann G, Kemen E, Thines M. Asexual and sexual morphs of Moesziomyces revisited. IMA Fungus 2017; 8:117-129. [PMID: 28824844 PMCID: PMC5493530 DOI: 10.5598/imafungus.2017.08.01.09] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2017] [Accepted: 05/04/2017] [Indexed: 11/17/2022] Open
Abstract
Yeasts of the now unused asexually typified genus Pseudozyma belong to the smut fungi (Ustilaginales) and are mostly believed to be apathogenic asexual yeasts derived from smut fungi that have lost pathogenicity on plants. However, phylogenetic studies have shown that most Pseudozyma species are phylogenetically close to smut fungi parasitic to plants, suggesting that some of the species might represent adventitious isolations of the yeast morph of otherwise plant pathogenic smut fungi. However, there are some species, such as Moesziomyces aphidis (syn. Pseudozyma aphidis) that are isolated throughout the world and sometimes are also found in clinical samples and do not have a known plant pathogenic sexual morph. In this study, it is revealed by phylogenetic investigations that isolates of the biocontrol agent Moesziomyces aphidis are interspersed with M. bullatus sexual lineages, suggesting conspecificity. This raises doubts regarding the apathogenic nature of asexual morphs previously placed in Pseudozyma, but suggests that there might also be pathogenic sexual morph counterparts for those species known only from asexual morphs. The finding that several additional species currently only known from their yeast morphs are embedded within the genus Moesziomyces, suggests that the yeast morph might play a more dominant role in this genus as compared to other genera of Ustilaginaceae. In addition, phylogenetic reconstructions demonstrated that Moesziomyces bullatus has a narrow host range and that some previously described but not widely used species names should be applied for Moesziomyces on other host genera than Echinochloa.
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Affiliation(s)
- Julia Kruse
- Goethe University, Department of Biological Sciences, Institute of Ecology, Evolution and Diversity, Max-von-Laue-Str. 13, D-60486 Frankfurt am Main, Germany
- Biodiversität und Klima Forschungszentrum, Senckenberg Gesellschaft für Naturforschung, Senckenberganlage 25, D-60325 Frankfurt am Main, Germany
| | - Gunther Doehlemann
- Botanical Institute and Center of Excellence on Plant Sciences (CEPLAS), University of Cologne, BioCenter, Zülpicher Str. 47a, D-50674, Köln, Germany
| | - Eric Kemen
- Max Planck Institute for Plant Breeding Research, Carl-von-Linne-Weg 10, 50829 Köln, Germany
| | - Marco Thines
- Goethe University, Department of Biological Sciences, Institute of Ecology, Evolution and Diversity, Max-von-Laue-Str. 13, D-60486 Frankfurt am Main, Germany
- Biodiversität und Klima Forschungszentrum, Senckenberg Gesellschaft für Naturforschung, Senckenberganlage 25, D-60325 Frankfurt am Main, Germany
- Integrative Fungal Research Cluster (IPF), Georg-Voigt-Str. 14-16, D-60325 Frankfurt am Main, Germany
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11
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Pande A, Non LR, Romee R, Santos CAQ. Pseudozyma and other non-Candida opportunistic yeast bloodstream infections in a large stem cell transplant center. Transpl Infect Dis 2017; 19. [PMID: 28099778 DOI: 10.1111/tid.12664] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Revised: 08/22/2016] [Accepted: 10/08/2016] [Indexed: 11/28/2022]
Abstract
Non-Candida opportunistic yeasts are emerging causes of bloodstream infection (BSI) in immunocompromised hosts. However, their clinical presentation, management, and outcomes in stem cell transplant (SCT) recipients are not well described. We report the first case to our knowledge of Pseudozyma BSI in a SCT recipient. He had evidence of cutaneous involvement, which has not been previously described in the literature. He became infected while neutropenic and receiving empiric micafungin, which is notable because Pseudozyma is reported to be resistant to echinocandins. He was successfully treated with the sequential use of liposomal amphotericin B and voriconazole. A review of the literature revealed nine reported instances of Pseudozyma fungemia. We performed a retrospective review of 3557 SCT recipients at our institution from January 2000 to June 2015 and identified four additional cases of non-Candida yeast BSIs. These include two with Cryptococcus, one with Trichosporon, and one with Saccharomyces. Pseudozyma and other non-Candida yeasts are emerging pathogens that can cause severe and disseminated infections in SCT recipients and other immunocompromised hosts. Clinicians should have a high degree of suspicion for echinocandin-resistant yeasts, if patients develop breakthrough yeast BSIs while receiving echinocandin therapy.
