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Cheng CY, Zhang MY, Niu YC, Zhang M, Geng YH, Deng H. Comparison of Fungal Genera Isolated from Cucumber Plants and Rhizosphere Soil by Using Various Cultural Media. J Fungi (Basel) 2023; 9:934. [PMID: 37755042 PMCID: PMC10532442 DOI: 10.3390/jof9090934] [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: 06/09/2023] [Revised: 09/06/2023] [Accepted: 09/11/2023] [Indexed: 09/28/2023] Open
Abstract
Plant endophytic fungi and rhizosphere soil fungi are often reported as biocontrol agents against plant pathogens or with plant growth promotion potential. Four treatments were performed in field and greenhouse experiments where cucumber plants were inoculated with Trichoderma harzianum and Fusarium oxysporum in 2022. The roots, stems and leaves of cucumber plants and their rhizosphere soil were collected twice individually from the field and greenhouse for isolation of cucumber endophytic and rhizosphere soil fungi. All fungal strains were identified through sequence similarity of the ITS1-5.8s-ITS2 rDNA region. The potato dextrose agar (PDA) media yielded the highest number of genera isolated from cucumber plants, rhizosphere soil and both compared to other media. There were no significant differences among the four media for the isolation of all cucumber endophytic fungi. However, in the roots, the number of endophytic fungi isolated by MRBA was significantly higher than that isolated on malt extract agar (MEA), while in the stems, the number of fungi isolated with PDA was significantly higher than that isolated with Martin's rose bengal agar medium (MRBA). PDA had significantly higher isolation efficiency for the rhizosphere soil fungi than MRBA. The 28 fungal genera had high isolation efficiency, and the endophytic Trichoderma strains were significantly more isolated by MEA than those of MRBA. It is suggested that PDA can be used as a basic medium, and different cultural media can be considered for specific fungal genera.
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Affiliation(s)
- Chong-Yang Cheng
- Plant Protection College, Henan Agricultural University, No. 95 Wen-Hua Road, Zhengzhou 450002, China; (C.-Y.C.); (M.Z.)
- State Key Laboratory of Efficient Utilization of Arid and Semi-arid Arable Land in Northern China, Institute of Agricultural Resources and Regional Planning, Chinese Academy of Agricultural Sciences, No. 12 Zhongguancun South Street, Beijing 100081, China; (M.-Y.Z.); (Y.-C.N.)
- Key Laboratory of Microbial Resources Collection and Preservation, Ministry of Agriculture and Rural Affairs, Institute of Agricultural Resources and Regional Planning, Chinese Academy of Agricultural Sciences, No. 12 Zhongguancun South Street, Beijing 100081, China
| | - Ming-Yuan Zhang
- State Key Laboratory of Efficient Utilization of Arid and Semi-arid Arable Land in Northern China, Institute of Agricultural Resources and Regional Planning, Chinese Academy of Agricultural Sciences, No. 12 Zhongguancun South Street, Beijing 100081, China; (M.-Y.Z.); (Y.-C.N.)
- Key Laboratory of Microbial Resources Collection and Preservation, Ministry of Agriculture and Rural Affairs, Institute of Agricultural Resources and Regional Planning, Chinese Academy of Agricultural Sciences, No. 12 Zhongguancun South Street, Beijing 100081, China
| | - Yong-Chun Niu
- State Key Laboratory of Efficient Utilization of Arid and Semi-arid Arable Land in Northern China, Institute of Agricultural Resources and Regional Planning, Chinese Academy of Agricultural Sciences, No. 12 Zhongguancun South Street, Beijing 100081, China; (M.-Y.Z.); (Y.-C.N.)
- Key Laboratory of Microbial Resources Collection and Preservation, Ministry of Agriculture and Rural Affairs, Institute of Agricultural Resources and Regional Planning, Chinese Academy of Agricultural Sciences, No. 12 Zhongguancun South Street, Beijing 100081, China
| | - Meng Zhang
- Plant Protection College, Henan Agricultural University, No. 95 Wen-Hua Road, Zhengzhou 450002, China; (C.-Y.C.); (M.Z.)
| | - Yue-Hua Geng
- Plant Protection College, Henan Agricultural University, No. 95 Wen-Hua Road, Zhengzhou 450002, China; (C.-Y.C.); (M.Z.)
| | - Hui Deng
- State Key Laboratory of Efficient Utilization of Arid and Semi-arid Arable Land in Northern China, Institute of Agricultural Resources and Regional Planning, Chinese Academy of Agricultural Sciences, No. 12 Zhongguancun South Street, Beijing 100081, China; (M.-Y.Z.); (Y.-C.N.)
- Key Laboratory of Microbial Resources Collection and Preservation, Ministry of Agriculture and Rural Affairs, Institute of Agricultural Resources and Regional Planning, Chinese Academy of Agricultural Sciences, No. 12 Zhongguancun South Street, Beijing 100081, China
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Kim H, Yi Y, Cho SY, Lee DG, Chun HS, Park C, Kim YJ, Park YJ. Pneumonia due to Schizophyllum commune in a Patient with Acute Myeloid Leukemia: Case Report and Literature Review. Infect Chemother 2022; 54:195-201. [PMID: 33124214 PMCID: PMC8987182 DOI: 10.3947/ic.2020.0068] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Accepted: 09/06/2020] [Indexed: 12/13/2022] Open
Abstract
Schizophyllum commune is a mold in phylum Basidiomycota and is an uncommon human pathogen. Sinusitis and allergic bronchopulmonary mycosis are the two major diseases caused by S. commune. Although there have been several reports of invasive fungal diseases, most of them were invasive sinusitis. We present a case of invasive fungal pneumonia due to S. commune, developed in a patient with acute myeloid leukemia presenting neutropenic fever. The diagnosis was made by characteristic macroscopic and microscopic findings of fungal isolate and was confirmed via sequencing of internal transcribed spacer region. The patient was improved after 8 weeks of antifungal therapy based on the susceptibility result. We propose that S. commune should be considered as an emerging pathogen of invasive fungal pneumonia when a patient is under immunocompromised state. We also reviewed global literatures focused on the invasive fungal diseases caused by S. commune.
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Affiliation(s)
- Hahn Kim
- Catholic Medical Center, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Yunmi Yi
- 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.,Catholic Hematology Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.,Vaccine Bio 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.,Catholic Hematology Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.,Vaccine Bio Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Hye-Sun Chun
- Vaccine Bio Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Chulmin Park
- Vaccine Bio Institute, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Yoo-Jin Kim
- Catholic Hematology Hospital, 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
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Molecular Diagnosis of Fungal Sinusitis Using Limit of Detection. ARCHIVES OF CLINICAL INFECTIOUS DISEASES 2021. [DOI: 10.5812/archcid.115156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: As an inflammatory process that involves the paranasal sinuses, chronic sinusitis (CS) is one of the most prevalent chronic illnesses that affects all age groups. Parasitic fungi are involved in sinusitis infections. Objective: This study is aimed at the molecular detection of sinusitis caused by such fungi. Methods: Seventy-two samples were collected from the secretions of maxillary and frontal sinuses of patients from Rasoul-e Akram (PbUH) Hospital in Tehran during sinus operation. Fungal genomic DNA was extracted by a DNP kit. The detection of fungi was carried out by employing a sequence-specific target, namely mt cyte b gene locus, and using primers. Polymerase chain reaction (PCR) was optimized, and the limit of detection (LOD) and specificity tests were performed. The amplicon was cloned by the T/A cloning method, which was used for sequencing and positive control. Results: The 430-bp PCR product underwent appropriate propagation before being amplified and was observed on 1.5% electrophoreses gel. The evaluation of the selected primers with seven DNA constructs from another microorganisms demonstrated 100% specificity. The limit of detection of the optimized test was evaluated up to 50 fungi. Out of 72 samples, 9.7% were positive for fungi existence. Conclusions: This study indicated that molecular diagnosis of the target mt cyte b gene using LOD enhances clinical laboratory detection of fungal sinusitis.
