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Poester VR, Munhoz LS, Trápaga MR, Esperon BM, Stevens DA, Xavier MO. Humane Endpoint: Example from a Murine Model of Disseminated Sporotrichosis. Curr Microbiol 2024; 81:175. [PMID: 38755455 DOI: 10.1007/s00284-024-03692-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Accepted: 04/07/2024] [Indexed: 05/18/2024]
Abstract
Vertebrate animal models are essential in research; however, efforts need to be made to decrease animal suffering as much as possible. It could be useful to determine humane endpoints that could serve as surrogates for a fatal outcome. We address this issue with respect to infectious diseases. We propose a humane endpoint for studies of Sporothrix brasiliensis infection. BALB/c mice were inoculated subcutaneously in the footpad. To define a humane endpoint, we considered two groups: animals who died during the experiment, and those euthanized at the end of the experiment. The groups were compared for colony-forming units (CFU) in internal organs, clinical condition, and body weight. Thirteen (22%) animals died before the end of the experiment due to the progression of local infection to severe and disseminated sporotrichosis. Analyzing data of the groups, we propose the following future criteria for euthanasia as a humane endpoint: neurological impairment OR necrosis of the footpad OR loss of ≥ 20% body weight AND moderate to severe dehydration. In view of the current global epidemiological impact of zoonotic sporotrichosis caused by S. brasiliensis, our data could facilitate the utility of models used to study the disease, particularly therapy.
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Affiliation(s)
- Vanice Rodrigues Poester
- Programa de Pós-Graduação Em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal Do Rio Grande (FURG), Rio Grande, Rio Grande do Sul (RS), Brazil.
- Laboratório de Micologia, Faculdade de Medicina, Universidade Federal Do Rio Grande, Campus Saúde. Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brasil.
| | - Lívia Silveira Munhoz
- Programa de Pós-Graduação Em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal Do Rio Grande (FURG), Rio Grande, Rio Grande do Sul (RS), Brazil
- Laboratório de Micologia, Faculdade de Medicina, Universidade Federal Do Rio Grande, Campus Saúde. Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brasil
| | - Mariana Rodrigues Trápaga
- Programa de Pós-Graduação Em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal Do Rio Grande (FURG), Rio Grande, Rio Grande do Sul (RS), Brazil
- Laboratório de Micologia, Faculdade de Medicina, Universidade Federal Do Rio Grande, Campus Saúde. Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brasil
| | - Bruna Muradás Esperon
- Programa de Pós-Graduação Em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal Do Rio Grande (FURG), Rio Grande, Rio Grande do Sul (RS), Brazil
- Laboratório de Micologia, Faculdade de Medicina, Universidade Federal Do Rio Grande, Campus Saúde. Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brasil
| | - David A Stevens
- California Institute for Medical Research, San Jose, USA.
- Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, USA.
- Foundation for Research in Infectious Diseases, P.O. Box 2734, Saratoga, 95070, USA.
| | - Melissa Orzechowski Xavier
- Programa de Pós-Graduação Em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal Do Rio Grande (FURG), Rio Grande, Rio Grande do Sul (RS), Brazil.
- Laboratório de Micologia, Faculdade de Medicina, Universidade Federal Do Rio Grande, Campus Saúde. Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brasil.
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Terçola AL, Poester VR, Munhoz LS, Ramos DF, Porte AF, Galarça MM, Xavier MO. Ultraviolet light C prototype device against Sporothrix brasiliensis as a potential physical method for surface disinfection. Braz J Microbiol 2024:10.1007/s42770-024-01355-5. [PMID: 38684637 DOI: 10.1007/s42770-024-01355-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Accepted: 04/22/2024] [Indexed: 05/02/2024] Open
Abstract
Sporothrix brasiliensis is recognized as an emergent fungal pathogen and the high amount of fungal propagules in the lesions of infected cats allows the contamination of surfaces by direct contact. Given that the environment can play a role in the transmission of this fungus, effective methods to eliminate this pathogen from contaminated surfaces are necessary. Physical methods, such as ultraviolet light C (UVC), are broad used for surfaces disinfection, however, non-data about its activity against S. brasiliensis is reported. Therefore, we aimed to evaluate an easy handled prototype of a UVC device, in the inhibition of S. brasiliensis. Three doses and times of exposure of irradiance were tested: 3.5 mJ/cm2 (1 s), 5.25 mJ/cm2 (1.5 s) and 329 mJ/cm2 (94 s) against a standardized inoculum of yeast and mold phase of S. brasiliensis. A decrease in CFU was shown in all doses of irradiance in both phases of S. brasiliensis, the average reduction ranged from 78 to 100% among doses, being a complete fungicidal activity achieved against the yeast phase after the 94 s exposure (329 mJ/cm2). Our data shows that UVC is a potential physical method for disinfection of surfaces contaminated with S. brasiliensis, and the prototype device developed provides an easy handling, and quickly results.
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Affiliation(s)
- Anderson Luis Terçola
- Laboratório de Micologia, Faculdade de Medicina (FAMED), Universidade Federal Do Rio Grande (FURG), Campus Saúde. Visconde de Paranaguá 102, Centro, Rio Grande, Rio Grande do Sul (RS), 96201-900, Brazil
| | - Vanice Rodrigues Poester
- Laboratório de Micologia, Faculdade de Medicina (FAMED), Universidade Federal Do Rio Grande (FURG), Campus Saúde. Visconde de Paranaguá 102, Centro, Rio Grande, Rio Grande do Sul (RS), 96201-900, Brazil
- Programa de Pós-Graduação em Ciências da Saúde, FAMED, FURG, Rio Grande, RS, Brazil
| | - Lívia Silveira Munhoz
- Laboratório de Micologia, Faculdade de Medicina (FAMED), Universidade Federal Do Rio Grande (FURG), Campus Saúde. Visconde de Paranaguá 102, Centro, Rio Grande, Rio Grande do Sul (RS), 96201-900, Brazil
- Programa de Pós-Graduação em Ciências da Saúde, FAMED, FURG, Rio Grande, RS, Brazil
| | - Daniela Fernandes Ramos
- Programa de Pós-Graduação em Ciências da Saúde, FAMED, FURG, Rio Grande, RS, Brazil
- Laboratório de Desenvolvimento de Novos Fármacos (LADEFA), FAMED, FURG, Rio Grande, RS, Brazil
| | - Anderson Favero Porte
- Instituto Federal de Educação, Ciência e Tecnologia do Rio Grande Do Sul (IFRS), Rio Grande, RS, Brazil
| | - Marcelo Moraes Galarça
- Instituto Federal de Educação, Ciência e Tecnologia do Rio Grande Do Sul (IFRS), Rio Grande, RS, Brazil
| | - Melissa Orzechowski Xavier
- Laboratório de Micologia, Faculdade de Medicina (FAMED), Universidade Federal Do Rio Grande (FURG), Campus Saúde. Visconde de Paranaguá 102, Centro, Rio Grande, Rio Grande do Sul (RS), 96201-900, Brazil.
- Programa de Pós-Graduação em Ciências da Saúde, FAMED, FURG, Rio Grande, RS, Brazil.
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Poester VR, Xavier MO, Munhoz LS, Basso RP, Zancopé-Oliveira RM, Freitas DFS, Pasqualotto AC. Sporothrix brasiliensis Causing Atypical Sporotrichosis in Brazil: A Systematic Review. J Fungi (Basel) 2024; 10:287. [PMID: 38667958 PMCID: PMC11051268 DOI: 10.3390/jof10040287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2024] [Revised: 04/03/2024] [Accepted: 04/11/2024] [Indexed: 04/28/2024] Open
Abstract
Zoonotic sporotrichosis, a subcutaneous mycosis caused by Sporothrix brasiliensis, has become hyperendemic and a serious public health issue in Brazil and an emerging disease throughout the world. Typical sporotrichosis is defined as fixed or lymphocutaneous lesion development, however, reports of atypical presentations have been described in hyperendemic areas, which may result in a worse prognosis. Thus, considering an increase in atypical cases and in more severe extracutaneous cases and hospitalizations reported in Brazil, we aimed to perform a systematic review to search for hypersensitivity reactions (HRs) and extracutaneous presentations associated with zoonotic sporotrichosis. A systematic review was performed, following the PRISMA guidelines to search for atypical/extracutaneous cases (mucosal, osteoarthritis, HRs, pulmonary, meningeal) of zoonotic sporotrichosis. A total of 791 published cases over 26 years (1998-2023) in eleven Brazilian states were reviewed. Most cases corresponded to a HR (47%; n = 370), followed by mucosal (32%; n = 256), multifocal (8%; n = 60), osteoarthritis (7%; n = 59), meningeal (4%; n = 32), and pulmonary (2%; n = 14) infections. When available (n = 607), the outcome was death in 7% (n = 43) of cases. Here, we show a frequent and worrisome scenario of zoonotic sporotrichosis in Brazil, with a high and dispersed incidence of atypical/extracutaneous cases throughout the Brazilian territory. Therefore, educational measures are necessary to make health professionals and the overall population aware of this fungal pathogen in Brazil as well as in other countries in the Americas.
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Affiliation(s)
- Vanice Rodrigues Poester
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, Rio Grande do Sul (RS), Brazil; (V.R.P.); (M.O.X.); (L.S.M.); (R.P.B.)
- Mycology Laboratory of FAMED-FURG, Rio Grande 96200-190, RS, Brazil
| | - Melissa Orzechowski Xavier
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, Rio Grande do Sul (RS), Brazil; (V.R.P.); (M.O.X.); (L.S.M.); (R.P.B.)
- Mycology Laboratory of FAMED-FURG, Rio Grande 96200-190, RS, Brazil
| | - Lívia Silveira Munhoz
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, Rio Grande do Sul (RS), Brazil; (V.R.P.); (M.O.X.); (L.S.M.); (R.P.B.)
- Mycology Laboratory of FAMED-FURG, Rio Grande 96200-190, RS, Brazil
| | - Rossana Patricia Basso
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, Rio Grande do Sul (RS), Brazil; (V.R.P.); (M.O.X.); (L.S.M.); (R.P.B.)
- Mycology Laboratory of FAMED-FURG, Rio Grande 96200-190, RS, Brazil
- Hospital Universitário Dr. Miguel Riet Correa Jr., FURG/Empresa Brasileira de Serviços Hospitalares (EBSERH), Rio Grande 96200-190, RS, Brazil
| | - Rosely Maria Zancopé-Oliveira
- Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro 21040-360, Rio de Janeiro (RJ), Brazil; (R.M.Z.-O.); (D.F.S.F.)
| | - Dayvison Francis Saraiva Freitas
- Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro 21040-360, Rio de Janeiro (RJ), Brazil; (R.M.Z.-O.); (D.F.S.F.)
| | - Alessandro Comarú Pasqualotto
- Molecular Biology Laboratory, Hospital Dom Vicente Scherer, Santa Casa de Misericórdia de Porto Alegre, Porto Alegre 90020-090, Brazil
- Medicine Department, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre 90035-075, RS, Brazil
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de la Rocha C, Caprara CDSC, Poester VR, Xavier MO, Porte AF, Galarça MM, Filgueira DDMVB, Votto APDS, Ramos DF. Highly effective decontamination in a hospital environment: An easy-to-operate, low-cost prototype. Photochem Photobiol 2024. [PMID: 38572693 DOI: 10.1111/php.13945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Revised: 03/02/2024] [Accepted: 03/20/2024] [Indexed: 04/05/2024]
Abstract
Healthcare-associated infections (HAI) are illnesses acquired during healthcare and are often the most important adverse event during healthcare. With the aim of increasing the effectiveness of disinfection/decontamination processes in the health service with safe and not promote microbial resistance, we propose the development of portable equipment associated with type C ultraviolet light (UVC). The efficiency of the irradiance emitted by the equipment (at dosages 3.5, 5.0, and 60 mJ/cm2) was determined by the action exerted after exposure against four different bacterial (Acinetobacter baumannii, Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus) and three different fungi (Candida albicans, C. parapsilosis, and Aspergillus section Fumigati). It was possible to observe that all treatments were capable of inactivating the bacterial species evaluated (p < 0.05), causing the irreversible death of these microorganisms. The most effective elimination of fungal agents was at a dose of 60 mJ/cm2 of UVC radiation, with a decrease in the fungal inoculum varying between 94% and 100% in relation to the control without exposure. Thus, our study showed that the application of the portable prototype with UVC light (254 nm) at a distance of 48 mm, allowed an average irradiance of 3.5 mW/cm2, with doses of 3.5 ≈ 60 mJ/cm2 (from 1 to 60 s of exposure), which can promote the total reduction of the bacteria evaluated and significantly reduce fungal growth. Therefore, this prototype could be used safely and effectively in the hospital environment, considerably reducing contamination and contributing to the reduction of healthcare-associated infection risk.
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Affiliation(s)
- Clarice de la Rocha
- Laboratório de Desenvolvimento de Novos Fármacos (LADEFA), Universidade Federal do Rio Grande-FURG, Rio Grande, Rio Grande do Sul, Brazil
| | | | | | | | - Anderson Favero Porte
- Instituto Federal de Educação, Ciência e Tecnologia do Rio Grande do Sul, Rio Grande, Rio Grande do Sul, Brazil
| | - Marcelo Moraes Galarça
- Instituto Federal de Educação, Ciência e Tecnologia do Rio Grande do Sul, Rio Grande, Rio Grande do Sul, Brazil
| | - Daza de Moraes Vaz Batista Filgueira
- Laboratório de Cultura Celular-Pós-graduação em Ciências Fisiológicas, Instituto de Ciências Biológicas-FURG, Rio Grande, Rio Grande do Sul, Brazil
| | - Ana Paula de Souza Votto
- Laboratório de Cultura Celular-Pós-graduação em Ciências Fisiológicas, Instituto de Ciências Biológicas-FURG, Rio Grande, Rio Grande do Sul, Brazil
| | - Daniela Fernandes Ramos
- Laboratório de Desenvolvimento de Novos Fármacos (LADEFA), Universidade Federal do Rio Grande-FURG, Rio Grande, Rio Grande do Sul, Brazil
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Ramos MLM, Almeida-Silva F, de Souza Rabello VB, Nahal J, Figueiredo-Carvalho MHG, Bernardes-Engemann AR, Poester VR, Xavier MO, Meyer W, Zancopé-Oliveira RM, Frases S, Almeida-Paes R. In vitro activity of the anthelmintic drug niclosamide against Sporothrix spp. strains with distinct genetic and antifungal susceptibility backgrounds. Braz J Microbiol 2024:10.1007/s42770-024-01301-5. [PMID: 38466550 DOI: 10.1007/s42770-024-01301-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 03/07/2024] [Indexed: 03/13/2024] Open
Abstract
The drugs available to treat sporotrichosis, an important yet neglected fungal infection, are limited. Some Sporothrix spp. strains present reduced susceptibility to these antifungals. Furthermore, some patients may not be indicated to use these drugs, while others may not respond to the therapy. The anthelmintic drug niclosamide is fungicidal against the Sporothrix brasiliensis type strain. This study aimed to evaluate whether niclosamide also has antifungal activity against Sporothrix globosa, Sporothrix schenckii and other S. brasiliensis strains with distinct genotypes and antifungal susceptibility status. Minimal inhibitory and fungicidal concentrations (MIC and MFC, respectively) were determined using the microdilution method according to the CLSI protocol. The checkerboard method was employed to evaluate niclosamide synergism with drugs used in sporotrichosis treatment. Metabolic activity of the strains under niclosamide treatment was evaluated using the resazurin dye. Niclosamide was active against all S. brasiliensis strains (n = 17), but it was ineffective (MIC > 20 µM) for some strains (n = 4) of other pathogenic Sporothrix species. Niclosamide MIC values for Sporothrix spp. were similar for mycelial and yeast-like forms of the strains (P = 0.6604). Niclosamide was fungicidal (MFC/MIC ratio ≤ 2) for most strains studied (89%). Niclosamide activity against S. brasiliensis is independent of the fungal genotype or non-wild-type phenotypes for amphotericin B, itraconazole, or terbinafine. These antifungal drugs presented indifferent interactions with niclosamide. Niclosamide has demonstrated potential for repurposing as a treatment for sporotrichosis, particularly in S. brasiliensis cases, instigating in vivo studies to validate the in vitro findings.
