Medically Important Rare Fungi: Emerging Threats, Clinical Manifestations, and Antifungal Resistance

A special issue of Journal of Fungi (ISSN 2309-608X). This special issue belongs to the section "Fungal Pathogenesis and Disease Control".

Deadline for manuscript submissions: closed (30 June 2022) | Viewed by 12419

Special Issue Editors


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Guest Editor
National Medical Mycology Reference Laboratory, Institute of Microbiology and Immunology, School of Medicine, University of Belgrade, Belgrade, Serbia
Interests: laboratory diagnosis of fungal infections; local and global fungal epidemiology and resistance; modeling of laboratory process; innovative approach in personalized medical mycology; medical microbiology; medical mycology
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Guest Editor
Professor of Medicine, Pediatrics, and Microbiology & Immunology, Weill Cornell Medicine of Cornell University and Attending Physician, New York Presbyterian Hospital, New York, NY, USA
Interests: antifungal drug resistance; emerging fungal pathogens; antifungal pharmacology; innate host defenses; mucormycosis

Special Issue Information

Dear Colleagues, 

The field of Medical Mycology has become a challenging study of infections caused by a wide diversity of fungi. Non-Candida, non-Cryptococcus, and non-Aspergillus fungi have emerged as important pathogens, causing serious infections associated with high morbidity and mortality. Unusual clinical presentations also commonly result in delayed diagnosis and incorrect treatment. Conventional diagnostic methods such as direct microscopy, histopathology, and cultures are routinely available approaches, but more rapid and more accurate molecular diagnostic techniques are being developed for these pathogens. The management of these infections is multimodal, and the efficacy of various antifungal agents is not uniform since many of these rare fungi are intrinsically resistant to multiple antifungals. Therefore, clinical and laboratory decision-making are challenging for many professionals. Recent guidelines, clinical trials, case series, case reports, and laboratory studies of pathogenesis, host defense, molecular detection, and pharmacotherapeutics are assisting in providing deep insights into rare and emerging fungal infectious diseases. These infections and allergies usually are caused by Mucorales, and other non-Aspergillus hyaline moulds, such as Fusarium spp., Scedosporium spp., Lomentospora prolificans, dematiaceous molds, such as Cladophialophora bantiana, Exserohilum spp., Bipolaris spp., Phialophora spp., and yeasts, such as Trichosporon spp., Exophiala dermatitidis, and Emergomyces spp., as well as other rare fungal species.

This Special Issue welcomes original research papers, case reports, reviews, and clinical trial protocols.

Prof. Dr. Valentina Arsic Arsenijevic
Prof. Dr. Thomas J. Walsh
Guest Editors

Manuscript Submission Information

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Keywords

  • fungal infections
  • rare yeast
  • rare mold
  • rare clinical forms
  • resistance to antifungal agents

Published Papers (2 papers)

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Research

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6 pages, 1913 KiB  
Communication
MalaSelect: A Selective Culture Medium for Malassezia Species
by Abdourahim Abdillah and Stéphane Ranque
J. Fungi 2021, 7(10), 824; https://doi.org/10.3390/jof7100824 - 1 Oct 2021
Cited by 3 | Viewed by 2246
Abstract
Malassezia species are fastidious and slow-growing yeasts in which isolation from polymicrobial samples is hampered by fast-growing microorganisms. Malassezia selective culture media are needed. Although cycloheximide is often used, some fungi, including the chief human commensal Candida albicans, are resistant to this [...] Read more.
Malassezia species are fastidious and slow-growing yeasts in which isolation from polymicrobial samples is hampered by fast-growing microorganisms. Malassezia selective culture media are needed. Although cycloheximide is often used, some fungi, including the chief human commensal Candida albicans, are resistant to this compound. This study aimed to test whether the macrolide rapamycin could be used in combination with cycloheximide to develop a Malassezia-selective culture medium. Rapamycin susceptibility testing was performed via microdilution assays in modified Dixon against two M. furfur and five Candida spp. The MIC was the lowest concentration that reduced growth by a minimum of 90%. Rapamycin ± cycloheximide 500 mg/L was also added to FastFung solid, and yeast suspensions were inoculated and incubated for 72 h. Rapamycin MICs for Candida spp. ranged from 0.5 to 2 mg/L, except for C. krusei, for which the MIC was >32 mg/L. M. furfur stains were rapamycin-resistant. Rapamycin and cycloheximide supplementation of the FastFung medium effectively inhibited the growth of non-Malassezia yeast, including cycloheximide-resistant C. albicans and C. tropicalis. Based on our findings, this “MalaSelect” medium should be further evaluated on polymicrobial samples for Malassezia isolation and culture. Full article
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Review

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20 pages, 1373 KiB  
Review
Probiotic Yeast Saccharomyces: Back to Nature to Improve Human Health
by Rameesha Abid, Hassan Waseem, Jafar Ali, Shakira Ghazanfar, Ghulam Muhammad Ali, Abdelbaset Mohamed Elasbali and Salem Hussain Alharethi
J. Fungi 2022, 8(5), 444; https://doi.org/10.3390/jof8050444 - 24 Apr 2022
Cited by 39 | Viewed by 9366
Abstract
Saccharomyces cerevisiae var. boulardii is best known for its treatment efficacy against different gastrointestinal diseases. This probiotic yeast can significantly protect the normal microbiota of the human gut and inhibit the pathogenicity of different diarrheal infections. Several clinical investigations have declared S. cerevisiae [...] Read more.
Saccharomyces cerevisiae var. boulardii is best known for its treatment efficacy against different gastrointestinal diseases. This probiotic yeast can significantly protect the normal microbiota of the human gut and inhibit the pathogenicity of different diarrheal infections. Several clinical investigations have declared S. cerevisiae var. boulardii a biotherapeutic agent due to its antibacterial, antiviral, anti-carcinogenic, antioxidant, anti-inflammatory and immune-modulatory properties. Oral or intramuscular administration of S. cerevisiae var. boulardii can remarkably induce health-promoting effects in the host body. Different intrinsic and extrinsic factors are responsible for its efficacy against acute and chronic gut-associated diseases. This review will discuss the clinical and beneficial effects of S. cerevisiae var. boulardii in the treatment and prevention of different metabolic diseases and highlight some of its health-promising properties. This review article will provide fundamental insights for new avenues in the fields of biotherapeutics, antimicrobial resistance and one health. Full article
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