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MALDI-TOF MS in a Medical Mycology Laboratory: On Stage and Backstage. Microorganisms 2021; 9:microorganisms9061283. [PMID: 34204665 PMCID: PMC8231132 DOI: 10.3390/microorganisms9061283] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 05/31/2021] [Accepted: 06/03/2021] [Indexed: 12/12/2022] Open
Abstract
The implementation of MALDI-TOF MS in medical microbiology laboratories has revolutionized practices and significantly reduced turnaround times of identification processes. However, although bacteriology quickly benefited from the contributions of this technique, adjustments were necessary to accommodate the specific characteristics of fungi. MALDI-TOF MS is now an indispensable tool in clinical mycology laboratories, both for the identification of yeasts and filamentous fungi, and other innovative uses are gradually emerging. Based on the practical experience of our medical mycology laboratory, this review will present the current uses of MALDI-TOF MS and the adaptations we implemented, to allow their practical execution in a daily routine. We will also introduce some less mainstream applications, like those for fungemia, or even still under development, as is the case for the determination of sensitivity to antifungal agents or typing methods.
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Traxler L, Wollenberg A, Steinhauser G, Chyzhevskyi I, Dubchak S, Großmann S, Günther A, Gupta DK, Iwannek KH, Kirieiev S, Lehmann F, Schulz W, Walther C, Raff J, Kothe E. Survival of the basidiomycete Schizophyllum commune in soil under hostile environmental conditions in the Chernobyl Exclusion Zone. JOURNAL OF HAZARDOUS MATERIALS 2021; 403:124002. [PMID: 33265035 DOI: 10.1016/j.jhazmat.2020.124002] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Revised: 08/30/2020] [Accepted: 09/14/2020] [Indexed: 06/12/2023]
Abstract
Radioactive contamination resulting from major nuclear accidents presents harsh environmental conditions. Inside the Chernobyl exclusion zone, even more than 30 years after the accident, the resulting contamination levels still does not allow land-use or human dwellings. To study the potential of basidiomycete fungi to survive the conditions, a field trial was set up 5 km south-south-west of the destroyed reactor unit. A model basidiomycete, the lignicolous fungus Schizophyllum commune, was inoculated and survival in the soil could be verified. Indeed, one year after inoculation, the fungus was still observed using DNA-dependent techniques. Growth led to spread at a high rate, with approximately 8 mm per day. This shows that also white-rot basidiomycetes can survive the harsh conditions in soil inside the Chernobyl exclusion zone. The unadapted fungal strain showed the ability to grow and thrive in the contaminated soil where both stress from radiation and heavy metals were present.
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Affiliation(s)
- Lea Traxler
- Friedrich Schiller University Jena, Institute of Microbiology, Neugasse 25, 07743 Jena, Germany
| | - Anne Wollenberg
- Helmholtz-Zentrum Dresden-Rossendorf e.V., Institute of Resource Ecology, Bautzner Landstr. 400, 01328 Dresden, Germany
| | - Georg Steinhauser
- Leibniz Universität Hannover, Institute of Radioecology and Radiation Protection, Herrenhäuser Str. 2, 30419 Hannover, Germany
| | - Ihor Chyzhevskyi
- State Specialized Enterprise "Ecocentre" (SSE "Ecocentre"), 6 Shkilna Street, Kyiv region, Chornobyl, 07270, Ukraine
| | - Sergiy Dubchak
- State Ecological Academy of Postgraduate Education and Management (SEAPGEM), 35 Vasylia Lypkivskoho Street, Kyiv City 03035, Ukraine
| | - Sina Großmann
- VKTA - Strahlenschutz, Analytik & Entsorgung Rossendorf e.V., Bautzner Landstraße 400, 01328 Dresden, Germany
| | - Alix Günther
- Helmholtz-Zentrum Dresden-Rossendorf e.V., Institute of Resource Ecology, Bautzner Landstr. 400, 01328 Dresden, Germany
| | - Dharmendra Kumar Gupta
- Leibniz Universität Hannover, Institute of Radioecology and Radiation Protection, Herrenhäuser Str. 2, 30419 Hannover, Germany
| | - Karl-Heinz Iwannek
- Leibniz Universität Hannover, Institute of Radioecology and Radiation Protection, Herrenhäuser Str. 2, 30419 Hannover, Germany
| | - Serhii Kirieiev
- State Specialized Enterprise "Ecocentre" (SSE "Ecocentre"), 6 Shkilna Street, Kyiv region, Chornobyl, 07270, Ukraine
| | - Falk Lehmann
- Helmholtz-Zentrum Dresden-Rossendorf e.V., Helmholtz Institute Freiberg for Resource Technology, Chemnitzer Str. 40, 09599 Freiberg, Germany
| | - Wolfgang Schulz
- Leibniz Universität Hannover, Institute of Radioecology and Radiation Protection, Herrenhäuser Str. 2, 30419 Hannover, Germany
| | - Clemens Walther
- Leibniz Universität Hannover, Institute of Radioecology and Radiation Protection, Herrenhäuser Str. 2, 30419 Hannover, Germany
| | - Johannes Raff
- Helmholtz-Zentrum Dresden-Rossendorf e.V., Institute of Resource Ecology, Bautzner Landstr. 400, 01328 Dresden, Germany
| | - Erika Kothe
- Friedrich Schiller University Jena, Institute of Microbiology, Neugasse 25, 07743 Jena, Germany.
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A case of allergic fungal rhinosinusitis caused by Schizophyllum commune identified in both patient's nasal sputum and veranda's soil samples. J Infect Chemother 2021; 27:759-765. [PMID: 33388231 DOI: 10.1016/j.jiac.2020.12.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 12/08/2020] [Accepted: 12/15/2020] [Indexed: 11/20/2022]
Abstract
This is a case report of allergic fungal rhinosinusitis caused by Schizophyllum commune (S. commune) identified in a patient's nasal mucus and environmental soil sample using (r)DNA sequencing. Although filamentous basidiomycetes, including S. commune, are known as environmental pathogens causing allergic respiratory diseases worldwide, many patients with infections caused by S. commune have not been correctly diagnosed. Repeated exposures to environmental floating fungi supposedly make an easy sensitization and colonization of fungi in the nasal passages, resulting in the onset of allergic fungal rhinosinusitis due to S. commune in our living environments. This report indicates the importance of reconsidering allergic respiratory diseases associated with our living environments.
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Fernández-Caso B, Fraile AM, Rodríguez MS, Fernández I, Buendía B. [Fungal sinus infection by Schizophyllum commune: Report of two clinical cases]. Rev Iberoam Micol 2020; 37:65-67. [PMID: 32376274 DOI: 10.1016/j.riam.2020.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Revised: 02/04/2020] [Accepted: 02/26/2020] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Schizophyllum commune is a basidiomycete fungus which is widely distributed in nature. Its role as responsible for disease in humans is not well known, partly due to its difficult identification. The incorporation of mass spectrometry techniques (MALDI-TOF) and molecular biology to the laboratories has allowed the description of a greater number of cases. CASE REPORT In this paper, we present two cases in which S. commune was identified as the causative agent of disease: in the first case an immunocompetent patient suffered from chronic rhinosinusitis, and in the second one a sphenoid sinus infection was diagnosed in an immunocompromised patient. In both cases, S. commune was isolated. Its identification was possible by means of MALDI-TOF and this was confirmed in both patients by amplification and sequencing of the ITS region. CONCLUSIONS In conclusion, S. commune should be considered a potential causative agent of fungal disease. Currently, MALDI-TOF and sequencing techniques are necessary for its identification.
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Affiliation(s)
- Belén Fernández-Caso
- Servicio de Microbiología, Hospital Universitario de La Princesa, Madrid, España; Instituto de Investigación Sanitaria La Princesa, Madrid, España.
| | - Arturo Manuel Fraile
- Servicio de Microbiología, Hospital Universitario de La Princesa, Madrid, España; Instituto de Investigación Sanitaria La Princesa, Madrid, España
| | - Marta Soledad Rodríguez
- Instituto de Investigación Sanitaria La Princesa, Madrid, España; Servicio de Otorrinolaringología, Hospital Universitario de La Princesa, Madrid, España
| | - Inmaculada Fernández
- Instituto de Investigación Sanitaria La Princesa, Madrid, España; Servicio de Otorrinolaringología, Hospital Universitario de La Princesa, Madrid, España
| | - Buenaventura Buendía
- Servicio de Microbiología, Hospital Universitario de La Princesa, Madrid, España; Instituto de Investigación Sanitaria La Princesa, Madrid, España
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Human infections due to Schizophyllumcommune: Case report and review of the literature. J Mycol Med 2019; 29:365-371. [PMID: 31543381 DOI: 10.1016/j.mycmed.2019.100897] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Revised: 07/24/2019] [Accepted: 09/08/2019] [Indexed: 11/22/2022]
Abstract
Schizophyllumcommune is an environmental basidiomycetous fungus, causing occasional, predominantly respiratory, infections in humans. Although S. commune is considered an emerging pathogen, some authors pointed out the possibility that the increase in the diagnosed cases may be also due to recent advances in diagnostic technologies now allowing a more prompt and precise identification at the species level. Here we describe the first Italian case of chronic non-invasive fungal rhinosinusitis due to S. commune in an immunocompetent subject and update the literature review on S. commune sinusitis published between 2012-2019. A timely diagnosis is important to avoid local and systemic complications due to infection with this fungus. In our case, prompt identification at species level was only possible with the use of MALDI-TOF mass spectrometry and confirmed by sequence analysis of ribosomal DNA ITS regions, due to the difficulty in achieving a correct and rapid identification using routine morphological analysis.