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Affiliation(s)
- Mariana Lucy Mesquita Ramos
- Laboratório de Biofísica de Fungos, Instituto de Biofísica Carlos Chagas Filho, Universidade Federal Do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Fernando Almeida-Silva
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | - Vanessa Brito de Souza Rabello
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | - Juliana Nahal
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | | | - Andrea Reis Bernardes-Engemann
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | - Vanice Rodrigues Poester
- Laboratório de Micologia, Faculdade de Medicina, Universidade Federal Do Rio Grande, Rio Grande, RS, Brazil
| | - Melissa Orzechowski Xavier
- Laboratório de Micologia, Faculdade de Medicina, Universidade Federal Do Rio Grande, Rio Grande, RS, Brazil
| | - Wieland Meyer
- Westerdijk Fungal Biodiversity Institute of the KNAW, Utrecht, The Netherlands
| | - Rosely Maria Zancopé-Oliveira
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | - Susana Frases
- Laboratório de Biofísica de Fungos, Instituto de Biofísica Carlos Chagas Filho, Universidade Federal Do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
- Rede Micologia - FAPERJ, Rio de Janeiro, RJ, Brazil.
| | - Rodrigo Almeida-Paes
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil.
- Rede Micologia - FAPERJ, Rio de Janeiro, RJ, Brazil.
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de Souza Rabello VB, de Melo Teixeira M, Meyer W, Irinyi L, Xavier MO, Poester VR, Pereira Brunelli JG, Almeida-Silva F, Bernardes-Engemann AR, Ferreira Gremião ID, Dos Santos Angelo DF, Clementino IJ, Almeida-Paes R, Zancopé-Oliveira RM. Multi-locus sequencing typing reveals geographically related intraspecies variability of Sporothrix brasiliensis. Fungal Genet Biol 2024; 170:103845. [PMID: 38040325 DOI: 10.1016/j.fgb.2023.103845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 11/14/2023] [Accepted: 11/28/2023] [Indexed: 12/03/2023]
Abstract
Sporotrichosis is a subcutaneous mycosis caused by pathogenic Sporothrix species. Among them, Sporothrix brasiliensis is the main species associated with endemic regions in South America, especially Brazil. It is highly virulent and can be spread through zoonotic transmission. Molecular epidemiological surveys are needed to determine the extent of genetic variation, to investigate outbreaks, and to identify genotypes associated with antifungal resistance and susceptibility. This study investigated the sequence variation of different constitutive genes and established a novel multilocus sequence typing (MLST) scheme for S. brasiliensis. Specific primers were designed for 16 genes using Primer-BLAST software based on the genome sequences of three S. brasiliensis strains (ATCC MYA-4823, A001 and A005). Ninety-one human, animal, and environmental S. brasiliensis isolates from different Brazilian geographic regions (South, Southeast, Midwest and Northeast) andtwo isolates from Paraguay were sequenced. The loci that presented the highest nucleotide diversity (π) were selected for the MLST scheme. Among the 16 studied genetic loci, four presented increased π value and were able to distinguish all S. brasiliensis isolates into seven distinct haplotypes. The PCR conditions were standardized for four loci. Some of the obtained haplotypes were associated with the geographic origin of the strains. This study presents an important advance in the understanding of this important agent of sporotrichosis in Brazil. It significantly increased the discriminatory power for genotyping of S. brasiliensis isolates, and enabled new contributions to the epidemiological studies of this human and animal pathogen in Brazil and in other countries.
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Affiliation(s)
- Vanessa Brito de Souza Rabello
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas (INI), Fundação Oswaldo Cruz, Fiocruz, Rio de Janeiro, RJ, Brazil.
| | - Marcus de Melo Teixeira
- Núcleo de Medicina Tropical, Faculdade de Medicina, Universidade de Brasília (UnB), Brasília, DF, Brazil
| | - Wieland Meyer
- Westerdijk Fungal Biodiversity Institute, Utrecht, Netherlands; Molecular Mycology Research Laboratory, Centre for Infectious Diseases and Microbiology, Westmead Clinical School, Sydney Medical School, Faculty of Medicine and Health, Sydney Infectious Diseases Institute, University of Sydney, Westmead Hospital, Research and Education Network, Westmead Institute for Medical Research, Sydney, Australia
| | - Laszlo Irinyi
- Molecular Mycology Research Laboratory, Centre for Infectious Diseases and Microbiology, Westmead Clinical School, Sydney Medical School, Faculty of Medicine and Health, Sydney Infectious Diseases Institute, University of Sydney, Westmead Hospital, Research and Education Network, Westmead Institute for Medical Research, Sydney, Australia
| | - Melissa Orzechowski Xavier
- Laboratório de Micologia e Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Rio Grande, Rio Grande do Sul, Brazil
| | - Vanice Rodrigues Poester
- Laboratório de Micologia e Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Rio Grande, Rio Grande do Sul, Brazil
| | | | - Fernando Almeida-Silva
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas (INI), Fundação Oswaldo Cruz, Fiocruz, Rio de Janeiro, RJ, Brazil
| | - Andrea Reis Bernardes-Engemann
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas (INI), Fundação Oswaldo Cruz, Fiocruz, Rio de Janeiro, RJ, Brazil
| | - Isabella Dib Ferreira Gremião
- Laboratório de Pesquisa Clínica em Dermatozoonoses em Animais Domésticos, Instituto Nacional de Infectologia Evandro Chagas (INI), Fundação Oswaldo Cruz, Fiocruz, Rio de Janeiro, RJ, Brazil
| | | | - Inácio José Clementino
- Departamento de Medicina Veterinária, Universidade Federal da Paraíba, João Pessoa, Paraíba, Brazil
| | - Rodrigo Almeida-Paes
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas (INI), Fundação Oswaldo Cruz, Fiocruz, Rio de Janeiro, RJ, Brazil
| | - Rosely Maria Zancopé-Oliveira
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas (INI), Fundação Oswaldo Cruz, Fiocruz, Rio de Janeiro, RJ, Brazil
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Poester VR, Hidalgo JED, Jardim LS, Trápaga MR, Rabello VBDS, Almeida-Paes R, Zancope-Oliveira RM, Xavier MO. Amlodipine and lufenuron as repurposing drugs against Sporothrix brasiliensis. PeerJ 2023; 11:e16443. [PMID: 38050607 PMCID: PMC10693817 DOI: 10.7717/peerj.16443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 10/20/2023] [Indexed: 12/06/2023] Open
Abstract
Background Sporotrichosis caused by Sporothrix brasiliensis is a globally emerging infectious disease with limited therapeutic options. Thus, we aimed to evaluate the in vitro activity of amlodipine (AML) and lufenuron (LUF) alone and their interaction with itraconazole (ITZ), the first-choice drug against S. brasiliensis. Methods Twenty clinical isolates of S. brasiliensis from two hyperendemic regions were tested through a microdilution assay to evaluate the minimal inhibitory concentration (MIC) and minimal fungicidal concentration (MFC) of AML and LUF. Checkerboard assay was performed with 10 isolates for both drug interactions with ITZ. Results AML showed inhibitory and fungicidal activity against all isolates included, with MIC values ranging from 32 to 256 µg/mL, and MFC from 64 to 256 µg/mL. However, none of the S. brasiliensis isolates were inhibited by the highest soluble concentration of LUF (MIC >64 µg/mL for all strains). Synergic interaction of AML and LUF with ITZ occurred in 50% and 40% of the isolates tested, without any antagonistic effects. Conclusion Both repurposing drugs evaluated in our study showed a promising in vitro activity, especially in synergy with ITZ against S. brasiliensis, warranting future in vivo investigations regarding its activity.
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Affiliation(s)
- Vanice Rodrigues Poester
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, Rio Grande do Sul, Brazil
- Laboratório de Micologia (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, Rio Grande do Sul, Brazil
| | | | - Lara Severo Jardim
- Laboratório de Micologia (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, Rio Grande do Sul, Brazil
| | - Mariana Rodrigues Trápaga
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, Rio Grande do Sul, Brazil
- Laboratório de Micologia (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, Rio Grande do Sul, Brazil
| | - Vanessa Brito de Souza Rabello
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro state, Brazil
| | - Rodrigo Almeida-Paes
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro state, Brazil
| | - Rosely Maria Zancope-Oliveira
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro state, Brazil
| | - Melissa Orzechowski Xavier
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, Rio Grande do Sul, Brazil
- Laboratório de Micologia (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, Rio Grande do Sul, Brazil
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Trápaga MR, Poester VR, Mousquer MA, de Souza RP, Rafael LA, Bonel J, Melo AM, Reis AG, de Faria RO, Stevens DA, Nogueira CEW, Xavier MO. Systemic aspergillosis associated with acute enterocolitis in foals. J Mycol Med 2023; 33:101433. [PMID: 37708695 DOI: 10.1016/j.mycmed.2023.101433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 04/12/2023] [Accepted: 08/30/2023] [Indexed: 09/16/2023]
Abstract
Aspergillosis is an uncommon disease in horses, but it can be fatal. We report two cases of systemic aspergillosis in foals that occurred in a short period in the same region of southern Brazil. In addition, a literature review of similar cases was also performed. Risk factors were attributed to an immunodepression by primary enterocolitis and corticosteroid treatment, the damage in the epithelium, and multiple antibacterial treatments, which allowed local fungal proliferation, tissue invasion and spread of infection, leading to death. Since the antemortem diagnosis of aspergillosis in foals is difficult, our report alerts equine veterinarians regarding the importance of suspecting and investigating fungal co-infections in complicated cases of enterocolitis.
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Affiliation(s)
- Mariana Rodrigues Trápaga
- Laboratory of Mycology, Faculty of Medicine, Federal University of Rio Grande, 96200-400 Rio Grande, RS, Brazil; Post-graduate Program in Health Sciences, Federal University of Rio Grande 96200-400 Rio Grande, RS, Brazil
| | - Vanice Rodrigues Poester
- Laboratory of Mycology, Faculty of Medicine, Federal University of Rio Grande, 96200-400 Rio Grande, RS, Brazil; Post-graduate Program in Health Sciences, Federal University of Rio Grande 96200-400 Rio Grande, RS, Brazil
| | - Mariana Andrade Mousquer
- Hospital of Veterinary Clinics, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
| | - Rafaela Pinto de Souza
- Hospital of Veterinary Clinics, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
| | - Leandro Américo Rafael
- Hospital of Veterinary Clinics, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
| | - Josiane Bonel
- Hospital of Veterinary Clinics, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
| | | | - Angelita Gomes Reis
- Hospital of Veterinary Clinics, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
| | - Renata Osorio de Faria
- Hospital of Veterinary Clinics, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
| | - David A Stevens
- California Institute for Medical Research, San Jose, California, United States; Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, California, United States
| | | | - Melissa Orzechowski Xavier
- Laboratory of Mycology, Faculty of Medicine, Federal University of Rio Grande, 96200-400 Rio Grande, RS, Brazil; Post-graduate Program in Health Sciences, Federal University of Rio Grande 96200-400 Rio Grande, RS, Brazil.
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Poester VR, Munhoz LS, Stevens DA, Melo AM, Trápaga MR, Flores MM, Larwood DJ, Xavier MO. Nikkomycin Z for the treatment of experimental sporotrichosis caused by Sporothrix brasiliensis. Mycoses 2023; 66:898-905. [PMID: 37434420 DOI: 10.1111/myc.13629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 06/27/2023] [Accepted: 06/30/2023] [Indexed: 07/13/2023]
Abstract
Sporotrichosis caused by Sporothrix brasiliensis is a global emergent infectious disease. Due to the scarcity of therapeutic options for fungal diseases, new antifungals are urgently needed. Nikkomycin Z (NikZ) is a future option as an agent against dimorphic fungi. We evaluated NikZ monotherapy and in combination with itraconazole (ITZ; the conventional therapy) in the treatment of experimental sporotrichosis caused by S. brasiliensis in a murine model. Animals were subcutaneously infected, and treated orally for 30 days. The study groups were as follows control (untreated), ITZ group (50 mg/kg/day), and three groups treated with NikZ, two by monotherapy (200 or 400 mg/kg/day), and one combining NikZ (400 mg/kg/day) and ITZ. Efficacy of treatments was evaluated via body weight gain, mortality and fungal burden in tissues. Efficacy was noted in all treatment groups, and the group receiving the drug combination showed even better results than those with monotherapy. Our study shows for the first time the high potential of NikZ to be used in the treatment of sporotrichosis caused by S. brasiliensis.
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Affiliation(s)
- Vanice Rodrigues Poester
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, Brazil
- Mycology Laboratory of FAMED-FURG, Rio Grande, Brazil
| | | | - David A Stevens
- California Institute for Medical Research, San Jose, California, USA
- Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, California, USA
| | - Aryse Martins Melo
- Department of Infectious Diseases, National Institute of Health Doutor Ricardo Joge, Lisbon, Portugal
| | - Mariana Rodrigues Trápaga
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, Brazil
- Mycology Laboratory of FAMED-FURG, Rio Grande, Brazil
| | | | - David J Larwood
- California Institute for Medical Research, San Jose, California, USA
- Valley Fever Solutions, Tucson, Arizona, USA
| | - Melissa Orzechowski Xavier
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, Brazil
- Mycology Laboratory of FAMED-FURG, Rio Grande, Brazil
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Xavier MO, Poester VR, Trápaga MR, Stevens DA. Sporothrix brasiliensis: Epidemiology, Therapy, and Recent Developments. J Fungi (Basel) 2023; 9:921. [PMID: 37755029 PMCID: PMC10532502 DOI: 10.3390/jof9090921] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 08/28/2023] [Accepted: 09/05/2023] [Indexed: 09/28/2023] Open
Abstract
Sporotrichosis caused by Sporothrix brasiliensis is an emergent mycosis that is now a worldwide concern. One important step to sporotrichosis control is its correct treatment. However, limitations abound; thus, new antifungals, mainly focused on S. brasiliensis, are urgently needed. We performed a systematic review (following the PRISMA guideline) focused on (1) the global distribution of human and animal sporotrichosis by S. brasiliensis, especially outside of Brazil; (2) appraising therapies tested against this pathogen. We identified sporotrichosis caused by S. brasiliensis reported in five countries (Paraguay, Chile, Argentina, the United Kingdom, and the United States) in addition to Brazil, occurring on three continents, highlighting the epidemiological scenario in Argentina with an important increase in reported cases in recent years. Regarding the antifungal activity of drugs, 25 articles described the in vitro action of 20 unique chemicals and eight repurposed drugs against S. brasiliensis. Only five studies reported in vivo activity against S. brasiliensis (five drugs) using invertebrate and vertebrate models. Sporotrichosis caused by S. brasiliensis has a global impact and it is no longer specifically a Brazilian problem. We review the need for understanding the disease epidemiology, education of clinicians and of the populace, organization of health care delivery to respond to a spreading epidemic, and research on therapy for sporotrichosis.
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Affiliation(s)
- Melissa Orzechowski Xavier
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, RS, Brazil; (M.O.X.); (V.R.P.); (M.R.T.)
- Laboratório de Micologia, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, RS, Brazil
| | - Vanice Rodrigues Poester
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, RS, Brazil; (M.O.X.); (V.R.P.); (M.R.T.)
- Laboratório de Micologia, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, RS, Brazil
| | - Mariana Rodrigues Trápaga
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, RS, Brazil; (M.O.X.); (V.R.P.); (M.R.T.)
- Laboratório de Micologia, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, RS, Brazil
| | - David A. Stevens
- California Institute for Medical Research, San Jose, CA 95128, USA
- Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA 94305, USA
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Munhoz LS, Poester VR, Benelli JL, Melo AM, Trápaga MR, Nogueira CW, Zeni G, Flores MM, Stevens DA, Xavier MO. Effectiveness of diphenyl diselenide against experimental sporotrichosis caused by Sporothrix brasiliensis. Med Mycol 2023; 61:myad035. [PMID: 36977574 DOI: 10.1093/mmy/myad035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 02/13/2023] [Accepted: 03/27/2023] [Indexed: 03/30/2023] Open
Abstract
Diphenyl diselenide (PhSe)2 is a stable organoselenium compound with promising in vitro antifungal activity against several fungi, including Sporothrix brasiliensis. This species is associated with feline and zoonotic sporotrichosis, an emergent mycosis in Latin America. We evaluated the activity of (PhSe)2, alone and in association with itraconazole, in the treatment of sporotrichosis caused by S. brasiliensis, in a murine model. Sixty mice were subcutaneously infected with S. brasiliensis in the footpad and treated by gavage for 30 consecutive days. The six treatment groups received: no active treatment, itraconazole (50 mg/kg), (PhSe)2 at 1, 5, and 10 mg/kg dosages, or itraconazole (50 mg/kg) + (PhSe)2 1 mg/kg, once a day, starting seven days post-inoculation. A significant reduction in the fungal burden of internal organs was achieved in the groups treated with (PhSe)2 1 mg/kg or itraconazole alone in comparison with the untreated group. Higher dosages (5 and 10 mg/kg) of (PhSe)2 increased the clinical manifestation of sporotrichosis and mortality rate. Treatment with both itraconazole and (PhSe)2 1 mg/kg was better than their activities alone (P < .001). This is the first demonstration of the potential use of (PhSe)2, alone or with the present drug of choice, in the treatment of sporotrichosis.
