An Update on Fungal Infections

A special issue of Pathogens (ISSN 2076-0817). This special issue belongs to the section "Fungal Pathogens".

Deadline for manuscript submissions: 31 December 2024 | Viewed by 7720

Special Issue Editors


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Guest Editor
Departamento de Microbiología-Parasitología, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), Mexico City 04510, Mexico
Interests: molecular epidemiology; molecular diagnostic; molecular markers; aspergillosis; coccidioidomicosis; dermatophytosis
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Departamento de Microbiología-Parasitología, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), Mexico City 04510, Mexico
Interests: molecular epidemiology; molecular diagnostic; molecular markers; aspergillosis; coccidioidomicosis; dermatophytosis
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

As the Guest Editors of the journal Pathogens (ISSN: 2076-0817), it is our honor to invite you to submit a paper to the current Special Issue. Your article will be published with the highest priority for processing and a peer review.

The presence of fungi in different environments, in addition to the growing globalization and climate change, has increased the number of fungal infections. In this Special Issue of Pathogens, the most innovative and advanced aspects of fungal infections will be reviewed, including host–parasite interaction, mechanisms of pathogenesis, epidemiological aspects of fungal infections, the impact of climate change on the increase in fungal infections and the development of new methodologies for the diagnosis and treatment of fungal infections. To fulfill this objective, we invite our colleagues in the scientific community to submit original articles, reviews and clinical cases related to fungal infections in humans, animals or plants.

Dr. María del Rocío Reyes Montes
Dr. Esperanza Duarte-Escalante
Guest Editors

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Keywords

  • fungal infections
  • host–parasite interaction
  • pathogenesis
  • epidemiology
  • climate change
  • diagnosis
  • treatment

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Published Papers (4 papers)

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Research

Jump to: Review, Other

16 pages, 9860 KiB  
Article
Evaluation of Primers OPF-01, P54, and 1253 to Identify A. fumigatus, A. flavus, and A. niger from Polymorphic Patterns Obtained by RAPD-PCR
by Carlos Alberto Castro-Fuentes, María Guadalupe Frías-De-León, María del Carmen González-Villaseñor, Esperanza Duarte-Escalante, Omar Esteban Valencia-Ledezma, Areli Martínez-Gamboa, Beatriz Meraz-Ríos and María del Rocío Reyes-Montes
Pathogens 2024, 13(7), 574; https://doi.org/10.3390/pathogens13070574 - 10 Jul 2024
Viewed by 840
Abstract
We evaluated the specificity of the primers OPF-01, P54, and 1253 to identify A. fumigatus, A. flavus, and A. niger, respectively, with the RAPD-PCR method. Eighty-two isolates belonging to the sections Fumigati, Flavi, and Nigri were used. The [...] Read more.
We evaluated the specificity of the primers OPF-01, P54, and 1253 to identify A. fumigatus, A. flavus, and A. niger, respectively, with the RAPD-PCR method. Eighty-two isolates belonging to the sections Fumigati, Flavi, and Nigri were used. The isolates were identified by phenotypic (macro- and micromorphology) and genotypic (partial sequences of the BenA gene) methods. The RAPD-PCR method was used to obtain polymorphic patterns with the primers OPF-01, P54, and 1253. The specificity of the polymorphic patterns of the isolates of each species was evaluated through the UPGMA clustering method and logistic regression model. All isolates of the genus Aspergillus were identified at the section level by macro- and micromorphology showing the typical morphology of the sections Fumigati, Flavi, and Nigri, and the species were identified by the construction of the phylogeny of the partial sequence of the BenA gene. The patterns’ polymorphic strains obtained with the primers OPF-01, P54, and 1253 for the isolates of A. fumigatus, A. flavus, and A niger, respectively, showed the same polymorphic pattern as the reference strains for each species. To verify the specificity of the primers, they were tested with other species from the sections Fumigati, Flavi and Nigri. The results support that the primers OPF-01, P54, and 1253 generate polymorphic patterns by RAPD-PCR species specific to A. fumigatus, A. flavus, and A. niger, respectively. Full article
(This article belongs to the Special Issue An Update on Fungal Infections)
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12 pages, 4524 KiB  
Article
Invasive Fungal Infections of the Head and Neck: A Tertiary Hospital Experience
by Tieying Hou, W. Robert Bell and Hector Mesa
Pathogens 2024, 13(7), 530; https://doi.org/10.3390/pathogens13070530 - 23 Jun 2024
Viewed by 969
Abstract
From the existing millions of fungal species, only a few cause disease. In this study, we investigated invasive fungal infections in the head and neck (H&N) over a 19-year period (2005 to 2024) at a large academic healthcare system. Among the 413 documented [...] Read more.
From the existing millions of fungal species, only a few cause disease. In this study, we investigated invasive fungal infections in the head and neck (H&N) over a 19-year period (2005 to 2024) at a large academic healthcare system. Among the 413 documented fungal H&N infections, 336 were noninvasive, and 77 were invasive. The highest incidence of invasive infections occurred in the sinonasal cavities, with a 15-fold difference compared to other sites. Most infections affected adults over 40 years old. The most common organisms were Mucorales (51%), hyaline molds (29%), and Candida (11%). Risk factors included malignancy, transplant, diabetes, and illicit drug use. Mortality was high in patients with malignancy and/or transplant. Infections affecting the mandible were usually a complication of osteoradionecrosis and were associated with the coinfection of Candida and Actinomyces. At other sites, infections were rare and were usually the result of penetrating injuries or immunosuppression. Treatment typically involved a combination of antifungals and surgical procedures. Full article
(This article belongs to the Special Issue An Update on Fungal Infections)
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Review