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Viswanathan K, Kumaresan V, Sannasimuthu A, Paray BA, Al-Sadoon MK, Arockiaraj J. Resolving the pathogenicity factors of a novel opportunistic fungus Schizophyllum commune at molecular level. Mol Biol Rep 2019; 46:3877-3886. [PMID: 31016617 DOI: 10.1007/s11033-019-04830-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Accepted: 04/17/2019] [Indexed: 11/27/2022]
Abstract
Schizophyllum commune is a well-known mushroom forming fungi which is an edible one due to its nutritive value. It exhibits a special wood degrading mechanism to grow in decay matters by releasing a series of enzymes. These enzymes might make them an opportunistic pathogen which has been reported to infect various animals and human beings too. Although these fungi were identified as human and animal pathogens, their mechanisms of pathogenesis and the key virulence factors involved in disease establishment are not known. In this study, we reported this fungal infection in freshwater fish for the first time and its morphological features. Further, we employed RNA-seq technique to identify the major virulence factors involved in the pathogenesis in fish and the network of interaction between the identified virulence factors were analysed. Also, we confirmed the virulence roles of this fungus during infection by qRT-PCR analysis. This study emphasizes the virulence nature of the common mushroom forming food fungus and the involvement of enzymes such as phosphoinositide phospholipase C, hexosaminidase and few toxins such as pesticidal and insecticidal crystal proteins which opened a new avenue in the virulence nature of edible mushrooms.
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Affiliation(s)
- Kasi Viswanathan
- Department of Biotechnology, Faculty of Science and Humanities, SRM Institute of Science and Technology, Kattankulathur, Chennai, Tamil Nadu, 603 203, India
| | - Venkatesh Kumaresan
- Department of Biotechnology, Faculty of Science and Humanities, SRM Institute of Science and Technology, Kattankulathur, Chennai, Tamil Nadu, 603 203, India
| | - Anbazahan Sannasimuthu
- Department of Biotechnology, Faculty of Science and Humanities, SRM Institute of Science and Technology, Kattankulathur, Chennai, Tamil Nadu, 603 203, India
| | - Bilal Ahmad Paray
- Department of Zoology, College of Science, King Saud University, PO Box 2455, Riyadh, 11451, Saudi Arabia
| | - Mohammad K Al-Sadoon
- Department of Zoology, College of Science, King Saud University, PO Box 2455, Riyadh, 11451, Saudi Arabia
| | - Jesu Arockiaraj
- SRM Research Institute, SRM Institute of Science and Technology, Kattankulathur, Chennai, Tamil Nadu, 603 203, India.
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Tian L, Mu Y, Zhang H, Su X, Yang C, Shu X, Qing D. First report on cutaneous infectious granuloma caused by Schizophyllum commune. BMC Infect Dis 2018; 18:286. [PMID: 29940940 PMCID: PMC6019233 DOI: 10.1186/s12879-018-3187-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2018] [Accepted: 06/07/2018] [Indexed: 11/10/2022] Open
Abstract
Background Schizophyllum commune, a basidiomycetous fungus, is a common invader of rotten wood. This fungus rarely causes mycotic disease in humans, especially cutaneous infection. In this paper, we describe the first case of cutaneous granuloma caused by S. commune in a Chinese woman. Case presentation A 25-year-old female with a two-year history of erythema, papules, nodules, and scales on her sole of left foot was presented to our outpatient center. Samples were obtained by the scraping of lesion and for light microscopy. Hyphae were observed by microscopic examination. We carried out a skin tissue biopsy, which showed multiple granulomatous nodules. Biopsy specimens were also inoculated onto media. After being cultured on SDA at 27 °C for 7 days, spreading-woolly-white colonies grew on the inoculation sites of media containing chloramphenicol only and there,s no other colonies grew. S. commune was identified by morphology methods, biochemical tests, and PCR sequencing. Pathological findings also aided in diagnosing cutaneous fungal granuloma. Oral itraconazole was applied. After 1 month of therapy, rashes on her left foot and pain were improved. Conclusion We describe the first case of cutaneous granuloma caused by Schizophyllum commune, which illustrates the importance of recognizing uncommon pathogenic fungal infections.
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Affiliation(s)
- Lidi Tian
- Department of Dermatology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
| | - Yunzhu Mu
- Department of Dermatology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
| | - Hao Zhang
- Department of Dermatology, Shenzhen Baoan Central Hospital and the 5th Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China.
| | - Xiaocui Su
- Department of Dermatology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
| | - Chuan Yang
- Department of Dermatology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
| | - Xianzhu Shu
- Department of Dermatology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
| | - Defu Qing
- Department of Dermatology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
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Yoshizawa M, Kawarai S, Torii Y, Ota K, Tasaka K, Nishimura K, Fujii C, Kanemaki N. Eosinophilic plasmacytic conjunctivitis concurrent with gingival fistula caused by Schizophyllum commune in a captive cheetah ( Acinonyx jubatus). Med Mycol Case Rep 2017; 18:34-39. [PMID: 29034160 PMCID: PMC5633821 DOI: 10.1016/j.mmcr.2017.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2017] [Accepted: 09/12/2017] [Indexed: 12/03/2022] Open
Abstract
We describe for the first time the diagnosis of Schizophyllum commune infection in a captive cheetah. Eosinophilic plasmacytic conjunctivitis was detected histopathologically in a biopsy specimen. Both a second surgical specimen and drainage fluid from a gingival mass and fistula contained fungal hyphae in giant cells with granulomatous inflammation. Allergic S. commune mycosis was suspected at this point. A monokaryotic isolate was characterized morphologically, and then identified genetically. Treatment with itraconazole and pimaricin was effective.
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Affiliation(s)
- Madoka Yoshizawa
- Tama Zoological Park,7-1-1, Hodokubo, Hino-shi, Tokyo 191-0042, Japan
- Tokyo Sea Life Park, 6-2-3, Rinkaicho, Edogawa-ku, Tokyo 134-8587, Japan
| | - Shinpei Kawarai
- Laboratory of Small Animal Clinics, Veterinary Teaching Hospital, Azabu University, 1-17-71 Fuchinobe, Chuo-ku, Sagamihara, Kanagawa 252-5201, Japan
| | - Yoshiko Torii
- Tama Zoological Park,7-1-1, Hodokubo, Hino-shi, Tokyo 191-0042, Japan
- Laboratory of Theriogenology, Department of Veterinary Clinical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo 060-0818, Japan
| | - Kaori Ota
- Tama Zoological Park,7-1-1, Hodokubo, Hino-shi, Tokyo 191-0042, Japan
| | - Kiyoshi Tasaka
- Tama Zoological Park,7-1-1, Hodokubo, Hino-shi, Tokyo 191-0042, Japan
| | - Kazuko Nishimura
- Department of Microbiology, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu-machi, Shimotsuga-gun, Tochigi 321-0293, Japan
| | - Chieko Fujii
- Tama Zoological Park,7-1-1, Hodokubo, Hino-shi, Tokyo 191-0042, Japan
| | - Nobuyuki Kanemaki
- Laboratory of Small Animal Clinics, Veterinary Teaching Hospital, Azabu University, 1-17-71 Fuchinobe, Chuo-ku, Sagamihara, Kanagawa 252-5201, Japan
- Corresponding author.