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Affiliation(s)
- Anupam Pande
- Division of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA
| | - Lemuel R Non
- Division of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA
| | - Rizwan Romee
- Bone Marrow Transplantation and Leukemia Section, Division of Oncology, Washington University School of Medicine, St. Louis, MO, USA
| | - Carlos A Q Santos
- Division of Infectious Diseases, Rush University Medical Center, Chicago, IL, USA
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12
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Tap RM, Ramli NY, Sabaratnam P, Hashim R, Bakri ARA, Bee LB, Ginsapu SJ, Ahmad R, Razak MFA, Ahmad N. First Two Cases of Fungal Infections Associated with Multi-drug Resistant Yeast, Fereydounia khargensis. Mycopathologia 2016; 181:531-7. [PMID: 27010640 PMCID: PMC4937094 DOI: 10.1007/s11046-016-0002-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2016] [Accepted: 03/12/2016] [Indexed: 11/28/2022]
Abstract
The number of new fungal pathogens is increasing due to growing population of immunocompromised patients and advanced identification techniques. Fereydounia khargensis is a yeast and was first described in 2014 from environmental samples. As far as we know, this is the first report of human infections associated with F. khargensis.
The yeasts were isolated from blood of a HIV-positive patient and pleural fluid of chronic renal failure patient. Amplification and sequencing of the internal transcribed spacer and the large subunit regions confirmed the identity of the isolates. Both isolates showed multi-drug resistance to antifungal agents tested.
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Affiliation(s)
- Ratna Mohd Tap
- Bacteriology Unit, Infectious Diseases Research Centre, Institute for Medical Research, 50588, Jalan Pahang, Kuala Lumpur, Malaysia.
| | - Nur Yasmin Ramli
- Bacteriology Unit, Infectious Diseases Research Centre, Institute for Medical Research, 50588, Jalan Pahang, Kuala Lumpur, Malaysia
| | - Parameswari Sabaratnam
- Bacteriology Unit, Infectious Diseases Research Centre, Institute for Medical Research, 50588, Jalan Pahang, Kuala Lumpur, Malaysia
| | - Rohaidah Hashim
- Bacteriology Unit, Infectious Diseases Research Centre, Institute for Medical Research, 50588, Jalan Pahang, Kuala Lumpur, Malaysia
| | - Ahmed Rafezzan Ahmed Bakri
- Microbiology Unit, Pathology Department, Queen Elizabeth Hospital, 88200, Kota Kinabalu, Sabah, Malaysia
| | - Lim Bee Bee
- Microbiology Unit, Pathology Department, Sultanah Fatimah Specialist Hospital, 84000, Muar, Johor, Malaysia
| | - Stephanie Jane Ginsapu
- Bacteriology Unit, Infectious Diseases Research Centre, Institute for Medical Research, 50588, Jalan Pahang, Kuala Lumpur, Malaysia
| | - Rahimah Ahmad
- Haematology Unit, Cancer Research Centre, Institute for Medical Research, Jalan Pahang, Kuala Lumpur, 50588, Malaysia
| | - Mohd Fuat Abd Razak
- Bacteriology Unit, Infectious Diseases Research Centre, Institute for Medical Research, 50588, Jalan Pahang, Kuala Lumpur, Malaysia
| | - Norazah Ahmad
- Bacteriology Unit, Infectious Diseases Research Centre, Institute for Medical Research, 50588, Jalan Pahang, Kuala Lumpur, Malaysia
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13
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Joo H, Choi YG, Cho SY, Choi JK, Lee DG, Kim HJ, Jo I, Park YJ, Lee KY. Pseudozyma aphidis fungaemia with invasive fungal pneumonia in a patient with acute myeloid leukaemia: case report and literature review. Mycoses 2015; 59:56-61. [PMID: 26608844 PMCID: PMC4738435 DOI: 10.1111/myc.12435] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2015] [Revised: 10/22/2015] [Accepted: 10/23/2015] [Indexed: 11/27/2022]
Abstract
Pseudozyma species rarely cause invasive diseases in humans, which are usually isolated from plants. There have been anecdotal reports regarding Pseudozyma species infections in patients with underlying diseases or in neonates. However, clinical data and the pathogenicity in humans are still insufficient. We experienced a case of Pseudozyma aphidis fungaemia with invasive fungal pneumonia that developed during reinduction chemotherapy in a 51‐year‐old male with acute myeloid leukaemia (AML). P. aphidis was suspected based on the morphology of the yeast isolated from the blood and was confirmed via rDNA gene sequencing analysis. The patient successfully underwent stem cell transplantation with continuing antifungal treatment and finally completely recovered from both the AML and infectious complications. Here, we report a case of P. aphidis infection that developed during neutropenia in an AML patient and review the global literature.
