Ethylthiosulfanilate Effect on Candida Tropicalis

Total Page:16

File Type:pdf, Size:1020Kb

Ethylthiosulfanilate Effect on Candida Tropicalis ISSN 2409-4943. Ukr. Biochem. J., 2017, Vol. 89, N 5 UDC 615.282.012:582.288:547.543 doi: https://doi.org/10.15407/ubj89.05.070 ETHYLTHIOSULFANILATE EFFECT ON Candida tropicalis L. B. ORIABINSKA1, S. О. Starovoitova2, S. V. VASYLYUK3, V. P. NOVIKOV3, v. І. LubenetS3* 1n ational technical university of ukraine “igor Sikorsky Kyiv Polytechnic institute”; 2n ational university of Food technologies, Kyiv, ukraine; 3Lviv Polytechnic national university, ukraine; е-mail: [email protected] t he problem of resistance of microorganisms to antibiotics stimulates the search for new chemothera- py drugs. ethylthiosulfanilate (etS, S-ethyl 4-amino-benzenesulfonothioate, S-ethyl ester of 4-aminobenze- nethiosulfoacid) as a structural analog of a number of phytoncides was synthesized based on thiosulfoacid salts. etS effect on opportunistic yeast fungi Candida tropicalis was studied. it was shown that etS in sub- fungicidal concentration (125 µg/ml) affected some aspects of a constructive and energy metabolism of fungi: inhibited endogenous respiration and reduced the pool of nucleic acids. additionaly the significant changes in lipogenesis of C. tropicalis were detected. it was established that etS in fungistatic and subfungicidal concentrations possessed membranotropic effect and provided a high degree of cooperativity of structural transitions of membranes. K e y w o r d s: Candida tropicalis, antimycotic action, ethylthiosulfanilate effect. he antimicrobial resistance to known drugs bles, effective pesticides, growth regulators, biocide is one of the challenges to modern medical additives, insecticides, radioprotectors [5]. T practice. Thus search for new substances Aryl esters of arylthiosulfoacids (p-tolyl- and development on their basis effective antimi- p-to luenethiosulfonate and p-methoxybenzene- crobial and antiviral drugs is an important task of p-methoxy-benzenethiosulfonate) possess high the modern pharmaceutical chemistry. Synthesis of insecticidal activity towards larvae anagasta kue- structural analogs of biologically active compounds hniella [6]. Some thiosulfoacid esters are promi- of natural origin is one of the known approaches that sing antithrombotic agents [7]. Alkyl esters of some allows creating new efficient agents for various pur- 4-acylaminobenzene- and heterocyclic thiosulfo- poses [1, 2]. S-Esters of thiosulfoacids are structural acids exhibit antifungal effect towards different analogs of volatile compounds from garlic (allium types of fungi (Candida albicans, Candida tropica- sativum L.) [2], onion (allium cepa L.) [3], various lis, Candida рarарsilosis, Candida krusei, Candida types of cabbage, especially cauliflower [1], deep- іпсоnsрісuа, Candida поrvegensis, Candida kеfyr, sea urchin echinocardium cordatum [4], etc. The Candida lusitaniae, Candida glabrata, Cryptococ- treatment with these plants has been considered as cus neoformans, trichosporon asahii, Geotrichum a promising approach for treatment of atherosclero- capitatum, blastoschizomyces capitatus) in low con- sis, coronary thrombosis, asthma as well as bacterial centrations [8]. infections. It is known that synthetic esters of thio- Alkylthiosulfanilates disrupt the normal sulfoacids exhibit a wide range of biological effects, physio logical functions of bacteria and fungi, es- and their antimicrobial activity often exceeds the ef- pecially in combination with rhamnolipid biosur- fectiveness of natural analogs. They are offered as factants. Bactericidal and fungicidal effect of thio- drug-candidates, preservatives of fruit and vegeta- sulfoesters in combination with rhamnolipids were © 2017 Oriabinska L. B. et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 70 