Fonsecaea pugnacius, a Novel Agent of Disseminated Chromoblastomycosis.

Szczegóły
Abstrakt

Tytuł:: Fonsecaea pugnacius, a Novel Agent of Disseminated Chromoblastomycosis.
Autorzy:: de Azevedo CM; Department of Medicine, Federal University of Maranhão, Brazil, São Luis, MA, Brazil.
Gomes RR; Microbiology, Parasitology and Pathology Post-graduation Program, Department of Basic Pathology, Federal University of Paraná, Curitiba, PR, Brazil.
Vicente VA; Microbiology, Parasitology and Pathology Post-graduation Program, Department of Basic Pathology, Federal University of Paraná, Curitiba, PR, Brazil .
Santos DW; Institute of Infectious Diseases Emilio Ribas, São Paulo, SP, Brazil.
Marques SG; University Hospital of Federal University of Maranhão and Cedro Laboratories Maranhão, São Luis, MA, Brazil.
do Nascimento MM; Microbiology, Parasitology and Pathology Post-graduation Program, Department of Basic Pathology, Federal University of Paraná, Curitiba, PR, Brazil.
Andrade CE; Microbiology, Parasitology and Pathology Post-graduation Program, Department of Basic Pathology, Federal University of Paraná, Curitiba, PR, Brazil.
Silva RR; Department of Medicine, Federal University of Maranhão, Brazil, São Luis, MA, Brazil.
Queiroz-Telles F; Microbiology, Parasitology and Pathology Post-graduation Program, Department of Basic Pathology, Federal University of Paraná, Curitiba, PR, Brazil Clinical Hospital of the Federal University of Paraná, Curitiba, PR, Brazil.
de Hoog GS; Microbiology, Parasitology and Pathology Post-graduation Program, Department of Basic Pathology, Federal University of Paraná, Curitiba, PR, Brazil Centraalbureau voor Schimmelcultures KNAW Fungal Biodiversity Centre, Utrecht, The Netherlands .
Źródło:: Journal of clinical microbiology [J Clin Microbiol] 2015 Aug; Vol. 53 (8), pp. 2674-85. Date of Electronic Publication: 2015 Jun 17.
Typ publikacji:: Case Reports; Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: Washington, American Society for Microbiology.
MeSH Terms:: Ascomycota/*classification
Ascomycota/*isolation & purification
Chromoblastomycosis/*diagnosis
Chromoblastomycosis/*pathology
Ascomycota/genetics ; Brain/microbiology ; Brain/pathology ; Brazil ; Chromoblastomycosis/microbiology ; Cluster Analysis ; DNA, Fungal/chemistry ; DNA, Fungal/genetics ; DNA, Ribosomal/chemistry ; DNA, Ribosomal/genetics ; DNA, Ribosomal Spacer/chemistry ; DNA, Ribosomal Spacer/genetics ; Fatal Outcome ; Head/diagnostic imaging ; Histocytochemistry ; Humans ; Magnetic Resonance Imaging ; Male ; Microscopy ; Middle Aged ; Molecular Sequence Data ; Phylogeny ; RNA, Ribosomal/genetics ; Radiography ; Sequence Analysis, DNA ; Skin/microbiology ; Skin/pathology ; White People
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Molecular Sequence:: GENBANK KR706549; KR706550
Substance Nomenclature:: 0 (DNA, Fungal)
0 (DNA, Ribosomal)
0 (DNA, Ribosomal Spacer)
0 (RNA, Ribosomal)
0 (RNA, ribosomal, 26S)
Entry Date(s):: Date Created: 20150619 Date Completed: 20160517 Latest Revision: 20221207
Update Code:: 20240104
PubMed Central ID:: PMC4508443
DOI:: 10.1128/JCM.00637-15
PMID:: 26085610
: Czasopismo naukowe

We report a fatal case of a chromoblastomycosis-like infection caused by a novel species of Fonsecaea in a 52-year-old immunocompetent Caucasian male from an area of chromoblastomycosis endemicity in Brazil. The patient had a 30-year history of slowly evolving, verrucous lesions on the right upper arm which gradually affected the entire arm, the left hemifacial area, and the nose. Subsequent dissemination to the brain was observed, which led to death of the patient. The internal transcribed spacer (ITS) and partial large subunit (LSU), BT2, and CDC42 genes of the isolates recovered from skin and brain were sequenced, confirming the novelty of the species. The species is clinically unique in causing brain abscesses secondary to chromoblastomycosis lesions despite the apparent intact immunity of the patient. Histopathologic appearances were very different, showing muriform cells in skin and hyphae in brain.
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