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Affiliation(s)
- Hyonsoo Joo
- Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Yeon-Geun Choi
- Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Sung-Yeon Cho
- Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.,Vaccine Bio Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Jae-Ki Choi
- Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.,Vaccine Bio Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Dong-Gun Lee
- Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.,Vaccine Bio Research Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea.,The Catholic Blood and Marrow Transplantation Centre, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Hee-Je Kim
- The Catholic Blood and Marrow Transplantation Centre, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Irene Jo
- Department of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Yeon-Joon Park
- Department of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Kyo-Young Lee
- Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
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14
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Orecchini LA, Olmos E, Taverna CG, Murisengo OA, Szuzs W, Vivot W, Córdoba S, Bosco-Borgeat ME, Montanaro PC. First Case of Fungemia Due to Pseudozyma aphidis in a Pediatric Patient with Osteosarcoma in Latin America. J Clin Microbiol 2015; 53:3691-4. [PMID: 26292313 PMCID: PMC4609714 DOI: 10.1128/jcm.01095-15] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Accepted: 08/17/2015] [Indexed: 11/20/2022] Open
Abstract
We report the first case of blood infection due to Pseudozyma aphidis in Latin America. We contribute evidence showing this organism to be a potential human pathogen, and we provide new data about its identification, drug susceptibility, and treatment outcome.
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Affiliation(s)
| | - Eugenia Olmos
- Hospital de niños de la Santísima Trinidad, Córdoba, Argentina
| | - Constanza Giselle Taverna
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. Carlos G. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina
| | - Omar Alejandro Murisengo
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. Carlos G. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina
| | - Wanda Szuzs
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. Carlos G. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina
| | - Walter Vivot
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. Carlos G. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina
| | - Susana Córdoba
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. Carlos G. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina
| | - María Eugenia Bosco-Borgeat
- Departamento Micología, Instituto Nacional de Enfermedades Infecciosas Dr. Carlos G. Malbrán, Ciudad Autónoma de Buenos Aires, Argentina
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16
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Abstract
Objective: To review the pharmacology, chemistry, in vitro susceptibility, pharmacokinetics, clinical efficacy, safety, tolerability, dosage, and administration of isavuconazole, a triazole antifungal agent. Data Sources: Studies and reviews were identified through an English language MEDLINE search (1978 to March 2015) and from http://www.clinicaltrials.gov , Food and Drug Administration (FDA) briefing documents, program abstracts from international symposia, and the manufacturer’s Web site. Study Selection and Data Extraction: All published and unpublished trials, abstracts, in vitro and preclinical studies, and FDA briefing documents were reviewed. Data Synthesis: Isavuconazole has activity against a number of clinically important yeasts and molds, including Candida spp, Aspergillus spp, Cryptococcus neoformans, and Trichosporon spp and variable activity against the Mucorales. Isavuconazole, available for both oral and intravenous administration, is characterized by slow elimination allowing once-daily dosing, extensive tissue distribution, and high (>99%) protein binding. The most commonly reported adverse events, which are mild and limited in nature, include nausea, diarrhea, and elevated liver function tests. Its drug interaction potential appears to be similar to other azole antifungals but less than those observed with voriconazole. Comparative trials are under way or have been recently completed for the treatment of candidemia, invasive candidiasis and aspergillosis, and rare mold infections. Conclusions: Isavuconazole has a broad spectrum of activity and favorable pharmacokinetic properties, providing an advantage over other currently available broad-spectrum azole antifungals and a clinically useful alternative to voriconazole for the treatment of invasive aspergillosis. It may also prove useful for the treatment of candidemia and invasive mold infections; however, these indications await the results of clinical trials.