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Buzina W, Braun H, Freudenschuss K, Lackner A, Schimpl K, Stammberger H. Der BasidiomyzetSchizophyllum communein den Nasennebenhöhlen. Mycoses 2017. [DOI: 10.1111/j.1439-0507.2003.tb00033.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- W. Buzina
- Hals-, Nasen-, Ohren- Universitätsklinik Graz; Austria
| | - H. Braun
- Hals-, Nasen-, Ohren- Universitätsklinik Graz; Austria
| | | | - A. Lackner
- Hals-, Nasen-, Ohren- Universitätsklinik Graz; Austria
| | - K. Schimpl
- Hals-, Nasen-, Ohren- Universitätsklinik Graz; Austria
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Liu X, Zou H, Chen QJ, Lu CM. Allergic fungal sinusitis caused by Schizophyllum commune. World J Otorhinolaryngol Head Neck Surg 2017; 3:59-63. [PMID: 29204581 PMCID: PMC5683597 DOI: 10.1016/j.wjorl.2017.02.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2017] [Accepted: 02/28/2017] [Indexed: 11/15/2022] Open
Abstract
A case of allergic fungal sinusitis (AFS) due to Schizophyllum commune was reported. The pathogen was identified using molecular bioanalysis. The patient underwent the functional endoscopic sinus surgery followed by the radical maxillary sinusotomy with canine fossa trephine. This case suggested that complete surgery allowed optimal disease clearance for AFS caused by Schizophyllum commune.
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Affiliation(s)
- Xiang Liu
- Department of Otolaryngology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, 107 West YanJiang Rd, GuangZhou, GuangDong, 510120, PR China
| | - Hua Zou
- Department of Otolaryngology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, 107 West YanJiang Rd, GuangZhou, GuangDong, 510120, PR China
| | - Qiu-Jian Chen
- Department of Otolaryngology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, 107 West YanJiang Rd, GuangZhou, GuangDong, 510120, PR China
| | - Chang-Ming Lu
- Mycological Laboratory, Department of Dermatology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, 107 West YanJiang Rd, GuangZhou, GuangDong, 510120, PR China
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Das K, Chakraborty D, Baghela A, Singh S, Dentinger BT. New species of xerocomoid boletes (Boletaceae) from Himalayan India based on morphological and molecular evidence. Mycologia 2017; 108:753-64. [DOI: 10.3852/15-206] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2015] [Accepted: 04/17/2016] [Indexed: 11/10/2022]
Affiliation(s)
| | - Dyutiparna Chakraborty
- Cryptogamic Unit, Central National Herbarium, Botanical Survey of India, P.O. Botanic Garden, Howrah 711103, India
| | | | - S.K. Singh
- National Fungal Culture Collection of India, Biodiversity and Palaeobiology Group, MACS’ Agharkar Research Institute, G.G. Agarkar Road, Pune 411004, India
| | - Bryn T.M. Dentinger
- Jodrell Laboratory, Royal Botanic Gardens, Kew, Surrey TW9 3DS, United Kingdom, and Institute of Biological, Environmental and Rural Sciences, Cledwyn Building, Aberystwyth University, Penglais, Aberystwyth, Ceredigion SY23 3DD, United Kingdom
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15
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Schizophyllum radiatum, an Emerging Fungus from Human Respiratory Tract. J Clin Microbiol 2016; 54:2491-7. [PMID: 27440814 DOI: 10.1128/jcm.01170-16] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2016] [Accepted: 07/13/2016] [Indexed: 11/20/2022] Open
Abstract
Schizophyllum is an important genus of basidiomycetes that, apart from being of genetic and biotechnological interest, is also reported to be a plant and animal pathogen. Schizophyllum commune is the best-known species and the only one reported from clinical specimens thus far, being recovered mainly from the respiratory tract. The aim of this study was to determine the species diversity of 23 clinical isolates of Schizophyllum from the United States using multilocus phylogenetic analysis and their in vitro susceptibilities to six drugs. The markers used for sequencing were the internal transcribed spacer (ITS), a portion of the nuclear large subunit (LSU) of ribosomal DNA, the RNA polymerase II second-largest subunit (RPB2), and the translation elongation factor 1α (EF-1α) gene. The analyses revealed that 22 of the clinical isolates were in the Schizophyllum radiatum clade with high support values and 1 isolate was in the S. commune clade. This is the first report of this species in clinical samples. The two species mentioned above showed very similar morphological features in culture (i.e., white, cottony, unsporulated colonies composed of hyphae with clamp connections), making morphological discrimination between the two impossible. An epitype is designed for S. radiatum, and its sequences have been deposited in GenBank. The antifungal that showed the greatest in vitro activity against the strains tested was shown to be amphotericin B. In general, the strains of S. radiatum showed higher MICs than S. commune.
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Hanafusa Y, Hirano Y, Watabe H, Hosaka K, Ikezawa M, Shibahara T. First isolation of Schizophyllum commune in a harbor seal (Phoca vitulina). Med Mycol 2016; 54:492-9. [PMID: 26933208 DOI: 10.1093/mmy/myw008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2016] [Accepted: 01/24/2016] [Indexed: 11/13/2022] Open
Abstract
To date, Schizophyllum commune infection has been identified in only humans and dogs. A 7-year-old female harbor seal (Phoca vitulina) died after exhibiting corneal opacity, anorexia, and labored respiration. At necropsy, phthisis of the left eyeball was detected, and multiple nodular lesions were observed in the thoracic and abdominal regions, especially in the lung, heart, and lymph nodes. Histopathologically, numerous hyphae were seen in granulomatous lesions in the eyes, lung, heart, and lymph nodules. An isolate on potato dextrose agar from the eyes, lung, and sputum yielded a rapidly growing white woolly mycelia with basidiocarps (fruiting bodies) at 37°C. A suitable temperature for mycelial growth was obtained at 25°C, although sustained growth also occurred at 37°C. The fungal isolate, KH-JPN15-011, had distinctive features including hyphae bearing spicules and clamp connections, which were consistent with the characteristics of basidiomycete fungus. The sequence of the internal transcribed spacer region of nuclear ribosomal DNA showed 99.67% (617 bp) similarity with those of S. commune Phylogenetic analysis showed that the present isolate is most closely related to the samples from the Old World. This is the first report of a fatal disease caused by S. commune in exotic animals. Previously reported human and canine infections have not included granulomatous endophthalmitis and myocarditis. After considering these and previous findings, there is a possibility that S. commune from the Old World may include numerous highly pathogenic strains.
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Affiliation(s)
- Yasuko Hanafusa
- National Institute of Animal Health, National Agricultural and Food Research Organization, Tsukuba, Ibaraki 305-0856, Japan
| | - Yuzo Hirano
- Ueno Zoological Gardens, Ueno Park, Taito-ku, Tokyo 110-8711, Japan
| | - Hirofumi Watabe
- Ueno Zoological Gardens, Ueno Park, Taito-ku, Tokyo 110-8711, Japan
| | - Kentaro Hosaka
- National Museum of Nature and Science (TNS), Tsukuba, Ibaraki 305-0005, Japan
| | - Mitsutaka Ikezawa
- National Institute of Animal Health, National Agricultural and Food Research Organization, Tsukuba, Ibaraki 305-0856, Japan
| | - Tomoyuki Shibahara
- National Institute of Animal Health, National Agricultural and Food Research Organization, Tsukuba, Ibaraki 305-0856, Japan
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17
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Michel J, Maubon D, Varoquaux DA, Boulze C, Normand AC, Righini CA, Piarroux R, Dessi P, Ranque S. Schizophyllum commune: an emergent or misdiagnosed fungal pathogen in rhinology? Med Mycol 2015; 54:301-9. [PMID: 26613704 DOI: 10.1093/mmy/myv084] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2015] [Accepted: 08/10/2015] [Indexed: 11/14/2022] Open
Abstract
Schizophyllum commune is a common basidiomycete fungus that is rarely involved in human disease. The medical records of patients operated on for fungal rhinosinusitis (FRS) in two University Hospitals between 2012 and 2014 were reviewed. Within the two-year survey, six female, and notably no male, patients were diagnosed with S. commune rhinosinusitis. Mean age was 44.6 years at diagnosis (30 to 68 years). Mean time between onset of symptoms and diagnosis was 8.5 months (2 to 12 months). All six patients were immunocompetent and had no particular host factor for FRS. S. commune was identified using MALDI-TOF mass spectrometry and identifications were confirmed via DNA sequence analysis. Chronic invasive fungal rhinosinusitis was diagnosed in three of our six patients. Based on histological findings, antifungal treatment was delivered in association with surgery. The basidiomycete fungus S. commune is an emerging cause of rhinosinusitis probably as a direct consequence of the recent technological progress in fungal identification methods (DNA sequencing and MALDI-TOF mass spectrometry).
