Isolamento de Cryptococcus neoformans de excrementos de andorinhas (Hirundo rustica) do Irã

Cryptococcus neoformans is an encapsulated yeast that can cause cryptococcosis, a life-threatening infection that mainly occurs in immunocompromised patients. The major environmental sources of C. neoformans have been shown to be soil contaminated with avian droppings. In the present study, we evaluated the isolation of C. neoformans from swallow (Hirundo rustica) excreta in two northern cities of Iran. Ninety-seven swallow droppings were evaluated and 498 yeast-like colonies were isolated and identified as Rhodotorula spp. (62.8%), Candida spp. (28.5%)and C. neoformans (8.7%). Cryptococcus neoformans was isolated from 5/97 (5.2%) of collected samples. Min-Max colony forming units (CFU) per one gram for the positive samples were 3-10 C. neoformans colonies. The total mean CFU per one gram for the positive samples was 4.8. The results of this study demonstrate that excreta of swallow may harbor different species of potentially pathogenic yeasts, mainly C. neoformans, and may be capable of disseminating these fungi in the environment.Cryptococcus neoformans é levedura encapsulada que pode causar criptococose, infecção potencialmente mortal que ocorre principalmente em pacientes imunocomprometidos. As principais fontes ambientais de C. neoformans são o solo contaminado com fezes de aves. No presente estudo, avaliamos o isolamento de C. neoformans de excreta de andorinhas (Hirundo rustica) em duas cidades do norte do Irã. Noventa e sete amostras de fezes de andorinhas foram avaliadas e 498 colonias semelhantes à levedura foram isoladas e identificadas como Rhodotorula spp. (62,8%), Candida spp. (28,5%), C. neoformans (8,7%). Cryptococcus neoformans foi isolado a partir de 5/97 (5,2%) das amostras coletadas. Unidades Min-Max formadoras de colonias (CFU) por 1 grama das amostras positivas foram 3-10 coloniasde C. neoformans. A média total de CFU por 1 grama das amostras positivas foi de 4,8. Os resultados deste estudo demonstram que excrementos de andorinhas podem abrigar diferentes espécies de leveduras potencialmente patógenas, principalmente C. neoformans, e podem ser capazes de disseminar estes fungos no meio ambiente

Serum immunoglobulin E and immunoglobulin G reactivity to Agaricus bisporus proteins in mushroom cultivation workers

Background and Purpose: Although molds are regarded as the main fungal allergen sources, evidence indicates that spores of Basidiomycota including Agaricus bisporus (A. bisporus) can be also found at high concentrations in the environment and may cause as many respiratory allergies as molds. The aim of the present study was to evaluate specific immunoglobulin E (IgE) and immunoglobulin G (IgG) antibodies against A. bisporus via immunoblotting technique in individuals working at mushroom cultivation centers. Materials and Methods: In this study, 72 workers involved in the cultivation and harvest of button mushrooms were enrolled. For the analysis of serum IgE and IgG, A. bisporus grown in Sabouraud dextrose broth was harvested and ruptured by liquid nitrogen and glass beads. The obtained sample was centrifuged and the supernatant was collected as “crude extract” (CE). CE was separated via Sodium Dodecyl Sulfate-Polyacrylamide Gel Electrophoresis (SDS-PAGE). The separated proteins were transferred to a nitrocellulose filter and the bands responsive to IgE and IgG were identified by anti-human conjugated antibodies. All participants were screened in terms of total IgE level. Results: Among 72 workers, 18 (25%) had a total IgE level higher than 188 IU/mL. In SDS-PAGE, the CE of A. bisporus showed 23 different protein bands with a molecular weight range of 13-80 kDa. The sera of 23.6% and 55.5% of participants showed positive response, with specific IgE and IgG antibodies against A. bisporus in the blot, respectively. The bands with molecular weights of 62 and 68 kDa were the most reactive protein components of A. bisporus to specific IgE antibodies. Moreover, bands with molecular weights of 57 and 62 kDa showed the highest reactivity to IgG, respectively. Also, 62 and 68 kDa components were the most reactive bands with both specific IgG and IgE antibodies. Conclusion: The obtained findings revealed that A. bisporus has different allergens and antigens, which contribute to its potential as an aeroallergen in hypersensitivity-related reactions of the lungs

Volumetrijski nalazi lebdećih spora gljivica u unutrašnjosti i izvan peradarnika i staja u iranskoj provinciji Mazandaran