L. b. oriabinska, S. О. Starovoitova, S. v. vasylyuk et al. tion in redox processes, contributing to disruption or of respiratory system of phytopathogenic microorga- nisms. ETS shows a stimulating effect on the growth of field pea and sorghum, and also enhances adap- tive capacity of plants to adverse conditions. This proves the prospects of use of ETS as efficient and environmentally safe agent to intensify the process of phytoremediation of contaminated soils [11]. Fol- lowing the wide range of possible applications and low toxicity of ethylthiosulfanilate an in-depth study of the mechanism of action of ETS on microorga- S cheme 1 nisms, especially on fungi is reasonable. Thus, the aim of this work was to study effect demonstrated on strains Pseudomonas aeruginosa, ethylthiosulfanilate action on the model of yeast bacillus subtilis, alcaligenes faecalis and rhizopus Candida tropicalis. nigricans [9]. Several synthesis protocols for ethylthiosulfa- Materials and Methods nilate were developed in Lviv Polytechnic National Methods of obtaining the ethylthiosulfanilate University (Ukraine) as outlined on Scheme 1 [9]. were presented in the previous work [9]. ETS stands out for its high fungicidal activity Yeast fungus C. tropicalis, obtained from the and low toxicity. It is an active substance of antifun- Museum of Cultures of Department of Industrial gal ointment “Esulan”™, which antimicrobial activi- Biotechnology, Faculty of Biotechnology and Bio- ty against various diseases of the skin, hair and nails technics NTUU “KPI” was used as a test culture. NHCOR NH NH was studied by G. N. NHCORPershin and others [10].2 Studies To2 study the effect of ethylthiosulfanilate on the Na S або of biological2 action of ETS haveMOH shown a wideC2H spec5Br - metabo lism of C. tropicalis, the cells were cultured trum of antimicrobialKHS activity [9, 10], it is active not on nutrient medium (beef-extract broth) with 2% only towards micromycetes, yeast cultures, but also glucose in the presence of subfungicidal concentra- SO Cl SO SM O S-S C H against gram-positiveSO andS M gram-negative bacteria, tions2 5of the test drug for 48 h at 37 °C [12]. O O O O including pathogenic, opportunistic and phytopatho- Determination of nucleic acids levels in yeast genic microorganisms. For instance clinical studies cells under the influence of ethylthiosulfanilate was R = -CH , -OCH NHCOCH revealed3 high3 efficiency of antifungal ointment3 [10]. + conducted spectrophotometrically using Spirin’s M = Na, K C H Br H Thiosulfoacid esters2 5 are highly reactive com- method, separation of DNAs and RNAs was per- pounds that interact with nucleophiles, electrophiles, formed by Schmidt’s and Tannhauser’s method [13]. and radicals. Nucleophilic substitutionO S-S reactionsC H oc- Yeast lipid composition was analyzed by thin cur with breaking of -S-S-bond due to the2 redistribu5 - O layer chromatography. To determine the total li- tion of electron density in thiosulfogroup that deter- pids we used the eluent system: benzene : ethyl- mines the direction of nucleophile attack [5]. acetate : acetic acid (85 : 15 : 1), and to determine phospholipids – system chloroform : methanol : wa- ter (65 : 25 : 4). Solution of sulfuric acid in metha- nol (10%) was used for the spots detection [14]. Percenta ge of distribution of total lipid fractions of yeast C. tropicalis influenced by subfungicidal con- ETS affects the metabolism of RNA and DNA, centration of ETS was conducted by densitometra- which contain amino groups, as well as proteins and tion of chromatographic plates (Laser densitometer aminoacids with disulfide and sulfide fragments, LKB Ultrascan XL, Sweden). which are components of plant cells and microor- Determination of endogenous respiration of ganisms. Pretreatment of seeds with ETS at low yeast was performed by using polarographic method concentrations