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Affiliation(s)
- Lívia Silveira Munhoz
- Programa de Pós-graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande city, Rio Grande do Sul state, 96203-900, Brazil
| | - Vanice Rodrigues Poester
- Programa de Pós-graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande city, Rio Grande do Sul state, 96203-900, Brazil
- Universidade Federal de Santa Maria (UFSM), Santa Maria city, Rio Grande do Sul state, 97105-900, Brazil
| | - Jéssica Louise Benelli
- Hospital Universitário Dr. Miguel Riet Corrêa Jr. (HU-FURG), vinculado à Empresa Brasileira de Serviços Hospitalares (EBSERH), Rio Grande city, Rio Grande do Sul state, 96200-190, Brazil
| | - Aryse Martins Melo
- Instituto Nacional de Saúde Dr. Ricardo Jorge, Lisboa, 1600-609, Portugal
| | - Mariana Rodrigues Trápaga
- Programa de Pós-graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande city, Rio Grande do Sul state, 96203-900, Brazil
| | - Cristina Wayne Nogueira
- Universidade Federal de Santa Maria (UFSM), Santa Maria city, Rio Grande do Sul state, 97105-900, Brazil
| | - Gilson Zeni
- Universidade Federal de Santa Maria (UFSM), Santa Maria city, Rio Grande do Sul state, 97105-900, Brazil
| | - Mariana Martins Flores
- Universidade Federal de Santa Maria (UFSM), Santa Maria city, Rio Grande do Sul state, 97105-900, Brazil
| | - David A Stevens
- California Institute for Medical Research, San Jose, California 95128, USA
- Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, California 94305, USA
| | - Melissa Orzechowski Xavier
- Programa de Pós-graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande city, Rio Grande do Sul state, 96203-900, Brazil
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Blan BDS, Poester VR, Basso RP, Benelli JL, Sanchotene KO, Caceres DH, Doherty B, Pasqualotto AC, Xavier MO. Optimization of a commercial Histoplasma galactomannan EIA test in a population from an endemic area of histoplasmosis in southern Brazil. Mycoses 2023; 66:304-307. [PMID: 36513799 DOI: 10.1111/myc.13554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 12/09/2022] [Accepted: 12/10/2022] [Indexed: 12/15/2022]
Abstract
BACKGROUND Since 2020 the World Health Organization (WHO) recommends Histoplasma antigen detection for the diagnosis of disseminated histoplasmosis (DH) in people living with HIV (PLHIV). OBJECTIVE Here we aimed to optimise the IMMY's Clarus® Histoplasma GM enzyme immunoassay (EIA), evaluating the best cut-off in the semi-quantitative (SQ-HGM EIA), also known as 'calibrator cut-off procedure'. METHODS The optimization was done using the quantitative standard procedure (Q-HGM EIA), also known as 'standard curve procedure', as reference test. A retrospective study from an endemic area of DH in southern Brazil was carried out including 264 patients investigated for DH using the test. Receiver Operator Characteristic curve was plotted, and sensitivity and specificity of the SQ-HGM EIA were calculated. RESULTS The study included 24 positive (values ≥ 0.20 ng/ml) and 240 negative patients by the Q-HGM EIA. According to the manufacturer SQ-HGM EIA protocol, the new SQ-HGM EIA cut-off of 0.8 EIA units was validated, resulting in sensitivity and specificity of 88% and 98.7%, respectively. CONCLUSION Our study pioneers and brings important data about the optimization of the Histoplasma antigen testing for the diagnosis of DH in a population from Southern Brazil. This optimization also reduced the amount of reagents used, lowering the cost associated with testing.
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Affiliation(s)
- Bianca Dos Santos Blan
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, Brazil
| | - Vanice Rodrigues Poester
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, Brazil
| | - Rossana Patricia Basso
- Hospital Universitário Dr. Miguel Riet Corrêa Jr, Empresa Brasileira de Serviços Hospitalares (HU-FURG/ EBSERH), Rio Grande, Brazil
| | - Jéssica Louise Benelli
- Hospital Universitário Dr. Miguel Riet Corrêa Jr, Empresa Brasileira de Serviços Hospitalares (HU-FURG/ EBSERH), Rio Grande, Brazil
| | - Karine Ortiz Sanchotene
- Hospital Universitário Dr. Miguel Riet Corrêa Jr, Empresa Brasileira de Serviços Hospitalares (HU-FURG/ EBSERH), Rio Grande, Brazil
| | - Diego H Caceres
- IMMY, Norman, Oklahoma, USA.,Center of Expertise in Mycology Radboudumc/CWZ, Nijmegen, The Netherlands.,Studies in Translational Microbiology and Emerging Diseases (MICROS) Research Group, School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia
| | | | - Alessandro Comarú Pasqualotto
- Programa de Pós-Graduação em Patologia, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Brazil
| | - Melissa Orzechowski Xavier
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, Brazil
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Melo AM, Poester VR, Trápaga MR, Stevens DA, Canabarro PL, Adornes AC, da Silva AP, Estima SC, Frere E, Sabino R, Xavier MO. Aspergillosis in free-ranging Magellanic penguins. Med Mycol 2023; 61:7034336. [PMID: 36764673 DOI: 10.1093/mmy/myad008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 01/13/2023] [Accepted: 02/08/2023] [Indexed: 02/12/2023] Open
Abstract
We evaluated the mortality due to aspergillosis in free-ranging Magellanic penguins during their migration and the reproductive season. A total of 98 carcasses of penguins were collected along 370 km of coastline in Southern Brazil, between June 2017 and October 2019, and from reproductive colonies in Patagonian Argentina, in January 2019. All animals were necropsied, and only proven cases were computed. Aspergillosis was diagnosed in 2.5% of the penguins evaluated during their migration route. Our study, of the Southern coast of Brazil, is the first to demonstrate that aspergillosis is an important cause of mortality in free-ranging penguins. The implications of these findings in the One Health context are discussed.
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Affiliation(s)
- Aryse Martins Melo
- Microbiology and Parasitology Post-Graduate Program, Institute of Biology, Universidade Federal de Pelotas (UFPEL), Pelotas, Rio Grande do Sul (RS), Brazil.,Department of Infectious Diseases, National Institute of Health, Dr. Ricardo Jorge, Lisbon, Portugal
| | - Vanice Rodrigues Poester
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, RS, Brazil
| | - Mariana Rodrigues Trápaga
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, RS, Brazil
| | - David A Stevens
- California Institute for Medical Research, San Jose, CA, USA.,Div. of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA, USA
| | | | | | | | - Sérgio Curi Estima
- Center for Environmental Education and Monitoring (NEMA), Rio Grande - RS, Brazil
| | - Esteban Frere
- Centro De Investigaciones Puerto Deseado -Unidad Academica Caleta Olivia - (UNPA) Universidad Nacional De La Patagonia Austral, Puerto Deseado, Argentina
| | - Raquel Sabino
- Department of Infectious Diseases, National Institute of Health, Dr. Ricardo Jorge, Lisbon, Portugal.,Institute of Environmental Health, Faculty of Medicine, University of Lisbon, 1649-028, Lisboa, Portugal
| | - Melissa Orzechowski Xavier
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande, RS, Brazil
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Trápaga M, Melo AM, Poester V, Canabarro PL, Silva A, Estima S, Frere E, Xavier MO. P465 Aspergillosis in free-ranging Magellanic penguins. Med Mycol 2022. [PMCID: PMC9509763 DOI: 10.1093/mmy/myac072.p465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Poster session 3, September 23, 2022, 12:30 PM - 1:30 PM Aspergillosis is an opportunistic fungal disease caused by the Aspergillus genus, mostly by Aspergillus section Fumigati. Captive Magellanic penguins are vulnerable to Aspergillus infection, being this mycosis a limiting factor during the process of rehabilitation with a mortality rate of around 50%. Objectives Giving the scarce data regarding the occurrence of aspergillosis in non-captive penguins, we aimed to evaluate the proportional mortality by aspergillosis in free-ranging Magellanic penguins during their migration and reproductive season. Methods Carcasses of Magellanic penguins were collected from the Southern coast of Brazil between June 2017 and October 2019 between Barra do Chui beach (Southern RS, Brazil - 33°44'19.9‘S 53°21'56.3’W) and the isthmus with the Lagoa do Peixe (Southern RS, Brazil - 31°26' S, 51°10' W 31°14'S, 50°54'W). In addition, in January 2019, penguins found dead in the reproducing colony in four islands localized in Puerto Deseado City (Santa Cruz, Patagonian, Argentina - 47°45′00″S 65°55′00″W) were collected. All animals were necropsied, and macroscopic alterations were observed. Samples of macroscopic lesions and/or respiratory systems were collected for histopathology and mycological culture. Only proven aspergillosis cases, defined by suggestive lesions at necropsy, associated with hyaline, septate, and 45° branched hyphae in histopathological slides and isolation of Aspergillus sp. in the culture were computed. Fungal isolates were identified by molecular techniques. Results A total of 98 Magellanic penguins were included in our study, being 80 recovered on the Southern RS beach, and 18 from the Patagonian colony. Two penguins collected in Southern Brazil were diagnosed with aspergillosis, both juveniles, one showing nodules in the lung parenchyma, and the other nodules and fungal colonies at the lung and air sac, resulting in a proportionate mortality rate of 2.5%. Both isolates were identified as A. fumigatus sensu stricto. Regarding the carcasses collected from the reproductive colony (Patagonian islands), no penguin had anatomopathological or mycological evidence of aspergillosis. Conclusion Given the already known importance of aspergillosis in seabirds undergoing rehabilitation, these data suggest that penguins may already arrive in these centers infected by Aspergillus spp. The absence of aspergillosis cases in the reproductive period could be attributed to the low number of carcasses included. Our study is an initial step to demonstrate aspergillosis as one of the causes of mortality also in free-living penguins, especially during the migration process, instigating more studies, in other routes of migration, as well as in reproductive colonies.
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Affiliation(s)
- Mariana Trápaga
- Laboratory of Mycology , Federal University of Rio Grande, Rio Grande , Brazil
- Post-Graduate Program in Health Sciences , Federal University of Rio Grande, Rio Grande , Brazil
| | | | - Vanice Poester
- Laboratory of Mycology , Federal University of Rio Grande, Rio Grande , Brazil
- Post-Graduate Program in Health Sciences , Federal University of Rio Grande, Rio Grande , Brazil
| | - Paula Lima Canabarro
- Marine Animal Recovery Center (CRAM/FURG) , Oceanographic Museum Prof. Eliézer de C. Rios, Federal University of Rio Grande, Rio Grande , Brazil
| | - Andrine Silva
- Center for Environmental Education and Monitoring (NEMA) , Rio Grande , Brazil
| | - Sérgio Estima
- Center for Environmental Education and Monitoring (NEMA) , Rio Grande , Brazil
| | - Esteban Frere
- Centro De Investigaciones Puerto Deseado -Unidad Academica Caleta Olivia – (UNPA) Universidad Nacional De La Patagonia Austral , Puerto Deseado , Argentina
| | - Melissa Orzechowski Xavier
- Laboratory of Mycology , Federal University of Rio Grande, Rio Grande , Brazil
- Post-Graduate Program in Health Sciences , Federal University of Rio Grande, Rio Grande , Brazil
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Poester VR, Severo CB, da Silva CAE, Stevens DA, Trápaga MR, Xavier MO. Tattooing as a gateway to Sporothrix brasiliensis infection. Med Mycol Case Rep 2022; 37:23-25. [PMID: 35800068 PMCID: PMC9253035 DOI: 10.1016/j.mmcr.2022.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 06/08/2022] [Indexed: 11/29/2022] Open
Abstract
Recently, sporotrichosis caused by Sporothrix brasiliensis transmitted during tattooing process was described in the epicenter of the Brazilian epidemic sporotrichosis. We report a similar case of this mycosis in a patient recently tattooed, but probably infected by a sick cat instead of via a contaminated procedure. Clinical cure was attained after two months of oral itraconazole. In the hyperendemic S. brasiliensis regions of sporotrichosis, health professionals must be aware of atypical transmissions of this fungus.
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Affiliation(s)
- Vanice Rodrigues Poester
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande do Sul, RS, Brazil
- Corresponding author.
| | - Cecília Bittencourt Severo
- Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), RS, Brazil
- Irmandade Santa Casa de Porto Alegre, Hospital Santa Rita, Laboratório de Micologia, RS, Brazil
| | | | - David A. Stevens
- California Institute for Medical Research, San Jose, CA, USA
- Div. of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA, USA
| | - Mariana Rodrigues Trápaga
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande do Sul, RS, Brazil
| | - Melissa Orzechowski Xavier
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande do Sul, RS, Brazil
- Corresponding author. Laboratório de Micologia, Faculdade de Medicina, Universidade Federal do Rio Grande, Campus Saúde, Visconde de Paranaguá 102, Centro, 96201-900, Rio Grande, RS, Brazil.
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Munhoz LS, Poester VR, Severo CB, Trápaga MR, Madrid IM, Benelli JL, Stevens DA, Xavier MO. Update of the Epidemiology of the Sporotrichosis Epidemic in the state of Rio Grande do Sul, Brazil. Mycoses 2022; 65:1112-1118. [PMID: 35833311 DOI: 10.1111/myc.13497] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 07/06/2022] [Accepted: 07/08/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Sporotrichosis is a disease not requiring jurisdictional notification, and consequently is underreported in Brazil. Therefore, the epidemiological picture even in hyperendemic states is unknown. Thus we evaluated the occurrence of sporotrichosis throughout the territory of the southern state of Brazil, Rio Grande do Sul (RS). METHODS We update the epidemiological situation of sporotrichosis in the southern region of this state and describe the emergence of this disease in the Metropolitan region. We engaged professionals from RS enrolled in animal health care in answering a questionnaire regarding sporotrichosis. RESULTS The occurrence of local cases of feline sporotrichosis was reported by 83% of the participants from 40 cities, distributed through the seven health districts of RS. Human sporotrichosis cases, transmitted by cats, were also reported by professionals from four regions of the state. The frequency of the disease in both the South and Metropolitan regions showed a marked increase in recent years. CONCLUSION Feline and cat-transmitted human sporotrichosis is an underreported mycosis in RS, widely distributed in the territory of this state and increasing. Aggressive public health policies are urgently necessary to control the geographical expansion of this spreading mycosis.
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Affiliation(s)
- Lívia Silveira Munhoz
- Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), RS, Brazil
| | | | | | - Mariana Rodrigues Trápaga
- Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), RS, Brazil
| | | | - Jéssica Louise Benelli
- Hospital Universitário Dr. Miguel Riet Corrêa Jr. (HU-FURG), vinculado à Empresa Brasileira de Serviços Hospitalares (EBSERH)
| | - David A Stevens
- California Institute for Medical Research, San Jose, CA, USA.,Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA, USA
| | - Melissa Orzechowski Xavier
- Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), RS, Brazil.,Hospital Universitário Dr. Miguel Riet Corrêa Jr. (HU-FURG), vinculado à Empresa Brasileira de Serviços Hospitalares (EBSERH)
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Benelli JL, Basso RP, Grafulha TW, Poester VR, Munhoz LS, Martins KB, Zogbi HE, Von Groll A, Severo CB, Stevens DA, Xavier MO. Fungal Bloodstream Co-infection by Trichosporon asahii in a COVID-19 Critical Patient: Case Report and Literature Review. Mycopathologia 2022; 187:397-404. [PMID: 35661958 PMCID: PMC9166219 DOI: 10.1007/s11046-022-00637-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 05/12/2022] [Indexed: 11/26/2022]
Abstract
Opportunistic infections are serious complications in critically ill COVID-19 patients, especially co-infections with bacterial and fungal agents. Here we report a rare case of bloodstream co-infection by Trichosporon asahii, an emerging yeast, and Acinetobacterbaumannii, an opportunistic nosocomial pathogen, both multidrug resistant, in a tertiary hospital from southern Brazil. A review of the literature regarding similar cases is also included. Treatment with multiple antimicrobials failed, and the patient progressed to death four days after the diagnosis of bacteremia and fungemia.