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Affiliation(s)
- Natasha N. Pettit
- University of Chicago Medicine, University of Chicago Medical Center, Chicago, IL, USA
| | - Peggy L. Carver
- University of Michigan College of Pharmacy, Ann Arbor, MI, USA
- University of Michigan Health System, Ann Arbor, MI, USA
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Okolo OM, Van Diepeningen AD, Toma B, Nnadi NE, Ayanbimpe MG, Onyedibe IK, Sabitu MZ, Banwat BE, Groenewald M, Scordino F, Egah ZD, Criseo G, Romeo O. First report of neonatal sepsis due to Moesziomyces bullatus in a preterm low‐birth‐weight infant. JMM Case Rep 2015. [DOI: 10.1099/jmmcr.0.000011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Ojogba Mark Okolo
- Department of Medical Mycology, Jos University Teaching Hospital, Jos, Nigeria
| | | | - Bose Toma
- Department of Pediatrics, Jos University Teaching Hospital, Jos, Nigeria
| | | | - Mebi Grace Ayanbimpe
- Department of Microbiology, Plateau State University, Bokkos, Plateau State, Nigeria
| | | | | | - Benle Edmund Banwat
- Department of Medical Mycology, Jos University Teaching Hospital, Jos, Nigeria
| | | | - Fabio Scordino
- University of Messina, Department of Environmental and Biological Sciences, Viale F. Stagno d’Alcontres, 31, Messina 98166, Messina, Italy
| | - Zanyul Daniel Egah
- Department of Medical Mycology, Jos University Teaching Hospital, Jos, Nigeria
| | - Giuseppe Criseo
- University of Messina, Department of Environmental and Biological Sciences, Viale F. Stagno d’Alcontres, 31, Messina 98166, Messina, Italy
| | - Orazio Romeo
- University of Messina, Department of Environmental and Biological Sciences, Viale F. Stagno d’Alcontres, 31, Messina 98166, Messina, Italy
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18
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Herb A, Sabou M, Delhorme JB, Pessaux P, Mutter D, Candolfi E, Letscher-Bru V. Pseudozyma aphidis fungemia after abdominal surgery: First adult case. Med Mycol Case Rep 2015; 8:37-9. [PMID: 25870786 PMCID: PMC4389203 DOI: 10.1016/j.mmcr.2015.03.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2015] [Revised: 02/24/2015] [Accepted: 03/05/2015] [Indexed: 11/17/2022] Open
Abstract
Pseudozyma aphidis is an environmental Basidiomycete yeast, and has been involved in the ten past years in rare cases of invasive infection. Pseudozyma species are naturally resistant to caspofungin and often present decreased susceptibility or resistance to fluconazole. This fungus may be difficult to recognize and misidentifications are reported with conventional phenotypical methods. We report a case of P. aphidis invasive infection in an adult with a metastatic ampulloma who had gone through digestive surgery. Pseudozyma aphidis invasive infection after abdominal surgery. Identification of Pseudozyma aphidis: mass spectrometry could be promising if databanks include more spectra, whereas conventional phenotypical methods fail. Resistance to echinocandins and flucytosine and decreased susceptibility to fluconazole.