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Affiliation(s)
- Justin Michel
- Department of Otorhinolaryngology, Head and Neck Surgery, APHM CHU Timone, and Aix-Marseille University, 13385 Marseille Cedex 5, France
| | - Danièle Maubon
- Parasitologie-Mycologie, Département des Agents Infectieux, CHU Grenoble and Université Grenoble Alpes, Grenoble, France
| | | | - Carole Boulze
- Department of Otorhinolaryngology, Head and Neck Surgery, APHM CHU Timone, and Aix-Marseille University, 13385 Marseille Cedex 5, France
| | - Anne Cécile Normand
- Parasitologie-Mycologie, Assistance Publique-Hôpitaux de Marseille, CHU Timone-Adultes, Marseilles, France
| | - Christian Adrien Righini
- Department of Otorhinolaryngology, Head and Neck Surgery CHU Grenoble and Université Grenoble Alpes, Grenoble, France
| | - Renaud Piarroux
- Parasitologie-Mycologie, Assistance Publique-Hôpitaux de Marseille, CHU Timone-Adultes, Marseilles, France Aix-Marseille University, IP-TPT UMR MD3, 13885 Marseilles, France
| | - Patrick Dessi
- Department of Otorhinolaryngology, Head and Neck Surgery, APHM CHU Timone, and Aix-Marseille University, 13385 Marseille Cedex 5, France
| | - Stéphane Ranque
- Parasitologie-Mycologie, Assistance Publique-Hôpitaux de Marseille, CHU Timone-Adultes, Marseilles, France Aix-Marseille University, IP-TPT UMR MD3, 13885 Marseilles, France
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19
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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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20
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Toya T, Shinohara A, Tatsuno K, Seo S, Nannya Y, Ichikawa M, Makimura K, Moriya K, Kurokawa M. A case of Schizophyllum commune sinusitis following unrelated cord blood transplantation for acute lymphoblastic leukemia. Int J Hematol 2013; 98:261-3. [PMID: 23686329 DOI: 10.1007/s12185-013-1362-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2012] [Revised: 05/07/2013] [Accepted: 05/07/2013] [Indexed: 11/30/2022]
Abstract
Schizophyllum commune is a globally distributed basidiomycete fungus that is known as a rare cause of sinusitis, for which no prompt treatment has been established. We describe the first report of S. commune sinusitis following unrelated cord blood transplantation for acute lymphoblastic leukemia. Thirteen days after transplantation, a 23-year-old female developed maxillary and ethmoid sinusitis. The sinusitis was antimicrobial-resistant, and the sinus aspirate culture revealed white wooly mold, which was identified as S. commune by nucleotide sequencing. The patient was successfully treated with intravenous administration of liposomal amphotericin B for 2 months, followed by oral voriconazole. This report suggests the effectiveness of liposomal amphotericin B and voriconazole for S. commune infection in immunocompromised patients. Given the difficulty in distinguishing S. commune infection from aspergillosis by standard culture methods, the incidence of S. commune infection following allogeneic hematopoietic stem cell transplantation may be underestimated. Nucleotide sequencing may be useful in the diagnosis of S. commune infection.
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Affiliation(s)
- Takashi Toya
- Department of Hematology and Oncology, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan
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21
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Hoenigl M, Aspeck E, Valentin T, Heiling B, Seeber K, Krause R, Stammberger H, Beham A, Buzina W. Sinusitis and frontal brain abscess in a diabetic patient caused by the basidiomycete Schizophyllum commune: case report and review of the literature. Mycoses 2013; 56:389-93. [PMID: 23331262 DOI: 10.1111/myc.12040] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Martin Hoenigl
- Section of Infectious Diseases, Division of Pulmonology, Department of Internal Medicine, Medical University of Graz, Graz, Austria
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22
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Won EJ, Shin JH, Lim SC, Shin MG, Suh SP, Ryang DW. Molecular identification of Schizophyllum commune as a cause of allergic fungal sinusitis. Ann Lab Med 2012; 32:375-9. [PMID: 22950076 PMCID: PMC3427828 DOI: 10.3343/alm.2012.32.5.375] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2012] [Revised: 05/15/2012] [Accepted: 07/19/2012] [Indexed: 11/19/2022] Open
Abstract
Schizophyllum commune, a basidiomycetous fungus, rarely causes disease in humans. We report a rare case of allergic fungal sinusitis caused by S. commune in a 14-yr-old girl. The patient presented with nasal obstruction and a purulent nasal discharge. Materials obtained during endoscopic surgery of the frontal recess revealed allergic mucin and a few fungal hyphae. A potato dextrose agar (PDA) culture from the allergic mucin yielded a rapidly growing white woolly mold. Although no distinctive features including hyphae bearing spicules or a clamp connection were present, the case isolate disclosed compatible mycological features including growth at 37℃, susceptibility to cycloheximide, and production of a tart and disagreeable smell. S. commune was confirmed by sequence analysis of the internal transcribed spacer region and D1/D2 regions of the 26S ribosomal DNA. We believe this is the first report of allergic fungal sinusitis caused by S. commune in Korea. Moreover, this report highlights the value of gene sequencing as an identification tool for non-sporulating isolates of S. commune.
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Affiliation(s)
- Eun Jeong Won
- Department of Laboratory Medicine, Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, Korea
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23
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Sa HS, Ko KS, Woo KI, Peck KR, Kim YD. A case of sino-orbital infection caused by the Schizophyllum commune. Diagn Microbiol Infect Dis 2012; 73:376-7. [PMID: 22673964 DOI: 10.1016/j.diagmicrobio.2012.05.005] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2012] [Revised: 05/04/2012] [Accepted: 05/05/2012] [Indexed: 11/19/2022]
Abstract
Schizophyllum commune, a basidiomycetous fungus, is a rare cause of mycotic disease in humans. We describe the first case of sino-orbital infection caused by S. commune in an immunocompetent woman who presented with maxillary sinusitis and inferior orbital tumor. Identification of the organism was confirmed by rRNA sequencing.
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MESH Headings
- Adult
- DNA, Fungal/chemistry
- DNA, Fungal/genetics
- DNA, Ribosomal/chemistry
- DNA, Ribosomal/genetics
- DNA, Ribosomal Spacer/chemistry
- DNA, Ribosomal Spacer/genetics
- Eye Infections, Fungal/complications
- Eye Infections, Fungal/diagnosis
- Female
- Genes, rRNA
- Head/diagnostic imaging
- Humans
- Microscopy
- Mycoses/diagnosis
- Mycoses/microbiology
- RNA, Fungal/genetics
- RNA, Ribosomal/genetics
- RNA, Ribosomal, 5.8S/genetics
- Schizophyllum/isolation & purification
- Sequence Analysis, DNA
- Sinusitis/complications
- Sinusitis/diagnosis
- Tomography, X-Ray Computed
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Affiliation(s)
- Ho-Seok Sa
- Department of Ophthalmology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea
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Chowdhary A, Randhawa HS, Gaur SN, Agarwal K, Kathuria S, Roy P, Klaassen CH, Meis JF. Schizophyllum commune as an emerging fungal pathogen: a review and report of two cases. Mycoses 2012; 56:1-10. [PMID: 22524529 DOI: 10.1111/j.1439-0507.2012.02190.x] [Citation(s) in RCA: 77] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
We report Schizophyllum commune as the aetiological agent of one case each of allergic broncho-pulmonary mycosis (ABPM) and pulmonary fungal ball, and present a literature review. The fungus was characterised by clamp connections, hyphal spicules, and formation of basidiocarps with basidiospores. The phenotypic identification was confirmed by sequencing of the ITS region. To-date, ABPM and pulmonary fungal ball to S. commune have been reported exclusively from Japan and North America respectively. Of the 71 globally reported cases due to S. commune, 45 (63%) were bronchopulmonary, 22 (31%) sinusitis and 4 extrapulmonary. Taken together, cases of bronchopulmonary disease and sinusitis numbered 67 (94%), indicating the respiratory tract as the primary target of disease. Concerning the country-wise distribution, Japan topped the list with 33 cases (46%), followed by Iran - 7 cases (10%), U.S.A. - 6 cases (9%), and a lower prevalence of 1.4-6% for the remaining 12 countries. The preponderance of the disease in Japan may be attributed to its greater awareness vis-à-vis that in other countries rather than to any geographical/climatic factors. We believe that the burden of S. commune-incited disease is currently underestimated, warranting comprehensive prospective studies to determine its prevalence.