improves germination of plants, in- (Polarograph LP 60) with open electrode of Clarke creases weight of seedlings, reducing the number of type at 37 °C. Respiration rate per unit of time for diseased plants [11]. The impact of ETS on plants is 1 mg of protein fractions was calculated [15]. closely related with its protective action, participa- 71 ISSN 2409-4943. Ukr. Biochem. J., 2017, Vol. 89, N 5 The investigation of influence of ethylthiosul- As shown in Table 1, ETS (125 µg/ml) inhibits fanilate on permeability of the cytoplasmic mem- the synthesis of DNA and RNA. The residual con- branes of yeast was determined photometrically by centration of DNA in the cells was 10.68 ± 0.01 and the release of low-molecular compounds having a 49.74 ± 0.05 µg/ml for RNA, that correspond to 27.52 maximum absorption at λ-260 nm [16]. and 39.13% of control, respectively. Namely, concen- All experiments were conducted at least three tration of nucleic acids in C. tropicalis cells under times using appropriate controls. Statistical analysis the influence of ETS decreased 3.6-fold for DNA and was performed using the software package of Micro- 2.56-fold for RNA. Simultaneous inhibition of both soft Excel, statistical significance was evaluated by types of nucleic acids – RNA and DNA usually oc- Student’s t-test. The difference was significant when curs when the chemotherapeutics act on the integrity P < 0.05. of the cell membranes [16]. A relatively small number of yeast species are Results and Discussion characterized by stable respiratory system. In most yeast, growth of yeast under condition of periodic Previous studies revealed that ETS is a com- cultivation is accompanied by changes in the struc- pound with broad spectrum of action and wide in- ture of the respiratory chain, especially at the ini-
Recommended publications
  • Mycology Proficiency Testing Program
    Mycology Proficiency Testing Program Test Event Critique May 2013 Mycology Laboratory Table of Contents Mycology Laboratory 2 Mycology Proficiency Testing Program 3 Test Specimens & Grading Policy 5 Test Analyte Master Lists 7 Performance Summary 9 Commercial Device Usage Statistics 10 Yeast Descriptions 11 Y-1 Candida kefyr 11 Y-2 Candida tropicalis 14 Y-3 Candida guilliermondii 17 Y-4 Candida krusei 20 Y-5 Candida lusitaniae 23 Antifungal Susceptibility Testing - Yeast 26 Antifungal Susceptibility Testing - Mold (Educational) 28 1 Mycology Laboratory Mycology Laboratory at the Wadsworth Center, New York State Department of Health (NYSDOH) is a reference diagnostic laboratory for the fungal diseases. The laboratory services include testing for the dimorphic pathogenic fungi, unusual molds and yeasts pathogens, antifungal susceptibility testing including tests with research protocols, molecular tests including rapid identification and strain typing, outbreak and pseudo-outbreak investigations, laboratory contamination and accident investigations and related environmental surveys. The Fungal Culture Collection of the Mycology Laboratory is an important resource for high quality cultures used in the proficiency-testing program and for the in-house development and standardization of new diagnostic tests. Mycology Proficiency Testing Program provides technical expertise to NYSDOH Clinical Laboratory Evaluation Program (CLEP). The program is responsible for conducting the Clinical Laboratory Improvement Amendments (CLIA)-compliant Proficiency Testing (Mycology) for clinical laboratories in New York State. All analytes for these test events are prepared and standardized internally. The program also provides continuing educational activities in the form of detailed critiques of test events, workshops and occasional one-on-one training of laboratory professionals. Mycology Laboratory Staff and Contact Details Name Responsibility Phone Email Director Dr.