The aim of this study was to assess the volume of airborne fungi in the indoor and outdoor environment of poultry and cattle houses in the Mazandaran Province in Iran. Indoor and outdoor air of twenty cattle houses and twenty-fi ve poultry houses were sampled using a single-stage impactor, which draws air at 20 L min-1 and impacts sampled material onto Petri plates containing malt extract agar. The plates were incubated at 30 °C for seven days, after which the resulting colonies were counted. The fungi were identified and counted microscopically and macroscopically. A total of 4,662 fungal colonies were isolated from 90 plates collected from indoor and outdoor air of cattle and poultry houses. Cladosporium (55.3 %), yeast (10.0 %), and Aspergillus (9.4 %) were the most common fi ndings. The concentration of airborne fungi in cattle and poultry houses ranged from 10 CFU m-3 to 1700 CFU m-3 in indoor and 10 CFU m-3 to 2170 CFU m-3 in outdoor environments. Cladosporium had the highest mean indoor (424.5 CFU m-3) and outdoor (449.7 CFU m-3) air concentration in the cattle houses. In the poultry houses, the highest mean concentrations were measured for Cladosporium (551.0 CFU m-3) outdoors and yeast (440.7 CFU m-3) indoors. These levels might present an occupational risk, but threshold levels for these environments have yet to be established worldwide.Cilj je ovog ispitivanja bio utvrditi razine gljivica u zraku u unutrašnjosti i izvan peradarnika i staja u iranskoj provinciji Mazandaran. Uzeti su uzorci zraka iz unutrašnjosti i izvan prostora dvadeset staja i dvadeset i pet peradarnika s pomoću jednostupanjskog impaktora s protokom zraka od 20 L min-1. Uzorkovan je zrak impaktiran na Petrijeve pločice s hranjivom podlogom od ekstrakta slada. Pločice su inkubirane sedam dana na 30 °C, a zatim su izolirane i prebrojene dobivene kolonije mikroskopski i makroskopski. Ukupno su izolirane 4.662 kolonije s 90 pločica. Najčešće su bile gljivice Cladosporium (55,3 %), kvasac (10,0 %) i Aspergillus (9,4 %). Koncentracije gljivica nošenih zrakom kretale su se od 10 CFU m-3 do 1.700 CFU m-3 u unutrašnjosti staja i peradarnika te od 10 CFU m-3 do 2.170 CFU m-3 izvan njih. Najviša srednja koncentracija u unutrašnjosti (424,5 CFU m-3) i izvan staja (449,7 CFU m-3) izmjerena je za Cladosporium. U peradarnicima najviše su srednje koncentracije u unutrašnjosti i izvan njih izmjerene za Cladosporium (551,0 CFU m-3) i kvasac (440,7 CFU m-3). Te koncentracije mogu biti povezane s rizikom od profesionalnih respiracijskih bolesti, ali još uvijek nisu utvrđene gornje dopuštene razine za ovu vrstu okoliša bilo gdje u svijetu

Cryptococcus neoformans isolation from swallow (Hirundo rustica) excreta in Iran

Cryptococcus neoformans is an encapsulated yeast that can cause cryptococcosis, a life-threatening infection that mainly occurs in immunocompromised patients. The major environmental sources of C. neoformans have been shown to be soil contaminated with avian droppings. In the present study, we evaluated the isolation of C. neoformans from swallow (Hirundo rustica) excreta in two northern cities of Iran. Ninety-seven swallow droppings were evaluated and 498 yeast-like colonies were isolated and identified as Rhodotorula spp. (62.8%), Candida spp. (28.5%)and C. neoformans (8.7%). Cryptococcus neoformans was isolated from 5/97 (5.2%) of collected samples. Min-Max colony forming units (CFU) per one gram for the positive samples were 3-10 C. neoformans colonies. The total mean CFU per one gram for the positive samples was 4.8. The results of this study demonstrate that excreta of swallow may harbor different species of potentially pathogenic yeasts, mainly C. neoformans, and may be capable of disseminating these fungi in the environment

Co-infection of invasive pulmonary aspergillosis and cutaneous Fusarium infection in a patient with pyoderma gangrenosum

We report an unusual case of co-infection of invasive pulmonary aspergillosis (IPA) and fusarial skin infection in a patient with classic pyoderma gangrenosum with unknown causes, which were previously controlled with oral prednisolone, cyclosporine. The diagnosis was made on direct microscopy and culture of endobronchial washing, bronchoalveolar lavage and skin lesion biopsy. The treatment failed, and the patient expired 12 days following hospitalization. This report highlights the rarity of coexistence of IPA and a chronic fusarial skin infection and thereby reinforcing the physician′s attention toward the possibility of invasive fungal infection in the immunosuppressed patients

Differentiation of Aspergillus flavus from Aspergillus oryzae Targeting the cyp51A Gene

Aspergillus flavus is one of the most important agents of invasive and non-invasive aspergillosis, especially in tropical and subtropical regions of the world, including Iran. Aspergillus oryzae is closely related to A. flavus, and it is known for its economic importance in traditional fermentation industries. Reports of infection due to A. oryzae are scarce. Several studies reported that differentiating these two species in clinical laboratories is not possible using MALDI-TOF or by targeting fungal barcode genes, such as Internal Transcribed Spacer (ITS) and β-tubulin (benA). The species-level identification of causative agents and the determination of antifungal susceptibility patterns can play significant roles in the outcome of aspergillosis. Here, we aimed to investigate the discriminatory potential of cyp51A PCR-sequencing versus that of the ITS, benA and calmodulin (CaM) genes for the differentiation of A. flavus from A. oryzae. In a prospective study investigating the molecular epidemiology of A. flavus in Iran between 2008 and 2018, out of 200 clinical isolates of A. flavus, 10 isolates showed >99% similarity to both A. flavus and A. oryzae. Overall, the ITS, β-tubulin and CaM genes did not fulfil the criteria for differentiating these 10 isolates. However, the cyp51A gene showed promising results, which warrants further studies using a larger set of isolates from more diverse epidemiological regions of the world