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Affiliation(s)
- Agathe Herb
- Laboratoire de Mycologie Médicale, Plateau Technique de Microbiologie, Hôpitaux Universitaires de Strasbourg, 1 Place de l'Hôpital, 67000 Strasbourg, France
| | - Marcela Sabou
- Laboratoire de Mycologie Médicale, Plateau Technique de Microbiologie, Hôpitaux Universitaires de Strasbourg, 1 Place de l'Hôpital, 67000 Strasbourg, France ; Institut de Parasitologie et de Pathologie Tropicale, EA7292, Fédération de Médecine Translationnelle, Université de Strasbourg, 3 rue Koeberlé, 67000 Strasbourg, France
| | - Jean-Baptiste Delhorme
- Service de Chirurgie Digestive, Nouvel Hôpital Civil, Hôpitaux Universitaires de Strasbourg, 1 Place de l'Hôpital, 67000 Strasbourg, France
| | - Patrick Pessaux
- Service de Chirurgie Digestive, Nouvel Hôpital Civil, Hôpitaux Universitaires de Strasbourg, 1 Place de l'Hôpital, 67000 Strasbourg, France
| | - Didier Mutter
- Service de Chirurgie Digestive, Nouvel Hôpital Civil, Hôpitaux Universitaires de Strasbourg, 1 Place de l'Hôpital, 67000 Strasbourg, France
| | - Ermanno Candolfi
- Laboratoire de Mycologie Médicale, Plateau Technique de Microbiologie, Hôpitaux Universitaires de Strasbourg, 1 Place de l'Hôpital, 67000 Strasbourg, France ; Institut de Parasitologie et de Pathologie Tropicale, EA7292, Fédération de Médecine Translationnelle, Université de Strasbourg, 3 rue Koeberlé, 67000 Strasbourg, France
| | - Valérie Letscher-Bru
- Laboratoire de Mycologie Médicale, Plateau Technique de Microbiologie, Hôpitaux Universitaires de Strasbourg, 1 Place de l'Hôpital, 67000 Strasbourg, France ; Institut de Parasitologie et de Pathologie Tropicale, EA7292, Fédération de Médecine Translationnelle, Université de Strasbourg, 3 rue Koeberlé, 67000 Strasbourg, France
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Kumar A, Udayakumaran S, Babu R, Rajamma BM, Prakash A, Panikar D, Karim S, Chowdhary A. Trichosporon asahii infection presenting as chronic meningo-ventriculitis and intra ventricular fungal ball: a case report and literature review. Mycoses 2015; 58:99-103. [PMID: 25590228 DOI: 10.1111/myc.12282] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2014] [Revised: 11/10/2014] [Accepted: 11/19/2014] [Indexed: 11/29/2022]
Abstract
Central nervous system trichosporonosis is a rare clinical entity and so far only six cases including three each of brain abscess and meningitis has been on record. We report a rare case of chronic meningo-ventriculitis and intraventricular fungal ball due to Trichosporon asahii in an 18-year-old immunocompetent male from Burundi, east Africa. Neuroendoscopy showed multiple nodules and a fungal ball within the ventricle, which on culture grew T. asahii. He was initially empirically treated with liposomal amphotericin B. However, the antifungal susceptibility testing of T. asahii isolate revealed high minimum inhibitory concentration for amphotericin B (2 μg ml⁻¹), flucytosine (16 μg ml⁻¹) and caspofungin (2 μg ml⁻¹) but exhibited potent activity for voriconazole, posaconazole, itraconazole and fluconazole. The patient rapidly succumbed to cardiac arrest before antifungal therapy could be changed. Although disseminated trichosporonosis has been increasingly reported the diagnosis represents a challenge especially in rare clinical settings such as intraventricular fungal ball in the present case, which has not been described previously.
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Affiliation(s)
- Anil Kumar
- Department of Microbiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India
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Abd Razak MF, Sabaratnam P, Issa R. Potential Pathogens among Fungi Identified as Nonsporulating Molds from Blood Cultures. JOURNAL OF BIOSCIENCES AND MEDICINES 2015; 03:39-44. [DOI: 10.4236/jbm.2015.310005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
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Siddiqui W, Ahmed Y, Albrecht H, Weissman S. Pseudozyma spp catheter-associated blood stream infection, an emerging pathogen and brief literature review. BMJ Case Rep 2014; 2014:bcr-2014-206369. [PMID: 25498807 DOI: 10.1136/bcr-2014-206369] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Pseudozyma spp are amorphic yeasts. They are commonly plant pathogens, but rarely cause invasive fungal disease in humans. Only three cases of central venous catheter (CVC)-associated blood stream infections due to this organism have been reported in the literature. Main underlying risk factors for Pseudozyma spp infection are bowel surgery, CVC and total parenteral nutrition. We present a rare case of Pseudozyma spp catheter-associated blood stream infection that was successfully treated with antifungal therapy and removal of CVC. It is important to recognise and differentiate this species from other yeasts as it may require the use of amphotericin B or voriconazole instead of fluconazole, to which the organism is variably resistant.
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Affiliation(s)
- Wajid Siddiqui
- Department of Infectious Diseases, Phoebe Putney Memorial Hospital, Albany, Georgia, USA
| | - Yasir Ahmed
- Department of Internal Medicine, Texas Tech University of Health Science Center, Odessa, Texas, USA
| | - Helmut Albrecht
- Department of Infectious Diseases, University of South Carolina, Columbia, South Carolina, USA
| | - Sharon Weissman
- Department of Infectious Diseases, University of South Carolina, Columbia, South Carolina, USA
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