    [Show full text]
  • Mycological Evaluation of Smoked-Dried Fish Sold at Maiduguri Metropolis, Nigeria: Preliminary Findings and Potential Health Implications
    Original Article / Orijinal Makale doi: 10.5505/eurjhs.2016.69885 Eur J Health Sci 2016;2(1):5-10 Mycological Evaluation of Smoked-Dried Fish Sold at Maiduguri Metropolis, Nigeria: Preliminary Findings and Potential Health Implications Nijerya’da Maiduguri Metropolis’te satılan tütsülenmiş balıkların mikolojik değerlendirilmesi: Ön bulgular ve sağlığa potansiyel etkileri 1 2 3 Fatima Muhammad Sani , Idris Abdullahi Nasir , Gloria Torhile 1Department of Medical Laboratory Science, College of Medical Sciences University of Maiduguri, Borno State, Nigeria 2Department of Medical Microbiology, University of Abuja Teaching Hospital, Gwagwalada, FCT Abuja, Nigeria 3Department of Medical Microbiology, Federal Teaching Hospital Gombe, Gombe, Nigeria ABSTRACT Background: Smoked-dried fish are largely consumed as source of nutrient by man. It has been established that fish food can act as vehicle for transmission of some mycological pathogens especially in immunocompromised individuals. Methods: Between 7th October 2011 and 5th January 2012, a total of 100 different species of smoke-dried fish comprising 20 each of Cat fish (Arius hendeloti), Tilapia (Oreochromis niloticus), Stock fish (Gadus morhua), Mud fish (Neoxhanna galaxiidae) and Bonga fish (Enthalmosa fimbriota) were processed and investigated for possible fungal contamination based on culture isolation using Sabouraud dextrose agar (SDA) and microscopy. Results: Organisms isolated and identified in pure culture were Mucor spp. (36%), Aspergillus niger (35%), Aspergillus fumigatus (6%), Candida tropicalis (3%), Candida stellatoidea (2%), Microsporum audunii (2%), Penicillium spp. (2%), and Trichophyton rubrum (1%) while Mucor spp. and Aspergillus niger (4%); Mucor spp. and Candida tropicalis (3%); Aspergillus fumigatus and Mucor spp. (1%); Aspergillus niger, Candida spp. and Mucor spp. (1%) were isolated in mixed culture.
    [Show full text]
  • The Numerical Taxonomy of Pathogenic Species of Candida
    University of Wollongong Research Online University of Wollongong Thesis Collection 1954-2016 University of Wollongong Thesis Collections 1985 The numerical taxonomy of pathogenic species of candida William James Crozier University of Wollongong Follow this and additional works at: https://ro.uow.edu.au/theses University of Wollongong Copyright Warning You may print or download ONE copy of this document for the purpose of your own research or study. The University does not authorise you to copy, communicate or otherwise make available electronically to any other person any copyright material contained on this site. You are reminded of the following: This work is copyright. Apart from any use permitted under the Copyright Act 1968, no part of this work may be reproduced by any process, nor may any other exclusive right be exercised, without the permission of the author. Copyright owners are entitled to take legal action against persons who infringe their copyright. A reproduction of material that is protected by copyright may be a copyright infringement. A court may impose penalties and award damages in relation to offences and infringements relating to copyright material. Higher penalties may apply, and higher damages may be awarded, for offences and infringements involving the conversion of material into digital or electronic form. Unless otherwise indicated, the views expressed in this thesis are those of the author and do not necessarily represent the views of the University of Wollongong. Recommended Citation Crozier, William James, The numerical taxonomy of pathogenic species of candida, Master of Science thesis, Department of Biology, University of Wollongong, 1985. https://ro.uow.edu.au/theses/2618 Research Online is the open access institutional repository for the University of Wollongong.
    [Show full text]
  • Insights Into Candida Tropicalis Nosocomial Infections and Virulence Factors
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Universidade do Minho: RepositoriUM Eur J Clin Microbiol Infect Dis (2012) 31:1399–1412 DOI 10.1007/s10096-011-1455-z ARTICLE Insights into Candida tropicalis nosocomial infections and virulence factors M. Negri & S. Silva & M. Henriques & R. Oliveira Received: 14 September 2011 /Accepted: 8 October 2011 /Published online: 30 October 2011 # Springer-Verlag 2011 Abstract Candida tropicalis is considered the first or the problem, since these infections are among the leading second non-Candida albicans Candida (NCAC) species causes of morbidity and mortality, causing an increase most frequently isolated from candidosis, mainly in patients in hospitalization time and, consequently, high costs admitted in intensive care units (ICUs), especially with associated to patient’s treatment [1, 2]. NIs have been cancer, requiring prolonged catheterization, or receiving particularly prominent in intensive care units (ICUs), broad-spectrum antibiotics. The proportion of candiduria where the incidence is two to five times higher than in and candidemia caused by C. tropicalis varies widely with the general population of hospitalized patients [3, 4]. The geographical area and patient group. Actually, in certain causes for the increased risk of NIs in ICUs have been countries, C. tropicalis is more prevalent, even compared associated with increased length of stay in ICU, invasive with C. albicans or other NCAC species. Although procedures, patients with compromised immune systems, prophylactic treatments with fluconazole cause a decrease and multiple exposure to antibiotics [5–7]. Beyond the in the frequency of candidosis caused by C.