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Affiliation(s)
- Jéssica Louise Benelli
- Laboratory of Mycology, Faculty of Medicine, Federal University of Rio Grande, Rio Grande, Rio Grande Do Sul, 96200-400, Brazil
- Dr. Miguel Riet Correa University Hospital (HU-FURG/EBSERH), Rio Grande, Rio Grande Do Sul, 96200-190, Brazil
| | - Rossana Patrícia Basso
- Dr. Miguel Riet Correa University Hospital (HU-FURG/EBSERH), Rio Grande, Rio Grande Do Sul, 96200-190, Brazil
| | - Talita Werner Grafulha
- Dr. Miguel Riet Correa University Hospital (HU-FURG/EBSERH), Rio Grande, Rio Grande Do Sul, 96200-190, Brazil
| | - Vanice Rodrigues Poester
- Laboratory of Mycology, Faculty of Medicine, Federal University of Rio Grande, Rio Grande, Rio Grande Do Sul, 96200-400, Brazil
- Postgraduate Program in Health Sciences, Federal University of Rio Grande, Rio Grande, Rio Grande Do Sul, 96200-400, Brazil
| | - Lívia Silveira Munhoz
- Laboratory of Mycology, Faculty of Medicine, Federal University of Rio Grande, Rio Grande, Rio Grande Do Sul, 96200-400, Brazil
- Postgraduate Program in Health Sciences, Federal University of Rio Grande, Rio Grande, Rio Grande Do Sul, 96200-400, Brazil
| | - Katheryne Benine Martins
- Postgraduate Program in Health Sciences, Federal University of Rio Grande, Rio Grande, Rio Grande Do Sul, 96200-400, Brazil
- Medical Microbiology Research Nucleus - NUPEMM, Faculty of Medicine, Federal University of Rio Grande, Rio Grande, Rio Grande Do Sul, 96200-400, Brazil
| | - Heruza Einsfeld Zogbi
- Dr. Miguel Riet Correa University Hospital (HU-FURG/EBSERH), Rio Grande, Rio Grande Do Sul, 96200-190, Brazil
- Postgraduate Program in Health Sciences, Federal University of Rio Grande, Rio Grande, Rio Grande Do Sul, 96200-400, Brazil
- Medical Microbiology Research Nucleus - NUPEMM, Faculty of Medicine, Federal University of Rio Grande, Rio Grande, Rio Grande Do Sul, 96200-400, Brazil
| | - Andrea Von Groll
- Postgraduate Program in Health Sciences, Federal University of Rio Grande, Rio Grande, Rio Grande Do Sul, 96200-400, Brazil
- Medical Microbiology Research Nucleus - NUPEMM, Faculty of Medicine, Federal University of Rio Grande, Rio Grande, Rio Grande Do Sul, 96200-400, Brazil
| | - Cecília Bittencourt Severo
- Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Rio Grande Do Sul, 90050-170, Brazil
- Hospital Complex Irmandade Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Rio Grande Do Sul, 90035-074, Brazil
| | - David A Stevens
- California Institute for Medical Research, San Jose, and Div. of Infectious Diseases and Geographic Medicine, Stanford Univ. Medical School, Stanford, CA, USA
| | - Melissa Orzechowski Xavier
- Laboratory of Mycology, Faculty of Medicine, Federal University of Rio Grande, Rio Grande, Rio Grande Do Sul, 96200-400, Brazil.
- Postgraduate Program in Health Sciences, Federal University of Rio Grande, Rio Grande, Rio Grande Do Sul, 96200-400, Brazil.
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Abstract
We evaluated disseminated histoplasmosis (DH) in HIV patients over 10 years in southern Brazil. The incidence was 12 cases/1,000 hospitalizations (2010–2019); the mortality rate was 35%. Tuberculosis frequently obscured the diagnosis of DH. We emphasize the need in our region to suspect and investigate DH using more sensitive methods.
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Poester VR, Basso RP, Stevens DA, Munhoz LS, de Souza Rabello VB, Almeida-Paes R, Zancopé-Oliveira RM, Zanchi M, Benelli JL, Xavier MO. Treatment of Human Sporotrichosis Caused by Sporothrix brasiliensis. J Fungi (Basel) 2022; 8:jof8010070. [PMID: 35050010 PMCID: PMC8779703 DOI: 10.3390/jof8010070] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 01/04/2022] [Accepted: 01/06/2022] [Indexed: 01/19/2023] Open
Abstract
We describe the successful treatment of a series of 30 zoonotic sporotrichosis cases from southern Brazil. Sporothrix brasiliensis was the species genotypically identified in all 25 confirmed cases. Five other cases were classified as probable, without laboratory confirmation, but with clinical and epidemiological data of cat-transmitted sporotrichosis. Two isolates were sequenced by translation elongation factor-1 alpha (EF1α) loci in order to compare their sequences, and both of them showed distinct genotypes from S. brasiliensis strains from other Brazilian states. Itraconazole (ITZ) or potassium iodide (KI) were the first choice treatment in 28 and 2 cases, respectively. Microdilution assay showed a wild-type profile of S. brasiliensis isolates to ITZ. However, a lack of clinical response occurred in 42% of cases, especially those treated with ITZ 100 mg/day, and treatment needed modifications, by either increased doses or antifungal combinations. Clinical cure required a mean of 187 days of treatment, which was dependent on the clinical form of the disease and age of patients. Therapy, including dosages and durations, for cutaneous forms of sporotrichosis requires re-evaluation, since cases caused by S. brasiliensis may influence treatment efficacy.
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Affiliation(s)
- Vanice Rodrigues Poester
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, RS, Brazil; (R.P.B.); (L.S.M.); (M.O.X.)
- Programa de Pós Graduação em Bioquímica Toxicológica, Universidade Federal de Santa Maria (UFSM), Santa Maria 97105-900, RS, Brazil
- Laboratório de Micologia, FAMED, FURG, Rio Grande 96200-190, RS, Brazil
- Correspondence: (V.R.P.); (J.L.B.)
| | - Rossana Patricia Basso
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, RS, Brazil; (R.P.B.); (L.S.M.); (M.O.X.)
- Laboratório de Micologia, FAMED, FURG, Rio Grande 96200-190, RS, Brazil
- Hospital Universitário-UH-FURG/Empresa Brasileira de Serviços Hospitalares—Ebserh, Rio Grande 96200-190, RS, Brazil;
| | - David A. Stevens
- California Institute for Medical Research, San Jose, CA 95128, USA;
- Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA 94305, USA
| | - Lívia Silveira Munhoz
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, RS, Brazil; (R.P.B.); (L.S.M.); (M.O.X.)
- Laboratório de Micologia, FAMED, FURG, Rio Grande 96200-190, RS, Brazil
| | - Vanessa Brito de Souza Rabello
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro 21040-900, RJ, Brazil; (V.B.d.S.R.); (R.A.-P.); (R.M.Z.-O.)
| | - Rodrigo Almeida-Paes
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro 21040-900, RJ, Brazil; (V.B.d.S.R.); (R.A.-P.); (R.M.Z.-O.)
| | - Rosely Maria Zancopé-Oliveira
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro 21040-900, RJ, Brazil; (V.B.d.S.R.); (R.A.-P.); (R.M.Z.-O.)
| | - Mariza Zanchi
- Hospital Universitário-UH-FURG/Empresa Brasileira de Serviços Hospitalares—Ebserh, Rio Grande 96200-190, RS, Brazil;
| | - Jéssica Louise Benelli
- Laboratório de Micologia, FAMED, FURG, Rio Grande 96200-190, RS, Brazil
- Hospital Universitário-UH-FURG/Empresa Brasileira de Serviços Hospitalares—Ebserh, Rio Grande 96200-190, RS, Brazil;
- Correspondence: (V.R.P.); (J.L.B.)
| | - Melissa Orzechowski Xavier
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Rio Grande 96200-190, RS, Brazil; (R.P.B.); (L.S.M.); (M.O.X.)
- Laboratório de Micologia, FAMED, FURG, Rio Grande 96200-190, RS, Brazil
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Brandolt TM, Klafke GB, Ramos DF, Halicki PCB, Vicenti JRDM, Pereira WA, Poester VR, Sanchotene KO, Xavier MO. In vitro susceptibility of Sporothrix spp. to complexes coordinated with Co(II) and cobalt chloride hexahydrate. BRAZ J PHARM SCI 2022. [DOI: 10.1590/s2175-97902022e20152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Benelli JL, Basso RP, Rodrigues MDL, Poester VR, Munhoz LS, Aquino VR, Stevens DA, Xavier MO. Coinfection of disseminated cryptococcosis and BK Virus, a casualty of missed diagnosis during the COVID-19 Pandemic: A case report and review of the literature. Curr Med Mycol 2021. [DOI: 10.18502/cmm.7.3.7802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Background and Purpose: The COVID-19 pandemic resulted in an overload of health services and healthcare professionals. The result is a setback in health promotion and prevention, delays in diagnosis, and deaths from other diseases that are currently receiving inadequate attention. This article illustrates the risk of this negligence.
Case report: This study aimed to report a case of coinfection of disseminated cryptococcosis and BK virus in a patient without a previous diagnosis of human immunodeficiency virus infection and COVID-19 negative in the context of the COVID-19 pandemic. Despite receiving antifungal therapy, the patient died.
Conclusion: This fatal case is a warning regarding delay of diagnosis and neglect ofother serious illnesses owing to the current pandemic, including fungal diseases and neglected diagnoses.
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Louise Benelli J, Basso RP, Rodrigues MDL, Poester VR, Munhoz LS, Aquino VR, Stevens DA, Xavier MO. Coinfection of disseminated cryptococcosis and BK Virus, a casualty of missed diagnosis during the COVID-19 Pandemic: A case report and review of the literature. Curr Med Mycol 2021; 7:44-49. [PMID: 35528625 PMCID: PMC9006733 DOI: 10.18502/cmm.7.2.7802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 09/14/2021] [Accepted: 10/17/2021] [Indexed: 11/16/2022] Open
Abstract
Background and Purpose The COVID-19 pandemic resulted in an overload of health services and healthcare professionals. The result is a setback in health promotion and prevention, delays in diagnosis, and deaths from other diseases that are currently receiving inadequate attention. This article illustrates the risk of this negligence. Case report This study aimed to report a case of coinfection of disseminated cryptococcosis and BK virus in a patient without a previous diagnosis of human immunodeficiency virus infection and COVID-19 negative in the context of the COVID-19 pandemic. Despite receiving antifungal therapy, the patient died. Conclusion This fatal case is a warning regarding delay of diagnosis and neglect of other serious illnesses owing to the current pandemic, including fungal diseases and neglected diagnoses.
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Affiliation(s)
- Jéssica Louise Benelli
- Laboratory of Mycology, Faculty of Medicine, Federal University of Rio Grande, Rio Grande (FURG), Brazil,
Postgraduate Program in Health Science, Federal University of Rio Grande (PPGCS-FURG), Rio Grande, Brazil,
Clinical Analysis Laboratory, Dr. Miguel Riet Correa University Hospital, Rio Grande (HU-FURG/EBSERH), Brazil
| | - Rossana Patrícia Basso
- Postgraduate Program in Health Science, Federal University of Rio Grande (PPGCS-FURG), Rio Grande, Brazil,
Specialized Care Service in Infectious Diseases, Dr. Miguel Riet Correa University Hospital, Rio Grande, Brazil
| | - Márcia de Lima Rodrigues
- Specialized Care Service in Infectious Diseases, Dr. Miguel Riet Correa University Hospital, Rio Grande, Brazil
| | - Vanice Rodrigues Poester
- Laboratory of Mycology, Faculty of Medicine, Federal University of Rio Grande, Rio Grande (FURG), Brazil,
Postgraduate Program in Health Science, Federal University of Rio Grande (PPGCS-FURG), Rio Grande, Brazil
| | - Lívia Silveira Munhoz
- Postgraduate Program in Health Science, Federal University of Rio Grande (PPGCS-FURG), Rio Grande, Brazil
| | - Valerio Rodrigues Aquino
- Laboratory Diagnostic Service, Microbiology Unit, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
| | - David A. Stevens
- California Institute for Medical Research, San Jose, and Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, California, USA
| | - Melissa Orzechowski Xavier
- Laboratory of Mycology, Faculty of Medicine, Federal University of Rio Grande, Rio Grande (FURG), Brazil,
Postgraduate Program in Health Science, Federal University of Rio Grande (PPGCS-FURG), Rio Grande, Brazil
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Poester VR, Stevens DA, Basso RP, Munhoz LS, Zanchi M, Benelli JL, Klafke GB, Cardone S, Xavier MO. CATastrophe: response to the challenges of zoonotic sporotrichosis in southern Brazil. Mycoses 2021; 65:30-34. [PMID: 34390588 DOI: 10.1111/myc.13363] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 08/10/2021] [Accepted: 08/11/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND In Brazil, zoonotic sporotrichosis became a national public health problem, with thousands of cases in the last decade in several regions of the country. In this context, health education activities are critical, especially in promoting early diagnosis and access to proper health care in sporotrichosis hyperendemic areas. Therefore, we report the implementation of a public specialized reference service (SRS) for diagnosis and treatment of sporotrichosis in southern Brazil We evaluated the impact of the SRS on diagnostic confirmation and speed of diagnosis. METHODS The SRS was implemented in Rio Grande city. We implemented a public service to promote the correct diagnosis, treatment and follow-up of human sporotrichosis cases. To study the impact of implementing SRS, the annual number of cases, and the period between the appearance of lesions until diagnosis were compared, using prior data and that post-implementation. RESULTS The implementation of the SRS directly benefited almost 50 patients in only four years, with the collaboration of almost 50% of the local health groups, together with an increase of more than 200% in diagnosis confirmation and speed of diagnosis, showing the reach, impact and importance of the SRS. CONCLUSION The impact on the individual and collective health of the local population highlights the value of this public health approach in facing the epidemiological threat of zoonotic sporotrichosis.
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Affiliation(s)
- Vanice Rodrigues Poester
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), FURG, RS, Brazil.,Laboratório de Micologia, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil
| | - David A Stevens
- Div. of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, California, USA.,California Institute for Medical Research, San Jose, California, USA
| | - Rossana Patricia Basso
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), FURG, RS, Brazil.,Hospital Universitário Dr. Miguel Riet Corrêa Jr. - HU-Universidade Federal do Rio Grande - FURG/Empresa brasileira de serviços hospitalares - EBSERH, Brazil
| | - Lívia Silveira Munhoz
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), FURG, RS, Brazil.,Laboratório de Micologia, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil
| | - Mariza Zanchi
- Hospital Universitário Dr. Miguel Riet Corrêa Jr. - HU-Universidade Federal do Rio Grande - FURG/Empresa brasileira de serviços hospitalares - EBSERH, Brazil
| | - Jéssica Louise Benelli
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), FURG, RS, Brazil.,Laboratório de Micologia, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil.,Hospital Universitário Dr. Miguel Riet Corrêa Jr. - HU-Universidade Federal do Rio Grande - FURG/Empresa brasileira de serviços hospitalares - EBSERH, Brazil
| | - Gabriel Baracy Klafke
- Laboratório de Micologia, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil
| | | | - Melissa Orzechowski Xavier
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), FURG, RS, Brazil.,Laboratório de Micologia, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil
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Melo AM, Poester VR, Canabarro PL, Sampaio DA, Stevens DA, Veríssimo C, Sabino R, Xavier MO. Molecular epidemiology of aspergillosis in Magellanic penguins and susceptibility patterns of clinical isolates. Med Mycol 2021; 59:1076-1084. [PMID: 34320182 DOI: 10.1093/mmy/myab040] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Revised: 06/14/2021] [Indexed: 11/14/2022] Open
Abstract
Aspergillus section Fumigati is reported in up to 99% of aspergillosis cases in penguins. So far, no data regarding molecular epidemiology and azole resistance are available for A. fumigatus isolates collected from Magellanic penguins. The aim of this work was to perform molecular identification of Aspergillus section Fumigati at species level, to genotype those isolates using microsatellite markers, to evaluate the in vitro susceptibility patterns of A. fumigatus sensu stricto, and to characterize the cyp51A gene in clinical A. fumigatus strains isolated from Magellanic penguins with proven aspergillosis. All 34 isolates included in the study were identified as A. fumigatus sensu stricto. Analyzing the genetic diversity of the isolates of A. fumigatus sensu stricto, we identified two possible outbreaks in the rehabilitation center and we also observed the maintenance of clonal strains through the years. One A. fumigatus sensu stricto isolate was resistant to posaconazole, but the mutations found in the cyp51A gene of this isolate have not been described as conferring phenotypic resistance, suggesting that other mechanisms of resistance could be involved in the resistance of this isolate. With this study we were able to understand the molecular diversity of Aspergillus fumigatus isolates collected from Magellanic penguins, to characterize them and to associate them with the described global population of Aspergillus fumigatus.