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Affiliation(s)
- A Chowdhary
- Departments of Medical Mycology Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
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25
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Gari-Toussaint M, Lachaud L, Pihet M, Rispail P, Castillo L, Crampette L, Bouchara JP. Sinusite récidivante due à Schizophyllum commune . À propos de deux nouveaux cas. J Mycol Med 2011. [DOI: 10.1016/j.mycmed.2011.09.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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26
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Hedayati MT, Mayahi S, Movahedi M, Shokohi T. Study on fungal flora of tap water as a potential reservoir of fungi in hospitals in Sari city, Iran. J Mycol Med 2011; 21:10-4. [PMID: 24451496 DOI: 10.1016/j.mycmed.2010.12.001] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2010] [Revised: 11/23/2010] [Accepted: 12/02/2010] [Indexed: 11/19/2022]
Abstract
OBJECTIVE The aim of the present investigation was to evaluate the fungal flora of tap water from university hospitals of Sari city, Iran. MATERIALS AND METHODS During a 1-year period, 240 water samples were collected from four university hospitals. All water samples were collected in sterile polystyrene bottles. A volume of 100ml of the samples passed through sterile 0.45-micrometer filters. The filters were placed directly on malt extract agar and incubated at 27°C for 3 to 7 days. Routine mycological techniques were applied to identification of grown fungi. RESULTS Out of 240 plates, 77.5% were positive for fungal growth. Twelve different genera were identified. Aspergillus (29.7%), Cladosporium (26.7%) and Penicillium (23.9%) were the most common isolated. Among Aspergillus species, A. flavus had the highest frequency. Highest colony counts were found in autumn. Aspergillus predominated in autumn, Cladosporium in winter and spring and Penicillium in summer. CONCLUSION The results of our study showed that hospital water should be considered as a potential reservoir of fungi particularly Aspergillus.
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Affiliation(s)
- M T Hedayati
- Department of Medical Mycology and Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Km 18 Khazarabad Road, P.O. Box: 48175-1665, Sari, Iran
| | - S Mayahi
- Department of Medical Mycology and Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Km 18 Khazarabad Road, P.O. Box: 48175-1665, Sari, Iran
| | - M Movahedi
- Department of Environmental Health, School of Health, Mazandaran University of Medical Sciences, Sari, Iran
| | - T Shokohi
- Department of Medical Mycology and Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Km 18 Khazarabad Road, P.O. Box: 48175-1665, Sari, Iran
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27
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Mori T, Seki A, Kano R, Sakai H, Nakagawa M, Hasegawa A, Maruo K. Mycotic osteomyelitis caused by Schizophyllum commune in a dog. Vet Rec 2009; 165:350-1. [PMID: 19767641 DOI: 10.1136/vr.165.12.350] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- T Mori
- Laboratory of Veterinary Clinical Oncology, Department of Veterinary Medicine, Gifu University, 1-1 Yanagido, Gifu 501-1193, Japan.
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28
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Tanaka H, Takizawa K, Baba O, Maeda T, Fukushima K, Shinya K, Kosuge J. Basidiomycosis: Schizophyllum commune osteomyelitis in a dog. J Vet Med Sci 2008; 70:1257-9. [PMID: 19057147 DOI: 10.1292/jvms.70.1257] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
A six-year-old female Labrador retriever dog was suffering from osteomyelitis in her hindlimb. A puncture wound caused by a rotted bamboo stick was presumed as the source of infection. The dog suffered from pre-existing aortic stenosis, but otherwise exhibited no significant abnormality in her systemic conditions excluding claudication of the left hindlimb. The results of cytology and pathological examinations of biopsy samples revealed the diagnosis of mycotic osteomyelitis in this dog. Mycological and DNA tests showed the pathogen as the mushroom Schizophyllum commune. Antibiotic sensitivity testing also revealed susceptibility to itraconazole, which was used to successfully treat the dog. This is a rare case of canine basidiomycosis with S. commune as the etiologic agent.
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29
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Pulmonary nodules caused by Schizophyllum commune after cardiac transplantation. J Infect 2008; 58:164-7. [PMID: 19100626 DOI: 10.1016/j.jinf.2008.11.012] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2008] [Revised: 10/30/2008] [Accepted: 11/16/2008] [Indexed: 11/24/2022]
Abstract
The incidence of pulmonary nodules after cardiac transplantation is not uncommon, and prompt diagnostic procedures are necessary to minimize disease-related morbidity and mortality. We report a 56-year-old woman who was found to have bilateral pulmonary nodules four months after cardiac transplantation. The microorganism was identified with a molecular diagnostic method as Schizophyllum commune, which had not been reported in English literature as a pathogen inducing pulmonary nodules after transplantation. She remained asymptomatic during the therapeutic period and the pulmonary nodules resolved six months later.
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30
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Kanzler D, Buzina W, Paulitsch A, Haas D, Platzer S, Marth E, Mascher F. Occurrence and hygienic relevance of fungi in drinking water. Mycoses 2008; 51:165-9. [PMID: 18254755 DOI: 10.1111/j.1439-0507.2007.01454.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Fungi, above all filamentous fungi, can occur almost everywhere, even in water. They can grow in such a quantity in water that they can affect the health of the population or have negative effects on food production. There are several reports of fungal growth in water from different countries, but to our knowledge none from Austria so far. The aim of this study was to gain an overview of the spectrum of filamentous fungi and yeasts in drinking water systems. Thirty-eight water samples from drinking water and groundwater were analysed. Fungi were isolated by using membrane filtration and plating method with subsequent cultivation on agar plates. The different taxa of fungi were identified using routine techniques as well as molecular methods. Fungi were isolated in all water samples examined. The mean value for drinking water was 9.1 CFU per 100 ml and for groundwater 5400 CFU per 100 ml. Altogether 32 different taxa of fungi were found. The taxa which occurred most frequently were Cladosporium spp., Basidiomycetes and Penicillium spp. (74.6%, 56.4% and 48.7%, respectively). This study shows that drinking water can be a reservoir for fungi, among them opportunists, which can cause infections in immunosuppressed patients.
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Affiliation(s)
- D Kanzler
- Institute of Hygiene, Medical University Graz, Graz, Austria
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31
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Kumari M, Survase SA, Singhal RS. Production of schizophyllan using Schizophyllum commune NRCM. BIORESOURCE TECHNOLOGY 2008; 99:1036-43. [PMID: 17446065 DOI: 10.1016/j.biortech.2007.02.029] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/23/2006] [Revised: 02/27/2007] [Accepted: 02/28/2007] [Indexed: 05/15/2023]
Abstract
In the present work, four strains were screened for schizophyllan production, of which Schizophyllum commune NRCM was selected for further work. The fermentation was carried out for 168 h at 28+/-2 degrees C on an orbital shaker at 180 rpm. In the first step, one factor-at-a-time method was used to investigate the effect of media constituents such as carbon and nitrogen sources on schizophyllan production. Subsequently in the second step, concentration of the medium components was optimized using Response Surface Method (RSM). The yield increased from 3.25+/-0.72 g/l in the unoptimized media to 8.03+/-1.12 g/l in the medium optimized by RSM.