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24 pages, 4008 KiB  
Review
Humans vs. Fungi: An Overview of Fungal Pathogens against Humans
by Kasun M. Thambugala, Dinushani A. Daranagama, Danushka S. Tennakoon, Dona Pamoda W. Jayatunga, Sinang Hongsanan and Ning Xie
Pathogens 2024, 13(5), 426; https://doi.org/10.3390/pathogens13050426 - 17 May 2024
Cited by 1 | Viewed by 4312
Abstract
Human fungal diseases are infections caused by any fungus that invades human tissues, causing superficial, subcutaneous, or systemic diseases. Fungal infections that enter various human tissues and organs pose a significant threat to millions of individuals with weakened immune systems globally. Over recent [...] Read more.
Human fungal diseases are infections caused by any fungus that invades human tissues, causing superficial, subcutaneous, or systemic diseases. Fungal infections that enter various human tissues and organs pose a significant threat to millions of individuals with weakened immune systems globally. Over recent decades, the reported cases of invasive fungal infections have increased substantially and research progress in this field has also been rapidly boosted. This review provides a comprehensive list of human fungal pathogens extracted from over 850 recent case reports, and a summary of the relevant disease conditions and their origins. Details of 281 human fungal pathogens belonging to 12 classes and 104 genera in the divisions ascomycota, basidiomycota, entomophthoromycota, and mucoromycota are listed. Among these, Aspergillus stands out as the genus with the greatest potential of infecting humans, comprising 16 species known to infect humans. Additionally, three other genera, Curvularia, Exophiala, and Trichophyton, are recognized as significant genera, each comprising 10 or more known human pathogenic species. A phylogenetic analysis based on partial sequences of the 28S nrRNA gene (LSU) of human fungal pathogens was performed to show their phylogenetic relationships and clarify their taxonomies. In addition, this review summarizes the recent advancements in fungal disease diagnosis and therapeutics. Full article
(This article belongs to the Special Issue An Update on Fungal Infections)
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Other

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7 pages, 228 KiB  
Brief Report
Outcomes of Invasive Fungal Infections Treated with Isavuconazole: A Retrospective Review
by Vanessa Gow-Lee, Omar M. Abu Saleh, Courtney E. Harris, Jennifer J. Gile, Nadia Akhiyat and Supavit Chesdachai
Pathogens 2024, 13(10), 886; https://doi.org/10.3390/pathogens13100886 - 11 Oct 2024
Viewed by 984
Abstract
Background: Isavuconazole (ISA) has a favorable side effect profile that makes it attractive for treatment of invasive fungal infections (IFI). It carries FDA approval for invasive aspergillosis and mucormycosis, but there are fewer data for other organisms and non-pulmonary infections. We conducted this [...] Read more.
Background: Isavuconazole (ISA) has a favorable side effect profile that makes it attractive for treatment of invasive fungal infections (IFI). It carries FDA approval for invasive aspergillosis and mucormycosis, but there are fewer data for other organisms and non-pulmonary infections. We conducted this review to investigate how ISA performed at treating IFI, with an especial interest in these non-approved indications. Methods: We retrospectively identified and reviewed 131 patients who received ISA as treatment for IFI at our institution, some of whom received ISA as their first anti-fungal therapy and others who received ISA as either step-down therapy or salvage therapy. We identified the microbiologic cause of infection as well as the anatomic site involved for each patient. We then classified patients according to their response to ISA: namely cured, partially responded, or stabilized. Results: The majority of patients were immunocompromised (n = 76, 58%). ISA was used primarily as a secondary therapy (n = 116, 89%); either as a step-down/switching from other agents, or as salvage therapy. The most common reasons for switching to ISA were toxicities with prior agents followed by QT prolongation. Although pulmonary aspergillosis and mucormycosis were represented in more than half of the cohort, ISA was also used off-label for treatment of other organisms such as endemic fungi (n = 19, 15%) as well as central nervous system (CNS) infections (n = 15, 11%). We have described the detailed clinical characteristics of these CNS infections cases. The overall clinical response rate varied by type of infection and site involved (57–73% response rate). Conclusions: We demonstrated encouraging clinical responses, particularly outside the FDA-approved indications, as well as good tolerability. This report highlights the critical need for expanded scope of prospective studies to delineate the efficacy of this better-tolerated agent, especially in central nervous system infections. Full article
(This article belongs to the Special Issue An Update on Fungal Infections)
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