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Affiliation(s)
- Aryse Martins Melo
- Microbiology and Parasitology Post-Graduate Program, Institute of Biology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.,National Institute of Health, Dr. Ricardo Jorge, Av. Padre Cruz, 1649-016, Lisbon, Portugal
| | - Vanice Rodrigues Poester
- Health Sciences Post-Graduation Program, Medical College, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil
| | - Paula Lima Canabarro
- Rehabilitation Center for Marine Animals, Federal University of Rio Grande (CRAM-FURG), Rio Grande, Rio Grande do Sul, Brazil
| | - Daniel Ataíde Sampaio
- Technology and Innovation Unit, Department of Human Genetics, National Institute of Health, Lisbon, Portugal
| | - David A Stevens
- Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, California, USA.,California Institute for Medical Research, San Jose, California, USA
| | - Cristina Veríssimo
- National Institute of Health, Dr. Ricardo Jorge, Av. Padre Cruz, 1649-016, Lisbon, Portugal
| | - Raquel Sabino
- National Institute of Health, Dr. Ricardo Jorge, Av. Padre Cruz, 1649-016, Lisbon, Portugal.,Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal
| | - Melissa Orzechowski Xavier
- Microbiology and Parasitology Post-Graduate Program, Institute of Biology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.,Health Sciences Post-Graduation Program, Medical College, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil
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Benelli JL, Poester VR, Munhoz LS, Klafke GB, Stevens DA, Xavier MO. In vitro anti-Cryptococcus activity of diphenyl diselenide alone and in combination with amphotericin B and fluconazole. Braz J Microbiol 2021; 52:1719-1723. [PMID: 34195915 DOI: 10.1007/s42770-021-00552-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Accepted: 06/21/2021] [Indexed: 11/26/2022] Open
Abstract
Cryptococcus is an encapsulated yeast that causes fungal meningitis, most commonly in HIV patients, with high mortality rates. Thus, the study of new treatment options is relevant. Antifungal activity of organoselenium compounds attributed to their pro-oxidative effect in fungal cells has been shown given that few data regarding its anti-Cryptococcus activity are available, this in vitro study was conducted with 40 clinical isolates of Cryptococcus neoformans. Diphenyl diselenide (DD) alone, and its interaction with amphotericin B or fluconazole, was tested by microdilution and checkerboard assays. All Cryptococcus neoformans were inhibited by DD in concentrations ≤ 32 μg/mL, and fungicidal concentrations were ≤ 64 μg/mL. Advantageous interaction between fluconazole occurred in 40% of the isolates, respectively. This study contributes with data of DD alone and in combination with classical drugs of choice for cryptococcosis treatment. Further studies focused on DD antifungal mechanism of action, and in vivo experiments are necessary.
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Affiliation(s)
- Jéssica Louise Benelli
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Campus Saúde, Visconde de Paranaguá 102, Centro, Rio Grande, Rio Grande do Sul, 96201-900, Brazil
- Health Science Post-Graduation Program, College of Medicine, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil
- Biomedical, Clinical Analysis Laboratory (LAC) of the University Hospital Dr. Miguel Riet Correa (HU-FURG/EBSERH), Rio Grande, Rio Grande do Sul, Brazil
| | - Vanice Rodrigues Poester
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Campus Saúde, Visconde de Paranaguá 102, Centro, Rio Grande, Rio Grande do Sul, 96201-900, Brazil
- Health Science Post-Graduation Program, College of Medicine, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil
| | - Lívia Silveira Munhoz
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Campus Saúde, Visconde de Paranaguá 102, Centro, Rio Grande, Rio Grande do Sul, 96201-900, Brazil
- Health Science Post-Graduation Program, College of Medicine, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil
| | - Gabriel Baracy Klafke
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Campus Saúde, Visconde de Paranaguá 102, Centro, Rio Grande, Rio Grande do Sul, 96201-900, Brazil
| | - David A Stevens
- California Institute for Medical Research, San Jose, and Div. of Infectious Diseases and Geographic Medicine, Stanford Univ. Medical School, Stanford, CA, USA
| | - Melissa Orzechowski Xavier
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Campus Saúde, Visconde de Paranaguá 102, Centro, Rio Grande, Rio Grande do Sul, 96201-900, Brazil.
- Health Science Post-Graduation Program, College of Medicine, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil.
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Poester VR, Munhoz LS, Benelli JL, Klafke GB, Nogueira CW, Zeni GR, Stevens DA, Larwood D, Xavier MO. Synergism of Nikkomycin Z in Combination with Diphenyl Diselenide Against Sporothrix spp. Curr Microbiol 2021; 78:2905-2909. [PMID: 34181049 DOI: 10.1007/s00284-021-02581-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Accepted: 06/13/2021] [Indexed: 11/26/2022]
Abstract
We evaluated the in vitro activity of nikkomycin Z (NikZ) in combination with diphenyl diselenide (PhSe)2, two compounds previously shown to have anti-Sporothrix spp. activity. Eighteen isolates of Sporothrix spp. were tested in checkerboard assays. Synergism for inhibition and killing Sporothrix spp. occurred in 100% and 89% of the isolates, respectively. The anti-Sporothrix spp. activity of this combination provides a rationale for in vivo studies to evaluate the application of both compounds in sporotrichosis treatment.
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Affiliation(s)
- Vanice Rodrigues Poester
- Programa de Pós Graduação Em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal Do Rio Grande (FURG), Rio Grande, RS, Brazil
- Laboratório de Micologia, FAMED, FURG, Campus Saúde. Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brazil
| | - Lívia Silveira Munhoz
- Programa de Pós Graduação Em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal Do Rio Grande (FURG), Rio Grande, RS, Brazil
- Laboratório de Micologia, FAMED, FURG, Campus Saúde. Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brazil
| | - Jéssica Louise Benelli
- Programa de Pós Graduação Em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal Do Rio Grande (FURG), Rio Grande, RS, Brazil
- Hospital Universitário Dr. Miguel Riet Corrêa Jr. - HU- FURG/Empresa brasileira de serviços hospitalares - Ebserh, Rio Grande, RS, Brazil
| | - Gabriel Baracy Klafke
- Laboratório de Micologia, FAMED, FURG, Campus Saúde. Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brazil
| | - Cristina Wayne Nogueira
- Programa de Pós Graduação Em Bioquímica Toxicológica, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil
| | - Gilson Rogério Zeni
- Programa de Pós Graduação Em Bioquímica Toxicológica, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil
| | - David A Stevens
- California Institute for Medical Research, San Jose, CA, USA
- Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA, USA
| | - David Larwood
- California Institute for Medical Research, San Jose, CA, USA
- Valley Fever Solutions, Tucson, AZ, USA
| | - Melissa Orzechowski Xavier
- Programa de Pós Graduação Em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal Do Rio Grande (FURG), Rio Grande, RS, Brazil.
- Laboratório de Micologia, FAMED, FURG, Campus Saúde. Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brazil.
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Melo AM, Silva Filho RPD, Poester VR, Fernandes CG, von Groll A, Stevens DA, Sabino R, Xavier MO. Aspergillosis in albatrosses. Med Mycol 2021; 58:852-855. [PMID: 31782484 DOI: 10.1093/mmy/myz122] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Revised: 10/29/2019] [Accepted: 11/12/2019] [Indexed: 11/14/2022] Open
Abstract
Aspergillosis is a respiratory fungal disease of importance in captive marine birds. The aim of this study was to describe the occurrence of aspergillosis in Thalassarche melanophris during rehabilitation events and to identify the etiological agent. All the albatrosses that were received for rehabilitation and died within a 2-year period were included in the study. The proportionate mortality rate caused by aspergillosis was 21.4% (3/14). One of the etiological agents was Aspergillus flavus/oryzae lineage, and the other was A. fumigatus sensu stricto. Our study suggests that aspergillosis can act as a limiting factor in the rehabilitation of albatrosses.
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Affiliation(s)
- Aryse Martins Melo
- Programa de Pós-Graduação em Parasitologia, Instituto de Biologia, Universidade Federal de Pelotas, Avenida Eliseu Maciel, s/n, Pelotas, RS, Brazil
| | | | - Vanice Rodrigues Poester
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal do Rio Grande, Rua General Osório, 1109, Rio Grande, RS, Brazil
| | - Cristina Gevehr Fernandes
- Departamento de Patologia Animal, Faculdade de Veterinária, Universidade Federal de Pelotas Avenida Eliseu Maciel, s/n, Pelotas, RS, Brazil
| | - Andrea von Groll
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal do Rio Grande, Rua General Osório, 1109, Rio Grande, RS, Brazil
| | - David A Stevens
- Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, California, USA.,California Institute for Medical Research, San Jose, California, USA
| | - Raquel Sabino
- National Institute of Health, Dr. Ricardo Jorge, Lisbon, Portugal
| | - Melissa Orzechowski Xavier
- Programa de Pós-Graduação em Parasitologia, Instituto de Biologia, Universidade Federal de Pelotas, Avenida Eliseu Maciel, s/n, Pelotas, RS, Brazil.,Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal do Rio Grande, Rua General Osório, 1109, Rio Grande, RS, Brazil
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Gremião IDF, Martins da Silva da Rocha E, Montenegro H, Carneiro AJB, Xavier MO, de Farias MR, Monti F, Mansho W, de Macedo Assunção Pereira RH, Pereira SA, Lopes-Bezerra LM. Guideline for the management of feline sporotrichosis caused by Sporothrix brasiliensis and literature revision. Braz J Microbiol 2021; 52:107-124. [PMID: 32990922 PMCID: PMC7966609 DOI: 10.1007/s42770-020-00365-3] [Citation(s) in RCA: 46] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Accepted: 08/10/2020] [Indexed: 02/06/2023] Open
Abstract
We herein present a Brazilian guideline for the management of feline sporotrichosis, a mycosis caused by Sporothrix brasiliensis. This guideline is an effort of a national technical group organized by the Working Group on Sporothrix and Sporotrichosis of the International Society for Human and Animal Mycology (ISHAM). This publication intends to provide information on clinical-epidemiological aspects of this zoonosis, as well as a literature revision. Moreover, it gives some practical information on diagnosis and treatment of feline sporotrichosis. It also contains information that can be helpful for the prevention and control of S. brasiliensis transmission.
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Affiliation(s)
- Isabella Dib Ferreira Gremião
- Laboratório de Pesquisa Clínica em Dermatozoonoses em Animais Domésticos, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro. Av. Brasil 4365, Manguinhos, Rio de Janeiro, RJ, 21040-900, Brazil.
| | | | - Hildebrando Montenegro
- Laboratório de Diagnóstico de Zoonoses, Divisão de Vigilância de Zoonoses (COVISA/SMS/PMSP), São Paulo, Brazil
| | - Aroldo José Borges Carneiro
- Secretaria Municipal da Saúde de Salvador (SMS), Salvador, Brazil
- Instituto de Saúde Coletiva (ISC), Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil
| | - Melissa Orzechowski Xavier
- Laboratório de Micologia, Faculdade de Medicina, Universidade Federal do Rio Grande (FURG), Rio Grande do Sul, Brazil
| | | | - Fabiana Monti
- Pós-graduação em Ciência Animal, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, Brazil
| | - Wilson Mansho
- Centro de Controle de Zoonoses (CCZ), Secretaria Municipal de Saúde de Guarulhos, São Paulo, Brazil
| | | | - Sandro Antonio Pereira
- Laboratório de Pesquisa Clínica em Dermatozoonoses em Animais Domésticos, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro. Av. Brasil 4365, Manguinhos, Rio de Janeiro, RJ, 21040-900, Brazil
| | - Leila M Lopes-Bezerra
- BIDiagnostics, Centro de Inovação, Empreendedorismo e Tecnologia (CIETEC)/Universidade de São Paulo, São Paulo, Brazil
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Benelli JL, Poester VR, Munhoz LS, Melo AM, Trápaga MR, Stevens DA, Xavier MO. Ebselen and diphenyl diselenide against fungal pathogens: A systematic review. Med Mycol 2021; 59:409-421. [PMID: 33421963 DOI: 10.1093/mmy/myaa115] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Revised: 11/16/2020] [Accepted: 12/18/2020] [Indexed: 12/17/2022] Open
Abstract
Fungal infections are one of the most prevalent diseases in the world and there is a lack of new antifungal drug development for these diseases. We conducted a systematic review of the literature regarding the in vitro antifungal activity of the organoselenium compounds ebselen (Eb) and diphenyl diselenide [(PhSe)2]. A systematic review was carried out based on the search for articles with data concerning Minimal Inhibitory Concentration (MIC) values, indexed in international databases and published until August 2020. A total of 2337 articles were found, and, according to the inclusion and exclusion criteria used, 22 articles were included in the study. Inhibitory activity against 96% (200/208) and 95% (312/328) of the pathogenic fungi tested was described for Eb and [(PhSe)2], respectively. Including in these 536 fungal isolates tested, organoselenium activity was highlighted against Candida spp., Cryptococcus ssp., Trichosporon spp., Aspergillus spp., Fusarium spp., Pythium spp., and Sporothrix spp., with MIC values lower than 64 μg/mL. In conclusion, Eb and [(PhSe)2] have a broad spectrum of in vitro inhibitory antifungal activity. These data added with other pharmacological properties of these organoselenium compounds suggest that both compounds are potential future antifungal drugs. Whether MICs toward the upper end of the ranges described here are compatible with efficacious therapy, and whether they may achieve such end as a result of the favorable non-antimicrobial effects of selenium on the host, requires more in vivo testing.
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Affiliation(s)
- Jéssica Louise Benelli
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil.,Health Science Post-graduation program, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil
| | - Vanice Rodrigues Poester
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil.,Health Science Post-graduation program, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil
| | - Lívia Silveira Munhoz
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil.,Health Science Post-graduation program, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil
| | - Aryse Martins Melo
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil.,Microbiology and Parasitology Post-graduation program, Institute of Biology, Federal University of Pelotas, Pelotas, RS, Brazil
| | | | - David A Stevens
- California Institute for Medical Research, San Jose, California, USA.,Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, California, USA
| | - Melissa Orzechowski Xavier
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil.,Health Science Post-graduation program, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil.,Microbiology and Parasitology Post-graduation program, Institute of Biology, Federal University of Pelotas, Pelotas, RS, Brazil
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Poester VR, Munhoz LS, Basso RP, Roca BM, Vieira MU, Melo AM, Klafke GB, Sanchotene KO, Silveira JM, Stevens D, Rabello VBDS, Zancope-Oliveira RM, Xavier MO. Disseminated sporotrichosis with immune reconstitution inflammatory syndrome in an HIV patient: Case report and review of the literature. Rev Iberoam Micol 2020; 37:97-99. [PMID: 33168342 DOI: 10.1016/j.riam.2020.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 08/13/2020] [Accepted: 09/14/2020] [Indexed: 10/23/2022] Open
Abstract
BACKGROUND Sporotrichosis has been occurring as outbreaks in Brazil, reaching epidemic levels in some regions. Zoonotic transmission is the main route to acquire Sporothrix. CASE REPORT We describe a case of disseminated sporotrichosis caused by Sporothrix brasiliensis in an HIV/AIDS patient, with the presentation of immune reconstitution inflammatory syndrome (IRIS). CONCLUSIONS This case reinforces that sporotrichosis should always be suspected in patients with IRIS from endemic regions, even in patients without the typical cutaneous lesions of this mycosis.
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Affiliation(s)
- Vanice Rodrigues Poester
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil
| | - Lívia Silveira Munhoz
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil
| | - Rossana Patricia Basso
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil; FAMED-FURG, Brazil
| | | | | | - Aryse Martins Melo
- Programa de Pós-Graduação em Parasitologia, Universidade Federal de Pelotas (UFPel), Brazil
| | | | | | | | - David Stevens
- California Institute for Medical Research, San Jose, California, and Div. of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA, USA
| | - Vanessa Brito de Souza Rabello
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | - Rosely Maria Zancope-Oliveira
- Laboratório de Micologia, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | - Melissa Orzechowski Xavier
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil; FAMED-FURG, Brazil; Programa de Pós-Graduação em Parasitologia, Universidade Federal de Pelotas (UFPel), Brazil; California Institute for Medical Research, San Jose, California, and Div. of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA, USA.