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Affiliation(s)
- Maushmi Kumari
- Food Engineering and Technology Department, Institute of Chemical Technology, University of Mumbai, Matunga, Mumbai 400 019, India
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32
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Tullio V, Mandras N, Banche G, Allizond V, Gaido E, Roana J, Cuffini AM, Carlone NA. Schizophyllum commune: an unusual of agent bronchopneumonia in an immunocompromised patient. Med Mycol 2008; 46:735-8. [DOI: 10.1080/13693780802256091] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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33
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Balajee SA, Sigler L, Brandt ME. DNA and the classical way: Identification of medically important molds in the 21st century. Med Mycol 2007; 45:475-90. [PMID: 17710617 DOI: 10.1080/13693780701449425] [Citation(s) in RCA: 90] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
The advent of the 21st century has seen significant advances in the methods and practices used for identification of medically important molds in the clinical microbiology laboratory. Historically, molds have been identified by using observations of colonial and microscopic morphology, along with tables, keys and textbook descriptions. This approach still has value for the identification of many fungal organisms, but requires expertise and can be problematic in determining a species identification that is timely and useful in the management of high-risk patients. For the increasing number of isolates that are uncommon, atypical, or unusual, DNA-based identification methods are being increasingly employed in many clinical laboratories. These methods include the commercially available GenProbe assay, methods based on the polymerase chain reaction such as single-step PCR, RAPD-PCR, rep-PCR, nested PCR, PCR-RFLP, PCR-EIA, and more recent microarray-based, Luminex technology-based, and real-time PCR-based methods. Great variation in assay complexity, targets, and detection methods can be found, and many of these methods have not been widely used or rigorously validated. The increasing availability of DNA sequencing chemistry has made comparative DNA sequence analysis an attractive alternative tool for fungal identification. DNA sequencing methodology can be purchased commercially or developed in-house; such methods display varying degrees of usefulness depending on the breadth and reliability of the databases used for comparison. The future success of sequencing-based approaches will depend on the choice of DNA target, the reliability of the result, and the availability of a validated sequence database for query and comparison. Future studies will be required to determine sequence homology breakpoints and to assess the accuracy of molecular-based species identification in various groups of medically important filamentous fungi. At this time, a polyphasic approach to identification that combines morphologic and molecular methods will ensure the greatest success in the management of patients with fungal infections.
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Affiliation(s)
- S Arunmozhi Balajee
- Mycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
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Pounder JI, Simmon KE, Barton CA, Hohmann SL, Brandt ME, Petti CA. Discovering potential pathogens among fungi identified as nonsporulating molds. J Clin Microbiol 2006; 45:568-71. [PMID: 17135442 PMCID: PMC1829023 DOI: 10.1128/jcm.01684-06] [Citation(s) in RCA: 58] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Fungal infections are increasing, particularly among immunocompromised hosts, and a rapid diagnosis is essential to initiate antifungal therapy. Often fungi cannot be identified by conventional methods and are classified as nonsporulating molds (NSM). We sequenced internal transcribed spacer regions from 50 cultures of NSM and found 16 potential pathogens that can be associated with clinical disease. In selected clinical settings, identification of NSM could prove valuable and have an immediate impact on patient management.
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Affiliation(s)
- June I Pounder
- Associated Regional and University Pathologists, Inc., Institute for Clinical and Experimental Pathology, Salt Lake City, UT 84108, USA.
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Baron O, Cassaing S, Percodani J, Berry A, Linas MD, Fabre R, Serrano E, Magnaval JF. Nucleotide sequencing for diagnosis of sinusal infection by Schizophyllum commune, an uncommon pathogenic fungus. J Clin Microbiol 2006; 44:3042-3. [PMID: 16891539 PMCID: PMC1594647 DOI: 10.1128/jcm.00211-06] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Schizophyllum commune, a basidiomycete fungus, is a rare cause of mycotic disease. We report here a case of sinusitis in a 35-year-old woman that underscores the value of molecular biology for the diagnosis of this fungal infection.
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Affiliation(s)
- Olivier Baron
- Department of Parasitology and Mycology, Rangueil University Hospital, Toulouse, France
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36
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Bulajic N, Cvijanovic V, Vukojevic J, Tomic D, Johnson E. Schizophyllum commune associated with bronchogenous cyst. Mycoses 2006; 49:343-5. [PMID: 16784453 DOI: 10.1111/j.1439-0507.2006.01247.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Previous TBC lesions, diabetes and use of corticosteroids are recognised as risk factors for developing long-standing disease caused by Schizophyllum commune. In the case report presented in this work, S. commune was isolated from an inflamed bronchogenous cyst of previously immunocompetent patient. The isolated mould failed to sporulate and identification was achieved by nucleotide sequencing.
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. NSER, . S, . MR, . AS. Use of Ailanthus altissima and Ziziphus spina christi Extracts As Folk Medicine for Treatment of Some Hepatic Disorders In Schistosoma mansoni Infected Mice. ACTA ACUST UNITED AC 2006. [DOI: 10.3923/tmr.2006.100.112] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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38
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Buzina W, Lass-Flörl C, Kropshofer G, Freund MC, Marth E. The polypore mushroom Irpex lacteus, a new causative agent of fungal infections. J Clin Microbiol 2005; 43:2009-11. [PMID: 15815046 PMCID: PMC1081321 DOI: 10.1128/jcm.43.4.2009-2011.2005] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2004] [Revised: 08/04/2004] [Accepted: 11/29/2004] [Indexed: 11/20/2022] Open
Abstract
Irpex lacteus, a wood-decaying basidiomycete, was isolated from a pulmonary abscess of an immunosuppressed child. This medical strain was compared morphologically and by sequencing of the ribosomal intergenic spacers with specimens from both culture collections and herbarium desiccated material. The patient was treated successfully with amphotericin B.
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Affiliation(s)
- Walter Buzina
- Institute of Hygiene, Medical University Graz, Graz A 8010, Austria.
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Wenzel S, Sagowski C, Kehrl W, Metternich FU. [Course and therapy of an invasive aspergilloma of the skull base in a non-immunocompromised patient]. HNO 2005; 52:724-8. [PMID: 15309253 DOI: 10.1007/s00106-003-0949-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Fulminant-invasive sinus aspergillosis affects immunocompromised patients and is usually lethal because of intracranial complications. Chronic-invasive and non-invasive types occur in non-immunocompromised patients. In these cases, intracranial extension is possible and life-threatening. The effective management of sinus aspergillosis requires early diagnosis by CT and histological classification, surgery, and if necessary, chemotherapy or steroids in case of allergy. Here we report a successfully treated case in a 29-year-old non-immunocompromised patient with chronic-invasive sinus aspergillosis. He presented a recurrent sphenoid sinus aspergillosis with destruction of the clivus and ophthalmoplegia. Diagnostic and therapeutic procedures are described.
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Affiliation(s)
- S Wenzel
- Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde des Universitätsklinikum Hamburg-Eppendorf.
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Roh ML, Tuazon CU, Mandler R, Kwon-Chung KJ, Geist CE. Sphenocavernous Syndrome Associated With Schizophyllum commune Infection of the Sphenoid Sinus. Ophthalmic Plast Reconstr Surg 2005; 21:71-4. [PMID: 15677958 DOI: 10.1097/01.iop.0000148407.34784.6e] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
A 47-year-old diabetic man with chronic renal failure presented with a 1-month history of complete ptosis of the left upper eyelid, left proptosis, and left-sided headache. During the course of the patient's care, other significant diagnoses were excluded, such as orbital inflammatory syndrome, carotid-cavernous syndrome, and cavernous sinus thrombosis. Neuroimaging revealed only minimal left sphenoid sinus disease. Sphenoid biopsy revealed the presence of septate hyphae on Gram staining and produced a fungal culture characteristic of Schizophyllum commune. Minimal sphenoid sinus infection in a patient with chronic medical issues and probable immunosuppression predisposed this patient to fungal rhino-orbital infection. Several weeks of intravenous liposomal amphotericin treatment on an outpatient basis yielded resolution of clinical symptoms.
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Affiliation(s)
- Michael L Roh
- Department of Ophthalmology, The George Washington University, Washington, DC, USA.
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Buzina W, Braun H, Schimpl K, Stammberger H. Bipolaris spicifera causes fungus balls of the sinuses and triggers polypoid chronic rhinosinusitis in an immunocompetent patient. J Clin Microbiol 2004; 41:4885-7. [PMID: 14532251 PMCID: PMC254347 DOI: 10.1128/jcm.41.10.4885-4887.2003] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
We report the rare case of a 19-year-old immunocompetent male suffering both from fungus balls of the sinuses and from chronic rhinosinusitis with massive polyposis. Endoscopic sinus surgery revealed grayish brown necrotic masses embedded in viscous eosinophilic mucus. Inoculated onto petri dishes, these masses as well as the mucus grew a dark pigmented fungus, which was identified as Bipolaris spicifera.
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Affiliation(s)
- Walter Buzina
- Department of Otorhinolaryngology, Head and Neck Surgery, University Medical School, Graz, Austria.