A survey on myco-flora of air, book and cabinet of Mazandaran University of Medical Sciences Libraries

, , , , , (Received 12 Aug, 2008; Accepted 3 Dec, 2008) Abstract Background and purpose: Grown fungi on books can be a risk factor for occupants as well as its known agents of bio-deterioration. Therefore, in this study, we surveyed the myco-flora of air, book and cabinets at Mazandaran University of Medical Sciences Libraries.Material and methods: Opened plates (containing Sabouraud’s dextrose agar with chlor-amphenicole media (SC) were used for the isolation of fungi in the air of indoor environment of libraries. Pleated carpet sterile fragments were used for survey of cabinets and books contamination. Then, these fragments were cultured on SC in laboratory.Results: A total of 939 colonies with 17 genera of fungi were identified from the environment of 4 school libraries at the Mazandaran University of Medical Sciences. The most common fungi isolated were: Penicillium (62.0%), Yeast (13.6%), sterile hyphae (7.6%) and Candida (5.6%). The most number of colonies were isolated from the air. Conclusion: Penicillium, Aspergillus, Alternaria and Stachybotrys were isolated from the libraries. They are considered toxigenic, allergenic, infective and also, as book deterioration agents. J Mazand Univ Med Sci 2008; 18(67):107-110 (Persian

Pervasive but Neglected: A Perspective on COVID-19-Associated Pulmonary Mold Infections Among Mechanically Ventilated COVID-19 Patients.

Background: Recent studies from multiple countries have shown a high prevalence of coronavirus disease 2019 (COVID-19)-associated pulmonary aspergillosis (CAPA) among severely ill patients. Despite providing valuable insight into the clinical management of CAPA, large-scale prospective studies are limited. Here, we report on one of the largest multicenter epidemiological studies to explore the clinical features and prevalence of COVID-19-associated pulmonary mold infections (CAPMIs) among mechanically ventilated patients. Methods: Bronchoalveolar lavage (BAL) and serum samples were collected for culture, galactomannan (GM), and β-D-glucan (BDG) testing. Patients were classified as probable CAPMI based on the presence of host factors, radiological findings, and mycological criteria. Results: During the study period, 302 COVID-19 patients were admitted to intensive care units (ICUs), among whom 105 were mechanically ventilated for ≥4 days. Probable CAPMI was observed among 38% of patients (40/105), among whom BAL culture of 29 patients turned positive for molds, while galactomannan testing on BAL (GM index ≥1) and serum (GM index >0.5) samples were positive for 60% (24/40) and 37.5% (15/39) of patients, respectively. Aspergillus (22/29; 75.8%) and Fusarium (6/29; 20.6%) constituted 96.5% of the molds isolated. Diaporthe foeniculina was isolated from a COVID-19 patient. None of the patients who presented with CAPMI were treated with antifungal drugs. Conclusion: Despite being prevalent, the absence of appropriate antifungal treatment highlights that CAPMI is a neglected complication among mechanically ventilated COVID-19 patients admitted to ICUs. CAPMI can be caused by species other than Aspergillus

Pervasive but Neglected: A Perspective on COVID-19-Associated Pulmonary Mold Infections Among Mechanically Ventilated COVID-19 Patients.

Background: Recent studies from multiple countries have shown a high prevalence of coronavirus disease 2019 (COVID-19)-associated pulmonary aspergillosis (CAPA) among severely ill patients. Despite providing valuable insight into the clinical management of CAPA, large-scale prospective studies are limited. Here, we report on one of the largest multicenter epidemiological studies to explore the clinical features and prevalence of COVID-19-associated pulmonary mold infections (CAPMIs) among mechanically ventilated patients. Methods: Bronchoalveolar lavage (BAL) and serum samples were collected for culture, galactomannan (GM), and β-D-glucan (BDG) testing. Patients were classified as probable CAPMI based on the presence of host factors, radiological findings, and mycological criteria. Results: During the study period, 302 COVID-19 patients were admitted to intensive care units (ICUs), among whom 105 were mechanically ventilated for ≥4 days. Probable CAPMI was observed among 38% of patients (40/105), among whom BAL culture of 29 patients turned positive for molds, while galactomannan testing on BAL (GM index ≥1) and serum (GM index >0.5) samples were positive for 60% (24/40) and 37.5% (15/39) of patients, respectively. Aspergillus (22/29; 75.8%) and Fusarium (6/29; 20.6%) constituted 96.5% of the molds isolated. Diaporthe foeniculina was isolated from a COVID-19 patient. None of the patients who presented with CAPMI were treated with antifungal drugs. Conclusion: Despite being prevalent, the absence of appropriate antifungal treatment highlights that CAPMI is a neglected complication among mechanically ventilated COVID-19 patients admitted to ICUs. CAPMI can be caused by species other than Aspergillus