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Basso RP, Poester VR, Benelli JL, Stevens DA, Zogbi HE, Vasconcellos ICDS, Pasqualotto AC, Xavier MO. COVID-19-Associated Histoplasmosis in an AIDS Patient. Mycopathologia 2020; 186:109-112. [PMID: 33156463 PMCID: PMC7644795 DOI: 10.1007/s11046-020-00505-1] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2020] [Accepted: 10/23/2020] [Indexed: 12/30/2022]
Abstract
Most reports associating fungal infections with COVID-19 have been cases of invasive aspergillosis. Here, we report a case of severe histoplasmosis and COVID-19 infections in an HIV patient in Rio Grande, Southern Brazil. Histoplasmosis must be included as a diagnostic possibility in opportunistic fungal co-infections in COVID-19 patients with AIDS, mainly in endemic areas.
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Affiliation(s)
- Rossana Patricia Basso
- Pós-Graduação em Ciências da Saúde, Laboratório de Micologia, Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Campus Saúde, Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brazil.,Hospital Universitário Dr. Miguel Riet Corrêa Jr. (HU-FURG), vinculado à Empresa Brasileira de Serviços Hospitalares (EBSERH), Rio Grande, RS, Brazil
| | - Vanice Rodrigues Poester
- Pós-Graduação em Ciências da Saúde, Laboratório de Micologia, Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Campus Saúde, Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brazil
| | - Jéssica Louise Benelli
- Pós-Graduação em Ciências da Saúde, Laboratório de Micologia, Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Campus Saúde, Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brazil
| | - David A Stevens
- California Institute for Medical Research, San Jose, CA, USA.,Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA, USA
| | - Heruza Einsfeld Zogbi
- Pós-Graduação em Ciências da Saúde, Laboratório de Micologia, Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Campus Saúde, Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brazil.,Hospital Universitário Dr. Miguel Riet Corrêa Jr. (HU-FURG), vinculado à Empresa Brasileira de Serviços Hospitalares (EBSERH), Rio Grande, RS, Brazil
| | - Izadora Clezar da S Vasconcellos
- Programa de Pós-Graduação em Patologia, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil
| | - Alessandro Comarú Pasqualotto
- Programa de Pós-Graduação em Patologia, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil
| | - Melissa Orzechowski Xavier
- Pós-Graduação em Ciências da Saúde, Laboratório de Micologia, Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Campus Saúde, Visconde de Paranaguá 102, Centro, Rio Grande, RS, 96201-900, Brazil. .,California Institute for Medical Research, San Jose, CA, USA. .,Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA, USA.
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da Silva LB, Bock D, Klafke GB, Sanchotene KO, Basso RP, Benelli JL, Poester VR, da Silva FA, Trilles L, Severo CB, Stevens DA, Xavier MO. Cryptococcosis in HIV-AIDS patients from Southern Brazil: Still a major problem. J Mycol Med 2020; 30:101044. [PMID: 33046394 DOI: 10.1016/j.mycmed.2020.101044] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2019] [Revised: 06/23/2020] [Accepted: 09/10/2020] [Indexed: 12/29/2022]
Abstract
INTRODUCTION Cryptococcus neoformans is an opportunistic pathogen that causes ∼15% mortality in AIDS patients. Rio Grande City, Rio Grande do Sul (RS), Brazil, has the highest national rate of HIV/AIDS, considering cities with population more than 100,000 habitants. OBJECTIVE We aimed to evaluate the clinical and epidemiological profile of cryptococcosis in a reference service for HIV-AIDS patients in the South region of Brazil, over seven years. Material and methods A retrospective study was performed including all cryptococcosis cases diagnosed at the University Hospital, Federal University of Rio Grande (UH-FURG) between January 2010 and December 2016. RESULTS Seventy cases of cryptococcosis were diagnosis from 2010 to 2016 in the UH-FURG in the seven years of the study. These numbers were responsible for 2.1% to 8.1% of the hospitalizations/year for HIV patients. All were caused by C. neoformans infection (95% C. neoformans var. grubii VNI and 5% C. neoformans var. grubii VNII). Neurocryptococcosis was the major clinical manifestation and cryptococcosis was the HIV- defining condition in 40% of patients. The period of hospitalization was an average of 39.3 days (SD=31.3), and more than half of patients (53%; 37/70) died after a mean of 82 days. DISCUSSION The present study showed the importance of cryptococcosis as an AIDS-defining disease in HIV-AIDS patients in a tertiary hospital from Southern Brazil. More investment is necessary to reduce the impact of this opportunistic mycosis in HIV-AIDS patients from southern Brazil.
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Affiliation(s)
- L B da Silva
- Mycology Laboratory of Faculty of Medicine (FAMED), Federal University of Rio Grande (FURG), Rio Grande do Sul, Brazil; Program Post-Graduation in Health Sciences (PPGCS - FAMED-FURG), Rio Grande do Sul, Brazil
| | - D Bock
- Mycology Laboratory of Faculty of Medicine (FAMED), Federal University of Rio Grande (FURG), Rio Grande do Sul, Brazil
| | - G B Klafke
- Mycology Laboratory of Faculty of Medicine (FAMED), Federal University of Rio Grande (FURG), Rio Grande do Sul, Brazil
| | - K O Sanchotene
- Mycology Laboratory of Faculty of Medicine (FAMED), Federal University of Rio Grande (FURG), Rio Grande do Sul, Brazil; Program Post-Graduation in Health Sciences (PPGCS - FAMED-FURG), Rio Grande do Sul, Brazil
| | - R P Basso
- Program Post-Graduation in Health Sciences (PPGCS - FAMED-FURG), Rio Grande do Sul, Brazil
| | - J L Benelli
- Program Post-Graduation in Health Sciences (PPGCS - FAMED-FURG), Rio Grande do Sul, Brazil
| | - V R Poester
- Mycology Laboratory of Faculty of Medicine (FAMED), Federal University of Rio Grande (FURG), Rio Grande do Sul, Brazil; Program Post-Graduation in Health Sciences (PPGCS - FAMED-FURG), Rio Grande do Sul, Brazil
| | - F A da Silva
- Mycology Laboratory of National Institute of Infectology, Foundation Oswaldo Cruz (INI-FIOCRUZ, Rio de Janeiro, Rio de Janeiro, Brazil
| | - L Trilles
- Mycology Laboratory of National Institute of Infectology, Foundation Oswaldo Cruz (INI-FIOCRUZ, Rio de Janeiro, Rio de Janeiro, Brazil
| | - C B Severo
- Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul, Brazil
| | - D A Stevens
- California Institute for Medical Research, San Jose, California, USA and Div. of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, California, USA
| | - M O Xavier
- Mycology Laboratory of Faculty of Medicine (FAMED), Federal University of Rio Grande (FURG), Rio Grande do Sul, Brazil; Program Post-Graduation in Health Sciences (PPGCS - FAMED-FURG), Rio Grande do Sul, Brazil.
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Melo AM, Poester VR, Trapaga M, Nogueira CW, Zeni G, Martinez M, Sass G, Stevens DA, Xavier MO. Diphenyl diselenide and its interaction with antifungals against Aspergillus spp. Med Mycol 2020; 59:myaa072. [PMID: 32844203 DOI: 10.1093/mmy/myaa072] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2020] [Revised: 07/16/2020] [Accepted: 08/20/2020] [Indexed: 02/06/2023] Open
Abstract
Given the few antifungal classes available to treat aspergillosis, this study aimed to evaluate the in vitro antifungal activity of diphenyl diselenide (PhSe)2 alone and in combination with classical antifungals against Aspergillus spp., and its in vivo activity in a systemic experimental aspergillosis model. We performed in vitro broth microdilution assay of (PhSe)2 against 32 Aspergillus isolates; and a checkboard assay to test the interaction of this compound with itraconazole (ITC), voriconazole (VRC), amphotericin B (AMB), and caspofungin (CAS), against nine Aspergillus isolates. An experimental model of invasive aspergillosis in mice was studied, and survival curves were compared between an untreated group and groups treated with 100 mg/kg ITC, or (PhSe)2 in different dosages (10 mg/kg, 50 mg/kg and 100 mg/kg). All Aspergillus non-fumigatus and 50% of A. fumigatus were inhibited by (PhSe)2 in concentrations ≤ 64 µg/ml, with significant differences in MICs between the sections. Synergism or additive effect in the in vitro (PhSe)2 interaction with VRC and CAS was observed against the majority of isolates, and with ITC against the non-fumigatus strains. In addition to the inhibitory interaction, (PhSe)2 was able to add a fungicidal effect to CAS. Survival curves from the systemic experimental aspergillosis model demonstrated that the inoculum caused an acute and lethal infection in mice, and no treatment applied significantly prolonged survival over that of the control group. The results highlight the promising activity of (PhSe)2 against Aspergillus species, but more in vivo studies are needed to determine its potential applicability in aspergillosis treatment. LAY SUMMARY The activity of diphenyl diselenide (PhSe)2 alone and in combination with itraconazole, voriconazole, and caspofungin, is described against three of the most pathogenic Aspergillus sections. (PhSe)2 may prove useful in therapy of infection in future; further study is required.
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Affiliation(s)
- Aryse Martins Melo
- Microbiology and Parasitology Post-graduation program, Institute of Biology, Federal University of Pelotas, Pelotas, RS, Brazil
- Department of Infectious Diseases/Reference Unit for Parasitic and Fungal Infections, National Institute of Health, Dr. Ricardo Jorge, Lisbon, Portugal
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil
| | - Vanice Rodrigues Poester
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil
- Health Science Post-graduation program, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil
| | - Mariana Trapaga
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil
| | - Cristina Wayne Nogueira
- Biological Sciences Post-graduation program, Department of Biochemistry and Molecular Biology, Center for Natural and Exact Sciences, Federal University of Santa Maria. RS, Brazil
| | - Gilson Zeni
- Biological Sciences Post-graduation program, Department of Biochemistry and Molecular Biology, Center for Natural and Exact Sciences, Federal University of Santa Maria. RS, Brazil
| | - Marife Martinez
- California Institute for Medical Research, San Jose, California, USA
| | - Gabriele Sass
- California Institute for Medical Research, San Jose, California, USA
| | - David A Stevens
- California Institute for Medical Research, San Jose, California, USA
- Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, California, USA
| | - Melissa Orzechowski Xavier
- Microbiology and Parasitology Post-graduation program, Institute of Biology, Federal University of Pelotas, Pelotas, RS, Brazil
- Mycology Laboratory, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil
- Health Science Post-graduation program, College of Medicine, Federal University of Rio Grande, Rio Grande, RS, Brazil
- California Institute for Medical Research, San Jose, California, USA
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Poester VR, Munhoz LS, Larwood D, Martinez M, Stevens DA, Xavier MO. Potential use of Nikkomycin Z as an anti- Sporothrix spp. drug. Med Mycol 2020; 59:345-349. [PMID: 32634218 DOI: 10.1093/mmy/myaa054] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Revised: 06/03/2020] [Accepted: 06/09/2020] [Indexed: 01/09/2023] Open
Abstract
Sporotrichosis, the most common subcutaneous mycosis in several countries, is caused by the dimorphic fungus, Sporothrix spp. Given some limitations in the treatment of this disease, and the high potential of nikkomycin Z (NikZ) as an antifungal against dimorphic fungi, this study aimed to evaluate the in vitro susceptibility of Sporothrix spp. to NikZ alone and with the drug of choice, itraconazole (ITZ). Seventeen clinical isolates of three Sporothrix spp. species (10 S. brasiliensis, six S. schenckii sensu stricto and one S. globosa) were tested in microdilution and checkerboard assays. Minimal inhibitory concentration (MIC), minimal fungicidal concentration (MFC), fractional inhibitory and fungicidal concentration indexes (FICi and FFCi) were analyzed. MIC of NikZ alone could be determined against S. globosa (12.5 μg/ml) and against 67% (4/6) and 30% (3/10) of the S. schenckii sensu stricto and S. brasiliensis isolates, respectively (≤ 400 μg/ml). Synergism with ITZ was showed against almost all the isolates tested (94%; 16/17), including reversing resistance to ITZ alone in some isolates. Our study shows the potential of NikZ in sporotrichosis treatment. Further studies in experimental models are needed to understand the possible future application of this drug as an alternative therapy or as an adjuvant in sporotrichosis treatment. LAY ABSTRACT Sporotrichosis is a subcutaneous and lymphatic infection, caused by fungi of Sporothrix spp. Our study shows the potential of NikZ to inhibiting Sporothrix species in vitro. Further studies are needed to understand the future application of this drug to sporotrichosis treatment.
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Affiliation(s)
- Vanice Rodrigues Poester
- Programa de Pós Graduação em Ciências da Saúde , Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil
| | - Lívia Silveira Munhoz
- Programa de Pós Graduação em Ciências da Saúde , Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil
| | - David Larwood
- Valley Fever Solutions, Tucson, Arizona, USA.,California Institute for Medical Research, San Jose, California, USA
| | - Marife Martinez
- California Institute for Medical Research, San Jose, California, USA
| | - David A Stevens
- California Institute for Medical Research, San Jose, California, USA.,Div. of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, California, USA
| | - Melissa Orzechowski Xavier
- Programa de Pós Graduação em Ciências da Saúde , Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), RS, Brazil.,California Institute for Medical Research, San Jose, California, USA
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35
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Melo AM, Silva-Filho RPD, Poester VR, von Groll A, Fernandes CG, Stevens DA, Sabino R, Xavier MO. Aspergillosis in free-ranging aquatic birds. Med Mycol Case Rep 2020; 28:36-38. [PMID: 32405453 PMCID: PMC7212181 DOI: 10.1016/j.mmcr.2020.04.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Revised: 04/14/2020] [Accepted: 04/17/2020] [Indexed: 01/25/2023] Open
Abstract
Due to the difficulty in the access to free-ranging birds, data regarding Aspergillus infections in wild avian species is rare compared to captive wild and domestic birds. Objective: report three cases of Aspergillus section Fumigati causing fungal disease in free-ranging aquatic birds, with the identification of the causal agent to the species level. Case reports: The diagnosis of aspergillosis was performed by macroscopic lesions found during the necropsy and confirmed by culture. Molecular identification by partial sequencing of the calM and benA genes allowed to confirm Aspergillusfumigatussensustricto as the etiological agent of aspergillosis in Procellariaaequinoctialis (White-chinned petrel) (n = 1), Nannopterumbrasilianus (Neotropical cormorant) (n = 1) and Chroicocephalusmaculipennis (Brown-hooded gull) (n = 1). Conclusion: Larger studies regarding the importance of aspergillosis in free-ranging aquatic birds are necessary, as well as it potential role in the One Heath context.
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Affiliation(s)
- Aryse Martins Melo
- Programa de Pós-Graduação em Microbiologia e Parasitologia, Instituto de Biologia, Universidade Federal de Pelotas, Avenida Eliseu Maciel, S/n, Pelotas, RS, Brazil.,Centro de Recuperação de Animais Marinhos, Universidade Federal do Rio Grande, Rio Grande, RS, Brazil.,Department of Infectious Diseases/ Reference Unit for Parasitic and Fungal Infections, National Institute of Health, Dr. Ricardo Jorge, Lisbon, Portugal
| | | | - Vanice Rodrigues Poester
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal do Rio Grande, Rua General Osório, 1109, Rio Grande, RS, Brazil
| | - Andrea von Groll
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal do Rio Grande, Rua General Osório, 1109, Rio Grande, RS, Brazil
| | - Cristina Gevehr Fernandes
- Faculdade de Veterinária, Universidade Federal de Pelotas, Avenida Eliseu Maciel, S/n, Pelotas, RS, Brazil
| | - David A Stevens
- Division of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA, USA.,California Institute for Medical Research, San Jose, CA, USA
| | - Raquel Sabino
- Department of Infectious Diseases/ Reference Unit for Parasitic and Fungal Infections, National Institute of Health, Dr. Ricardo Jorge, Lisbon, Portugal
| | - Melissa Orzechowski Xavier
- Programa de Pós-Graduação em Microbiologia e Parasitologia, Instituto de Biologia, Universidade Federal de Pelotas, Avenida Eliseu Maciel, S/n, Pelotas, RS, Brazil.,Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal do Rio Grande, Rua General Osório, 1109, Rio Grande, RS, Brazil.,California Institute for Medical Research, San Jose, CA, USA
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Basso RP, Poester VR, Silveira JM, Vieira RS, Mota LDD, Klafke GB, Müller JN, Penna CP, Vianna JS, Busatto C, Silva PEAD, Ramis IB, Stevens DA, Xavier MO. Histoplasma capsulatum and Mycobacterium avium co-infection in an immunocompromised patient: Case report and literature review. Med Mycol Case Rep 2020; 28:29-32. [PMID: 32322474 PMCID: PMC7171255 DOI: 10.1016/j.mmcr.2020.04.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Revised: 03/31/2020] [Accepted: 04/03/2020] [Indexed: 12/31/2022] Open
Abstract
We report a case of fungal and mycobacterial co-infection in an immunosuppressed patient from Southern Brazil. Histoplasmosis was diagnosed in an AIDS patient admitted to the hospital with nonspecific respiratory signs. However, 4 months post hospital discharge, the patient worsened and a co-infection with Mycobacterium avium was detected. Physicians must consider and investigate a broad spectrum of diseases which can occur as co-infections and which share the same clinical symptoms and signs in immunosuppressed patients.