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Buzina W, Braun H, Freudenschuss K, Lackner A, Habermann W, Stammberger H. Fungal biodiversity--as found in nasal mucus. Med Mycol 2003; 41:149-61. [PMID: 12964848 DOI: 10.1080/mmy.41.2.149.161] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
The biodiversity of fungi isolated from the nasal mucus of patients suffering from chronic rhinosinusitis and from healthy persons was monitored over 28 months. Mucus samples were obtained by flushing the noses of patients with saline or by endoscopic sinus surgery. Fungi from mucus were cultivated on agar plates. Identification was performed microscopically and by polymerase chain reaction with subsequent sequencing of the ribosomal internal transcribed spacer region. Altogether, 619 strains of fungi were cultivated from 233 subjects. Eighty-one species were identified, with a maximum of nine different species per person. The most prevalent isolates belonged to the genera Penicillium, Aspergillus, Cladosporium, Alternaria and Aureobasidium. Whereas Aspergillus and Penicillium spp. occurred in more or less the same numbers throughout the year, Cladosporium spp., Alternaria spp. and Aureobasidium pullulans showed a significantly higher occurrence during late summer and early autumn.
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Affiliation(s)
- W Buzina
- ENT Department Karl-Franzens-University, Graz, Austria.
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Petersen JR, Okorodudu AO, Mohammad A, Payne DA. Capillary electrophoresis and its application in the clinical laboratory. Clin Chim Acta 2003; 330:1-30. [PMID: 12636924 DOI: 10.1016/s0009-8981(03)00006-8] [Citation(s) in RCA: 72] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Over the past 10 years, capillary electrophoresis (CE) is an analytical tool that has shown great promise in replacing many conventional clinical laboratory methods, especially electrophoresis and high performance liquid chromatography (HPLC). The main attraction of CE was that it was fast, used small amounts of sample and reagents, and was extremely versatile, being able to separate large and small analytes, both neutral and charged. Because of this versatility, numerous methods for clinically relevant analytes have been developed. However, with the exception of the molecular diagnostic and forensic laboratories CE has not had a major impact. A possible reason is that CE is still perceived as requiring above-average technical expertise, precluding its use in a laboratory workforce that is less technically adept. With the introduction of multicapillary instruments that are more automated, less technique-dependent, in addition to the availability of commercial and cost effective test kit methods, CE may yet be accepted as a instrument routinely used in the clinical laboratories. Thus, this review will focus on the areas where CE shows the most potential to have the greatest impact on the clinical laboratory. These include analysis of proteins found in serum, urine, CSF and body fluids, immunosubstraction electrophoresis, hemoglobin variants, lipoproteins, carbohydrate-deficient transferrin (CDT), forensic and therapeutic drug screening, and molecular diagnostics.
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Affiliation(s)
- John R Petersen
- Department of Pathology, University of Texas Medical Branch, Galveston, USA.
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Willinger B, Obradovic A, Selitsch B, Beck-Mannagetta J, Buzina W, Braun H, Apfalter P, Hirschl AM, Makristathis A, Rotter M. Detection and identification of fungi from fungus balls of the maxillary sinus by molecular techniques. J Clin Microbiol 2003; 41:581-5. [PMID: 12574250 PMCID: PMC149709 DOI: 10.1128/jcm.41.2.581-585.2003] [Citation(s) in RCA: 55] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2002] [Revised: 09/25/2002] [Accepted: 11/14/2002] [Indexed: 11/20/2022] Open
Abstract
The aim of this study was to find a reliable method for the detection and identification of fungi in fungus balls of the maxillary sinus and to evaluate the spectrum of fungi in these samples. One hundred twelve samples were obtained from patients with histologically proven fungal infections; 81 samples were paraffin-embedded tissue sections of the maxillary sinus. In 31 cases, sinus contents without paraffin embedding were sent for investigation. PCR amplification with universal fungal primers for 28S ribosomal DNA and amplicon identification by hybridization with species-specific probes for Aspergillus fumigatus, Aspergillus flavus, Aspergillus niger, Aspergillus terreus, Aspergillus glaucus, Pseudallescheria boydii, Candida albicans, and Candida glabrata were performed for all samples. Furthermore, PCR products were sequenced. Fresh samples were also cultivated. Fungal DNA was detected in all of the fresh samples but only in 71 paraffin-embedded tissue samples (87.7%). Sequence analysis was the most sensitive technique, as results could be obtained for 28 (90.3%) fresh samples by this method in comparison to 24 (77.4%) samples by hybridization and 16 (51.6%) samples by culture. However, sequence analysis delivered a result for only 36 (50.7%) of the paraffin-embedded specimens. Hybridization showed reliable results for A. fumigatus, which proved to be the most common agent in fungus balls of the maxillary sinus. Other Aspergillus species and other genera were rarely found.
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Affiliation(s)
- Birgit Willinger
- Division of Clinical Microbiology, Institute of Hygiene and Medical Microbiology, University of Vienna, Vienna, Australia.
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Braun H, Buzina W, Freudenschuss K, Beham A, Stammberger H. 'Eosinophilic fungal rhinosinusitis': a common disorder in Europe? Laryngoscope 2003; 113:264-9. [PMID: 12567080 DOI: 10.1097/00005537-200302000-00013] [Citation(s) in RCA: 163] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES/HYPOTHESIS The traditional criteria for the diagnosis of allergic fungal sinusitis include chronic rhinosinusitis, "allergic mucin" (mucus containing clusters of eosinophils), and detection of fungi by means of histological examination or culture. In 1999, a group of Mayo Clinic researchers, with a novel method of mucus collection and fungal culturing technique, were able to find fungi in 96% of patients with chronic rhinosinusitis. Immunoglobulin E-mediated hypersensitivity to fungal allergens was not evident in the majority of their patients. Because the presence of eosinophils in the allergic mucin, not a type I hypersensitivity, is probably the common denominator in the pathophysiology of allergic fungal sinusitis, the Mayo Clinic group proposed a change in terminology from allergic fungal sinusitis to eosinophilic fungal rhinosinusitis. Using new techniques of culturing fungi from nasal secretion, as well as preservation and histological examination of mucus, we investigated the incidence of "eosinophilic fungal rhinosinusitis" in our patient population. STUDY DESIGN METHODS: In an open prospective study nasal mucus from patients with chronic rhinosinusitis as well as from healthy volunteers was cultured for fungi. In patients, who underwent functional endoscopic sinus surgery, nasal mucus was investigated histologically to detect fungi and eosinophils within the mucus. RESULTS Fungal cultures were positive in 84 of 92 patients with chronic rhinosinusitis (91.3%). In all, 290 positive cultures grew 33 different genera, with 3.2 species per patient, on average. Fungal cultures from a control group of healthy volunteers yielded positive results in 21 of 23 (91.3%). Histologically, fungal elements were found in 28 of 37 patients (75.5%) and eosinophilic mucin in 35 of 37 patients (94.6%). Neither fungi nor eosinophils were present in 2 of 37 patients (5.4%). CONCLUSIONS Our data show that the postulated criteria of allergic fungal sinusitis are present in the majority of patients with chronic rhinosinusitis. Either those criteria will be found to be invalid and need to be changed or, indeed, "eosinophilic fungal rhinosinusitis" exists in the majority of patients with chronic rhinosinusitis. Based on our results, fungi and eosinophilic mucin appear to be a standard component of nasal mucus in patients with chronic rhinosinusitis.
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Affiliation(s)
- Hannes Braun
- University Ear, Nose and Throat Hospital, Auenbruggerplatz 26/28, 8036 Graz, Austria.
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Kano R, Oomae S, Nakano Y, Minami T, Sukikara M, Nakayama T, Hasegawa A. First report on Schizophyllum commune from a dog. J Clin Microbiol 2002; 40:3535-7. [PMID: 12202614 PMCID: PMC130828 DOI: 10.1128/jcm.40.9.3535-3537.2002] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
This report describes the first isolation of Schizophyllum commune from a granulomatous lesion on the neck of a dog. The biopsy specimen from the lesion disclosed granulomatous inflammation with branching fungal hyphae without clamp connections. The clinical isolate was identified as S. commune by mycological examination and analysis of ribosomal DNA sequences.
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Affiliation(s)
- Rui Kano
- Department of Pathobiology, Nihon University School of Veterinary Medicine, 1866 Kameino, Fujisawa, Japan.
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