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Affiliation(s)
- Rossana Patricia Basso
- Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Rio Grande do Sul, RS, Brazil.,Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED-FURG), RS, Brazil.,Hospital Universitário Dr. Miguel Riet Corrêa Jr. (HU-FURG), Vinculado à Empresa Brasileira de Serviços Hospitalares (EBSERH), Brazil
| | - Vanice Rodrigues Poester
- Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Rio Grande do Sul, RS, Brazil.,Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED-FURG), RS, Brazil
| | - Jussara Maria Silveira
- Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Rio Grande do Sul, RS, Brazil.,Hospital Universitário Dr. Miguel Riet Corrêa Jr. (HU-FURG), Vinculado à Empresa Brasileira de Serviços Hospitalares (EBSERH), Brazil
| | - Roseli Stone Vieira
- Hospital Universitário Dr. Miguel Riet Corrêa Jr. (HU-FURG), Vinculado à Empresa Brasileira de Serviços Hospitalares (EBSERH), Brazil
| | - Luisa Dias da Mota
- Hospital Universitário Dr. Miguel Riet Corrêa Jr. (HU-FURG), Vinculado à Empresa Brasileira de Serviços Hospitalares (EBSERH), Brazil
| | - Gabriel Baracy Klafke
- Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Rio Grande do Sul, RS, Brazil
| | - Jéssica Nunes Müller
- Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Rio Grande do Sul, RS, Brazil
| | - Crislaine Padilha Penna
- Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Rio Grande do Sul, RS, Brazil
| | - Júlia Silveira Vianna
- Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Rio Grande do Sul, RS, Brazil
| | - Caroline Busatto
- Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Rio Grande do Sul, RS, Brazil.,Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED-FURG), RS, Brazil
| | - Pedro Eduardo Almeida da Silva
- Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Rio Grande do Sul, RS, Brazil.,Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED-FURG), RS, Brazil
| | - Ivy Bastos Ramis
- Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Rio Grande do Sul, RS, Brazil.,Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED-FURG), RS, Brazil
| | - David A Stevens
- California Institute for Medical Research, San Jose, CA, USA.,Div. of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA, USA
| | - Melissa Orzechowski Xavier
- Faculdade de Medicina, Universidade Federal do Rio Grande (FAMED-FURG), Rio Grande do Sul, RS, Brazil.,Pós-Graduação em Ciências da Saúde, Faculdade de Medicina (FAMED-FURG), RS, Brazil.,California Institute for Medical Research, San Jose, CA, USA.,Div. of Infectious Diseases and Geographic Medicine, Stanford University Medical School, Stanford, CA, USA
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Abstract
INTRODUCTION: Previous studies that detected Paracoccidioides spp. DNA in soil taken from rural areas have shown this to be a valuable tool for ecological and epidemiological studies. This study reports the detection of Paracoccidioides spp. DNA in soil samples from an urban area of southern Brazil. METHODS: Sixteen soil samples were submitted to nested-PCR and the amplicons of a representative number of positive samples were sequenced. RESULTS: Paracoccidioides spp. DNA was found in 44% of samples. Four DNA amplicons were sequenced, showing 100% homology with P. brasiliensis. CONCLUSIONS: The southern Brazilian urban population is commonly exposed to the Paracoccidioides fungus.
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Brandolt TM, Madrid IM, Poester VR, Sanchotene KO, Basso RP, Klafke GB, Rodrigues MDL, Xavier MO. Human sporotrichosis: A zoonotic outbreak in southern Brazil, 2012-2017. Med Mycol 2019; 57:527-533. [PMID: 30265327 DOI: 10.1093/mmy/myy082] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2018] [Revised: 07/17/2018] [Accepted: 08/28/2018] [Indexed: 12/17/2023] Open
Abstract
Zoonotic sporotrichosis has undergone a geographical expansion in Brazil in the last decade. Rio Grande do Sul (RS) is the second state of the country in which a number of feline sporotrichosis cases have been described. Since cats are the main zoonotic source of infection, this study aimed to describe 100 cases of human sporotrichosis occurring in the last 5 years in the southern region of RS, Brazil. In addition, we aimed to illustrate the zoonotic importance of the disease, describing four cases in the same family due to transmission by their cat. This great number of human cases in a short period of evaluation highlights the severity of sporotrichosis as a public health problem in the region, suggesting that a possible outbreak is occurring that requires immediate public intervention actions to weaken its impact.
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Affiliation(s)
- Tchana Martinez Brandolt
- Post-Graduation Program in Health Science, Federal University of Rio Grande (FURG), Rio Grande, Brazil
| | | | - Vanice Rodrigues Poester
- Post-Graduation Program in Health Science, Federal University of Rio Grande (FURG), Rio Grande, Brazil
| | - Karine Ortiz Sanchotene
- Post-Graduation Program in Health Science, Federal University of Rio Grande (FURG), Rio Grande, Brazil
| | - Rossana Patricia Basso
- Post-Graduation Program in Health Science, Federal University of Rio Grande (FURG), Rio Grande, Brazil
| | | | | | - Melissa Orzechowski Xavier
- Post-Graduation Program in Health Science, Federal University of Rio Grande (FURG), Rio Grande, Brazil
- Faculty of Medicine, FURG, Rio Grande, Brazil
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39
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Martins Melo A, Silva Filho RPD, von Groll A, Reis AJ, Diniz J, Perdigão J, Portugal I, da Silva PEA, Borelli Grecco F, Orzechowski Xavier M. Tuberculosis caused by Mycobacterium pinnipedii in a wild South American sea lion Otaria flavescens stranded in southern Brazil. Dis Aquat Organ 2019; 133:189-194. [PMID: 31187733 DOI: 10.3354/dao03342] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Tuberculosis (TB) in pinnipeds is typically caused by Mycobacterium pinnipedii, which has also been associated with infections in other species, such as cattle and humans. As a result, this pathogen has zoonotic potential and is a public health concern. In 2016, a female South American sea lion Otaria flavescens in southern Brazil presented with emaciation and severe dyspnea and died within 3 h of capture. Gross pathology identified pulmonary granulomas, and Ziehl-Neelsen stain identified acid-fast bacilli. M. tuberculosis complex bacteria were confirmed by a BD BACTEC™ MGIT™ 320 detection system using fibrinous exudate, lung granulomas and thoracic fluid. Molecular characterization by spoligotyping showed a hybridization pattern characteristic of M. pinnipedii (SIT593/PINI1). Currently, there is a paucity of data concerning the transmission and epidemiology of M. pinnipedii in pinniped populations in South America. The case report shows that the disease appeared in a free-ranging beached sea lion on the coast, and further surveillance is needed to determine the origin of this TB because of its potential impact on public health.
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Affiliation(s)
- Aryse Martins Melo
- Centro de Recuperação de Animais Marinhos, Universidade Federal do Rio Grande, Rio Grande, Rio Grande do Sul, 96200-580, Brazil
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40
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Klafke GB, da Silva RA, de Pellegrin KT, Xavier MO. Analysis of the role of nail polish in the transmission of onychomycosis. An Bras Dermatol 2019; 93:930-931. [PMID: 30484548 PMCID: PMC6256209 DOI: 10.1590/abd1806-4841.20187791] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Accepted: 03/16/2018] [Indexed: 11/21/2022] Open
Affiliation(s)
- Gabriel Baracy Klafke
- Interdisciplinary Field of Biomedical Sciences, Faculdade de
Medicina, Universidade Federal do Rio Grande, Rio Grande (RS), Brazil
| | - Raiza Alves da Silva
- Interdisciplinary Field of Biomedical Sciences, Faculdade de
Medicina, Universidade Federal do Rio Grande, Rio Grande (RS), Brazil
| | - Kelly Thaís de Pellegrin
- Interdisciplinary Field of Biomedical Sciences, Faculdade de
Medicina, Universidade Federal do Rio Grande, Rio Grande (RS), Brazil
| | - Melissa Orzechowski Xavier
- Interdisciplinary Field of Biomedical Sciences, Faculdade de
Medicina, Universidade Federal do Rio Grande, Rio Grande (RS), Brazil
- Post-Graduation program in Health Science, Faculdade de Medicina,
Universidade Federal do Rio Grande, Rio Grande (RS), Brazil
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41
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Mendes JF, Von Groll A, Poester VR, Brasil CL, Brandolt TM, Klafke GB, Nogueira CEW, Meireles MCA, Xavier MO. Paracoccidioides spp. in Soil from the Pampa Biome in Southern Brazil. Curr Microbiol 2019; 76:258-262. [PMID: 30600363 DOI: 10.1007/s00284-018-1621-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2018] [Accepted: 12/19/2018] [Indexed: 10/27/2022]
Abstract
High rates of paracoccidioidomycosis disease and infection have been recently reported in southern Brazil. However, the knowledgment about the ecoepidemiology of Paracoccidioides spp. in the region is limited, therefore, this study aimed to evaluate the presence of Paracoccidioides spp. DNA in soil samples from a rural area in Southern Rio Grande do Sul, Brazil. Thirty pools of soil samples from Bagé, RS (31º19'53"S 54º06'25"W) were submitted to physicochemical analysis, and to fungal DNA extraction by Norgen Biotek® Kit (Thorold, Canada), followed by Nested PCR technique with ITS4 and ITS5 as external primers, and PBITS-E and PBITS-T as internal primers. DNA amplification products of about 424 bp compatible with Paracoccidioides spp. were detected in eight (26.7%) of the 30 pools of samples, being three were sequenced and identified as P. brasiliensis. Positive soils were characterized by high levels of humidity, organic matter, basic saturation, and pH. This study shows for the first time the presence of Paracoccidioides spp. DNA at soils from the Brazilian Pampa Biome, proving that people living in those areas are exposed to the main agent of paracoccidioidomycosis.
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Affiliation(s)
- Josiara Furtado Mendes
- Post-Graduation Program in Veterinary, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil
| | - Andrea Von Groll
- Post-Graduation Program in Health Science, Federal University of Rio Grande (FURG), Rio Grande, Brazil
| | - Vanice Rodrigues Poester
- Post-Graduation Program in Health Science, Federal University of Rio Grande (FURG), Rio Grande, Brazil.,Mycology Lab, Faculty of Medicine, Federal University of Rio Grande (FAMED-FURG), Health Campus, Visconde de Paranaguá 102, Centro, Rio Grande, RS, CEP 96201-900, Brazil
| | | | - Tchana Martinez Brandolt
- Post-Graduation Program in Health Science, Federal University of Rio Grande (FURG), Rio Grande, Brazil.,Mycology Lab, Faculty of Medicine, Federal University of Rio Grande (FAMED-FURG), Health Campus, Visconde de Paranaguá 102, Centro, Rio Grande, RS, CEP 96201-900, Brazil
| | - Gabriel Baracy Klafke
- Mycology Lab, Faculty of Medicine, Federal University of Rio Grande (FAMED-FURG), Health Campus, Visconde de Paranaguá 102, Centro, Rio Grande, RS, CEP 96201-900, Brazil
| | | | | | - Melissa Orzechowski Xavier
- Post-Graduation Program in Health Science, Federal University of Rio Grande (FURG), Rio Grande, Brazil. .,Mycology Lab, Faculty of Medicine, Federal University of Rio Grande (FAMED-FURG), Health Campus, Visconde de Paranaguá 102, Centro, Rio Grande, RS, CEP 96201-900, Brazil. .,Post-Graduation Program in Parasitology UFPel, Pelotas, RS, Brazil.
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42
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Poester VR, Mendes JF, Groll AV, Klafke GB, Brandolt TM, Xavier MO. Sporothrix spp. EVALUATION IN SOIL OF A HYPERENDENIC AREA FOR SPOROTRICHOSIS IN SOUTHERN BRAZIL. Ciênc anim bras 2018. [DOI: 10.1590/1809-6891v19e-52571] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
Abstract The increase in zoonotic sporotrichosis cases has become a public health problem in hyperendemic areas for the feline disease. Domestic cats involvement in this transmission and the continuous contact of these animals with soil suggest that the environment may be an essential source and/or reservoir of Sporothrix spp. Thus, the current study aimed to evaluate the presence of Sporothrix spp. in the soil of places where infected cats in Southern Brazil is present. In total, 101 soil samples were collected from the residence of cats with sporotrichosis, from regions around to these residences, and also from public places. These samples were processed using the direct plating technique being incubated at 25 °C for up to 15 days. Additionally, seventeen samples were also submitted to DNA extraction (NORGEN BIOTEK CORP® kit), PCR-specific and Nested-PCR technique. Although the presence of Sporothrix in soil has been undetected, by culture or molecular biology, this study does not reject the role of the environment in the triad of the infectious process (soil-animal-human). Thus, further studies are necessary for expanding the area of coverage, volume, type and method of sampling, and/or detection techniques.
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Cabana AL, Xavier MO, Mendes JF, Teles AJ, Martins AM, Silva-Filho RP, Meireles MCA. Applicability of the Platelia EIA® Aspergillus test for the diagnosis of aspergilosis in penguins. BRAZ J BIOL 2018; 79:169-173. [PMID: 30133554 DOI: 10.1590/1519-6984.171140] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2016] [Accepted: 11/13/2017] [Indexed: 11/22/2022] Open
Abstract
Even today, an effective diagnostic test for aspergillosis in penguins is unknown, being the gold standard post-mortem examinations. The fungal antigen galactomannan (GM) has been used as a biomarker of disease in humans and is detected by the Platelia Aspergillus EIA (BioRad)®, a commercial kit based on the sandwich ELISA technique. It is standardized for use in neutropenic patients, however studies have demonstrated its usefulness also possible for birds. The aim of our study was to evaluate the effectiveness of Platelia Aspergillus EIA® test (BioRad-US) in the diagnosis of aspergillosis in Magellanic penguins, determining sensitivity, specificity, and positive and negative predictive values for different cut-off points. Were included in the study, blood serum samples (n = 29) Magellanic penguins in captivity that died by aspergillosis. Detection of GM was performed following manufacturer's instructions and the GM index was obtained by dividing the average value of OD of the duplicate of the clinical sample by duplicate OD of the average value of the cut-off sample provided by the kit. Through information database results were obtained for the presence of anti-Aspergillus fumigatus antibodies detected by agar gel immunodiffusion (AGID) for all serum samples. Results were analyzed using chi-square test and Kruskal-Wallis from SPSS 20.0, IBM®. ROC curve was obtained and from this, rates of sensitivity, specificity, positive and negative predictive values were also calculated based on four different cutoff points (0.5, 1.0, 1.5 and 2.0). The serum GM index did not differ between animals of the case and control group (pkw =0.097). In determining the ROC curve for serum GM detection the value of area under the curve was 0.635. From the values determined by the coordinate of the curve, four different cut points (0.5, 1.0, 1.5 and 2.0) were analyzed, resulting in sensitivity rates ranging from 86.2 to 34.5% % and specificity between 87% and 26.1%. By comparing the serum GM index in group case as the presence or absence of antibodies detected by AGID was found p=0.503. The detection of GM the Platelia Aspergillus EIA® test seems is not be useful for the diagnosis of aspergillosis in naturally infected penguins.
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Affiliation(s)
- A L Cabana
- Programa de Pós-graduação em Veterinária, Centro de Pesquisa e Diagnóstico em Micologia Veterinária - MICVET, Universidade Federal de Pelotas - UFPel, Av. Eliseu Maciel, s/n, Campus Universitário, CEP 96010-900, Capão do Leão, RS, Brasil
| | - M O Xavier
- Faculdade de Medicina - FAMED, Departamento de Parasitologia e Micologia, Área de Ciências da Saúde, Universidade Federal do Rio Grande - FURG, Rua Visconde de Paranaguá, 102, CEP 96200-190, Rio Grande, RS, Brasil
| | - J F Mendes
- Programa de Pós-graduação em Veterinária, Centro de Pesquisa e Diagnóstico em Micologia Veterinária - MICVET, Universidade Federal de Pelotas - UFPel, Av. Eliseu Maciel, s/n, Campus Universitário, CEP 96010-900, Capão do Leão, RS, Brasil
| | - A J Teles
- Programa de Residência em Saúde Animal, Universidade Federal de Pelotas - UFPel, Av. Eliseu Maciel, s/n, Campus Universitário, CEP 96010-900, Capão do Leão, RS, Brasil
| | - A M Martins
- Programa de Pós-graduação em Parasitologia, Instituto de Biologia, Universidade Federal de Pelotas - UFPel, Av. Eliseu Maciel, s/n, Campus Universitário, CEP 96010-900, Capão do Leão, RS, Brasil.,Centro de Recuperação de Animais Marinhos - CRAM, Universidade Federal do Rio Grande - FURG, Rua Tenente Capitão Heitor Perdigão, 10, Centro, CEP 96200-190, Rio Grande, RS, Brasil
| | - R P Silva-Filho
- Centro de Recuperação de Animais Marinhos - CRAM, Universidade Federal do Rio Grande - FURG, Rua Tenente Capitão Heitor Perdigão, 10, Centro, CEP 96200-190, Rio Grande, RS, Brasil
| | - M C A Meireles
- Programa de Pós-graduação em Veterinária, Centro de Pesquisa e Diagnóstico em Micologia Veterinária - MICVET, Universidade Federal de Pelotas - UFPel, Av. Eliseu Maciel, s/n, Campus Universitário, CEP 96010-900, Capão do Leão, RS, Brasil
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44
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Poester VR, Mattei AS, Madrid IM, Pereira JTB, Klafke GB, Sanchotene KO, Brandolt TM, Xavier MO. Sporotrichosis in Southern Brazil, towards an epidemic? Zoonoses Public Health 2018; 65:815-821. [DOI: 10.1111/zph.12504] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Revised: 05/11/2018] [Accepted: 06/20/2018] [Indexed: 01/20/2023]
Affiliation(s)
- Vanice Rodrigues Poester
- Mycology Lab; Faculty of Medicine, Federal University of Rio Grande (FaMed-FURG); Rio Grande Brazil
- Post-Graduation Program in Health Science; FaMed-FURG; Rio Grande Brazil
| | | | | | | | - Gabriel Baracy Klafke
- Mycology Lab; Faculty of Medicine, Federal University of Rio Grande (FaMed-FURG); Rio Grande Brazil
| | - Karine Ortiz Sanchotene
- Mycology Lab; Faculty of Medicine, Federal University of Rio Grande (FaMed-FURG); Rio Grande Brazil
| | - Tchana Martinez Brandolt
- Mycology Lab; Faculty of Medicine, Federal University of Rio Grande (FaMed-FURG); Rio Grande Brazil
- Post-Graduation Program in Health Science; FaMed-FURG; Rio Grande Brazil
| | - Melissa Orzechowski Xavier
- Mycology Lab; Faculty of Medicine, Federal University of Rio Grande (FaMed-FURG); Rio Grande Brazil
- Post-Graduation Program in Health Science; FaMed-FURG; Rio Grande Brazil
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Sanchotene KO, Brandolt TM, Klafke GB, Poester VR, Xavier MO. In vitro susceptibility of Sporothrix brasiliensis: Comparison of yeast and mycelial phases. Med Mycol 2018; 55:869-876. [PMID: 28472490 DOI: 10.1093/mmy/myw143] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Indexed: 11/14/2022] Open
Abstract
Sporothrix brasiliensis has emerged as an important cause of sporotrichosis, particularly associated with feline and zoonotic cases. Owing to the paucity of data on antifungal activity against this species, the present study aimed to evaluate the in vitro susceptibility of clinical isolates of S. brasiliensis in the mycelial and yeast phases to itraconazole (ITZ), terbinafine (TRB), and amphotericin B (AMB). Thirty-five isolates from an outbreak of feline sporotrichosis in Southern Brazil were used. All of them were assessed in the yeast and filamentous phases using the broth microdilution technique in accordance with the respective reference protocols M27-A3 and M38-A2 of the Clinical and Laboratory Standards Institute (CLSI). In our study, TRB was the most active antifungal against both the filamentous and yeast phases, showing GM of the MIC of 0.343 μg/ml and 0.127 μg/ml, respectively. In the yeast phase, the GM of the MIC for TRB was significantly lower than that for both ITZ (P = .009) and AMB (P < .001). However, in the filamentous phase, the GM of the MIC for TRB was significantly lower than that of AMB (P < .001), but not different from that of ITZ (P = .091). AMB was the antifungal with the highest GM of the MIC for both phases (1.486 μg/ml for the filamentous phase and 0.660 μg/ml for the yeast). Our results may contribute to a better understanding of antifungal susceptibility profiles of clinical isolates of S. brasiliensis in the mycelial and yeast phases in further studies.
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Affiliation(s)
- Karine Ortiz Sanchotene
- Post-Graduation Program in Health Science, Federal University of Rio Grande (FURG), Rio Grande, Brazil.,Micology Lab of Medicine Faculty (FAMED-FURG), Rio Grande, Brazil
| | - Tchana Martinez Brandolt
- Post-Graduation Program in Health Science, Federal University of Rio Grande (FURG), Rio Grande, Brazil.,Micology Lab of Medicine Faculty (FAMED-FURG), Rio Grande, Brazil
| | | | - Vanice Rodrigues Poester
- Post-Graduation Program in Health Science, Federal University of Rio Grande (FURG), Rio Grande, Brazil.,Micology Lab of Medicine Faculty (FAMED-FURG), Rio Grande, Brazil
| | - Melissa Orzechowski Xavier
- Post-Graduation Program in Health Science, Federal University of Rio Grande (FURG), Rio Grande, Brazil.,Micology Lab of Medicine Faculty (FAMED-FURG), Rio Grande, Brazil.,Interdisciplinary Area of Biomedical Science (FAMED-FURG), Rio Grande, Brazil
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Cabana ÂL, Mendes JF, Klafke GB, Brandolt TM, Melo AM, Meireles MCA, Xavier MO. Can Aspergillus fumigatus conidia cause false-positive results in the galactomannan enzyme immunoassay test? Rev Soc Bras Med Trop 2018; 51:387-389. [PMID: 29972575 DOI: 10.1590/0037-8682-0317-2017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Accepted: 11/17/2017] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Several factors can cause false-positive results in the galactomannan (GM) test; however, others remain unknown. Presently, the impact of airborne contamination by Aspergillus conidia during enzyme-linked immunosorbent assay (ELISA) remains uninvestigated. METHODS We studied 12 A. fumigatus isolates. Fungal conidia were serially diluted and tested for GM detection using the Platelia® Aspergillus enzyme immunoassay (EIA). RESULTS The conidia concentration required for an EIA-positive result was 4.8 × 103 (median). CONCLUSIONS This is the first study to evaluate the impact of environmental contamination on the Platelia® Aspergillus EIA assay. Only massive contamination can interfere with GM optical readings, suggesting that environmental contamination does not cause false-positive test results.
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Affiliation(s)
- Ângela Leitzke Cabana
- Programa de Pós-Graduação em Veterinária, Faculdade de Veterinária, Universidade Federal de Pelotas, Pelotas, RS, Brasil
| | - Josiara Furtado Mendes
- Programa de Pós-Graduação em Veterinária, Faculdade de Veterinária, Universidade Federal de Pelotas, Pelotas, RS, Brasil
| | | | - Tchana Martinez Brandolt
- Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal do Rio Grande, Rio Grande, RS, Brasil
| | - Aryse Martins Melo
- Programa de Pós-Graduação em Parasitologia, Instituto de Biologia, Universidade Federal de Pelotas, Pelotas, RS, Brasil.,Centro de Recuperação de Animais Marinhos, Universidade Federal do Rio Grande, Rio Grande, RS, Brasil
| | - Mário Carlos Araújo Meireles
- Programa de Pós-Graduação em Veterinária, Faculdade de Veterinária, Universidade Federal de Pelotas, Pelotas, RS, Brasil
| | - Melissa Orzechowski Xavier
- Faculdade de Medicina, Universidade Federal do Rio Grande, Rio Grande, RS, Brasil.,Programa de Pós-Graduação em Parasitologia, Instituto de Biologia, Universidade Federal de Pelotas, Pelotas, RS, Brasil
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Poester VR, Mattei AS, Mendes JF, Klafke GB, Ramis IB, Sanchotene KO, Xavier MO. Antifungal activity of diphenyl diselenide alone and in combination with itraconazole againstSporothrix brasiliensis. Med Mycol 2018; 57:328-331. [DOI: 10.1093/mmy/myy044] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2018] [Revised: 04/28/2018] [Accepted: 05/16/2018] [Indexed: 12/26/2022] Open
Affiliation(s)
- Vanice Rodrigues Poester
- Mycology Lab, Faculty of Medicine, Federal University of Rio Grande (FaMed-FURG), Rio Grande do Sul, Brazil
- Post-graduation program in Health Science, FaMed-FURG, RS, Brazil
| | | | - Josiara Furtado Mendes
- Mycology Lab, Faculty of Medicine, Federal University of Rio Grande (FaMed-FURG), Rio Grande do Sul, Brazil
| | - Gabriel Baracy Klafke
- Mycology Lab, Faculty of Medicine, Federal University of Rio Grande (FaMed-FURG), Rio Grande do Sul, Brazil
| | - Ivy Bastos Ramis
- Post-graduation program in Health Science, FaMed-FURG, RS, Brazil
| | - Karine Ortiz Sanchotene
- Mycology Lab, Faculty of Medicine, Federal University of Rio Grande (FaMed-FURG), Rio Grande do Sul, Brazil
| | - Melissa Orzechowski Xavier
- Mycology Lab, Faculty of Medicine, Federal University of Rio Grande (FaMed-FURG), Rio Grande do Sul, Brazil
- Post-graduation program in Health Science, FaMed-FURG, RS, Brazil
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Melo AM, Xavier MO, Da Silva Filho RP, Cabana AL, Meireles MCA. CURVA DE PARÂMETROS SANGUÍNEOS E DE PESO EM SPHENISCUS MAGELLANICUS (FOSTER, 1781) (AVES: SPHENISCIFORMES) EM REABILITAÇÃO COM ASPERGILOSE. AVS 2017. [DOI: 10.5380/avs.v22i2.40456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Parâmetros sanguíneos básicos e peso corpóreo são rotineiramente utilizados para monitoramento do estado geral de Pinguins-de-Magalhães em reabilitação, no entanto, estudos mostrando o perfil de variação destes parâmetros durante o desenvolvimento da aspergilose nestes animais não são conhecidos. Neste sentido, este trabalho objetivou determinar curva de peso, de hematócrito (Ht) e de proteínas plasmáticas totais (PPT) em pinguins com aspergilose. O estudo do tipo caso-controle retrospectivo foi realizado com pinguins em reabilitação no sul do Brasil, sendo o grupo caso composto por pinguins com aspergilose, e o grupo controle por pinguins sadios. Para a determinação das curvas, foram coletados dados de amostras sequenciais, realizadas em média a cada sete dias, durante um período máximo de 81 dias, sendo estes submetidos a análise de variância (ANOVA) com teste post-hoc de Bonferroni. Ao todo, 140 animais foram estudados (50% casos e 50% controles). Pinguins com aspergilose diferiram significativamente do grupo controle em todos os parâmetros analisados, apresentando ganho de peso somente nas três primeiras coletas, com estabilização ou perda de peso nas coletas posteriores até seu desfecho, bem como declínio progressivo dos valores de Ht, os quais mantiveram-se abaixo do valor de referência para a espécie desde a terceira até a nona e última coleta, e aumento progressivo dos valores de PPT ao longo das coletas, com diferença significativa a partir da sexta coleta em relação ao grupo controle. O estabelecimento desse perfil em pinguins com aspergilose pode servir como indicativo de mau prognóstico destes animais em cativeiro, e como parâmetro para início de terapia preemptiva para aspergilose ou de investigação diagnóstica mais específica.
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Brandolt TM, Klafke GB, Gonçalves CV, Bitencourt LR, Martinez AMBD, Mendes JF, Meireles MCA, Xavier MO. Prevalence of Candida spp. in cervical-vaginal samples and the in vitro susceptibility of isolates. Braz J Microbiol 2016; 48:145-150. [PMID: 27756539 PMCID: PMC5220630 DOI: 10.1016/j.bjm.2016.09.006] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2015] [Accepted: 05/30/2016] [Indexed: 01/06/2023] Open
Abstract
Vulvovaginal candidiasis (VVC) is an infection of the genital mucosa caused by different species of the genus Candida. Considering the lack of data on this topic in the south of Brazil, this study aimed to assess the prevalence of Candida spp. in the cervical-vaginal mucosa of patients treated at a university hospital in southern Rio Grande do Sul, as well as the etiology and the susceptibility of the isolates against fluconazole, itraconazole, miconazole and nystatin. Samples were collected at the gynecology clinic of the Federal Hospital of the University of Rio Grande, and the isolates were identified using phenotypic and biochemical tests. The susceptibility analysis was performed according to the CLSI M27-A2 protocol. Of the 263 patients included, Candida spp. was isolated in 27%, corresponding to a prevalence of approximately 15% for both VVC and colonization. More than 60% of the isolates were identified as Candida albicans; C. non-albicans was isolated at a rate of 8.6% in symptomatic patients and 14.3% in asymptomatic patients. The prevalence of resistance against fluconazole and itraconazole was 42% and 48%, respectively; the minimal inhibitory concentration of miconazole ranged from 0.031 to 8μg/mL, and that of nystatin ranged from 2 to >16μg/mL. The high rate of resistance to triazoles observed in our study suggests the necessity of the association of laboratory exams to clinical diagnosis to minimize the practice of empirical treatments that can contribute to the development of resistance in the isolates.
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Affiliation(s)
- Tchana Martinez Brandolt
- Universidade Federal do Rio Grande, Laboratório de Micologia, Rio Grande, RS, Brazil; Universidade Federal do Rio Grande, Programa de Pós-Graduação em Ciências da Saúde, Rio Grande, RS, Brazil
| | - Gabriel Baracy Klafke
- Universidade Federal do Rio Grande, Laboratório de Micologia, Rio Grande, RS, Brazil
| | - Carla Vitola Gonçalves
- Universidade Federal do Rio Grande, Programa de Pós-Graduação em Ciências da Saúde, Rio Grande, RS, Brazil
| | | | | | | | | | - Melissa Orzechowski Xavier
- Universidade Federal do Rio Grande, Laboratório de Micologia, Rio Grande, RS, Brazil; Universidade Federal do Rio Grande, Programa de Pós-Graduação em Ciências da Saúde, Rio Grande, RS, Brazil.
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Lima CTD, Klafke GB, Xavier MO. Cryptococcus spp. em excretas de Columba livia (pombos domésticos) provenientes de um hospital universitário no Sul do Brasil. Arq Inst Biol 2016. [DOI: 10.1590/1808-1657001072013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO A criptococose é uma micose primariamente pulmonar, sendo adquirida por meio de inalação de propágulos fúngicos infectantes encontrados no ambiente. Um dos principais agentes etiológicos da criptococose é a espécie Cryptococcus neoformans , que apresenta distribuição mundial. O objetivo desse trabalho foi pesquisar a ocorrência de Cryptococcus spp. em excretas de Columba livia (pombos domésticos) encontradas na área externa do prédio do Hospital Universitário Dr. Miguel Riet Correa Junior, centro de referência para o tratamento da Síndrome da Imunodeficiência Adquirida na região sul do estado do Rio Grande do Sul, Brasil. Durante um período de dez meses, foi coletado um total de 40 amostras de excretas secas da área acadêmica e da área hospitalar do Hospital Universitário. As excretas foram adicionadas de solução salina com cloranfenicol, homogeneizados em vórtex, semeados em ágar Níger e incubados a 25ºC com observações diárias até sete dias. A identificação do micro-organismo foi realizada por provas fenotípicas e bioquímicas. Das 40 amostras processadas e analisadas, 13 (32,5%) foram positivas para o isolamento de Cryptococcus spp., variando de 20.000 a 3.000.000 UFC/g de fezes. O isolamento desse fungo em um ambiente hospitalar é relevante em saúde pública, pois evidencia a exposição dos indivíduos que frequentam esse local a propágulos infectantes.
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