    [Show full text]
  • Candida Tropicalis Distribution and Drug Resistance Is Correlated with ERG11 and UPC2 Expression
    Candida tropicalis distribution and drug resistance is correlated with ERG11 and UPC2 expression Dan Wang hospital Na An hospital Yuwei Yang hospital Xianggui Yang Abertawe Bro Morgannwg University Health Board Yingzi Fan hospital Jiafu Feng ( [email protected] ) hospital https://orcid.org/0000-0003-4240-0101 Research Keywords: Candida tropicalis, drug resistance, ERG11, UPC2 Posted Date: January 7th, 2021 DOI: https://doi.org/10.21203/rs.3.rs-21992/v5 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Version of Record: A version of this preprint was published on March 15th, 2021. See the published version at https://doi.org/10.1186/s13756-021-00890-2. Page 1/17 Abstract Background: Candida tropicalis (C. tropicalis) is an important opportunistic pathogenic Candida species that can cause nosocomial infection. In this study, we analyzed the distribution and drug susceptibility of C. tropicalis and the relationship between ERG11 and UPC2 expression and resistance to azole antifungal agents. Methods: C. tropicalis was cultured and identied by Sabouraud Agar Medium, CHROM Agar Candida and ATB tests (Bio-Mérieux, France). Total RNA was extracted from the collected strains, and the ERG11 and UPC2 mRNA expression levels were analyzed by quantitative real-time PCR. Results: In total, 2872 clinical isolates of Candida, including 319 strains of C. tropicalis, were analyzed herein; they were mainly obtained from the Departments of Respiratory Medicine and ICU. The strains were predominantly isolated from airway secretion samples, and the detection trend in four years was mainly related to the type of department and specimens.
    [Show full text]
  • Candida Species – Morphology, Medical Aspects and Pathogenic Spectrum
    European Journal of Molecular & Clinical Medicine ISSN 2515-8260 Volume 07, Issue 07, 2020 Candida Species – Morphology, Medical Aspects And Pathogenic Spectrum. Shubham Koundal1, Louis Cojandaraj2 1 Assistant Professor, Department of Medical Laboratory Sciences, Chandigarh University, Punjab. 2Assistant Professor, Department of Medical Laboratory Sciences, Lovely Professional University, Punjab. Email Id: [email protected] ABSTRACT Emergence of candidal infections are increasing from decades and found to be a leading cause of human disease and mortality. Candida spp. is one of the communal of human body and is known to cause opportunistic superficial and invasive infections. Many of mycoses-related deaths were due to Candida spp. Major shift of Candida infection towards NAC (non-albicans Candida) is matter of concern worldwide. In this study we had given a systemic review about medically important Candidaspp. Along with their morphological features, treatment and drugs. Spectrum of the pathogen is also discussed. Morphology of Different Medically Important Candida Species with their medical aspects along and pathogenic spectrum. Corn meal agar morphology along with anti-candida drugs has been discussed. The study is done after considering various published review’s and the mycological studies. Key words: Candida, Yeast, C.albicans, C. tropicalis, C. parapsilosis, C. glabrata, C. krusei and C. lusitaniae 1. INTRODUCTION Yeasts are unicellular, sometimes dimorphic fungi. It can give rise to wide range of infections in humans commonly called fungal infections. Yeast infections varies from superficial cutaneous/skin infections, mucosa related infections to multi-organ disseminated infections.(Sardi et al., 2013)Cutaneous and mucosal yeast infections can infect a number of regions in human body including the skin, nails, oral cavity, gastrointestinal tract, female genital tract and esophageal part and lead to chronic nature.
    [Show full text]
  • The Evolving Landscape of Fungal Diagnostics, Current and Emerging Microbiological Approaches
    Journal of Fungi Review The Evolving Landscape of Fungal Diagnostics, Current and Emerging Microbiological Approaches Zoe Freeman Weiss 1,2,*, Armando Leon 1 and Sophia Koo 1 1 Brigham and Women’s Hospital, Division of Infectious Diseases, Boston, MA 02115, USA; [email protected] (A.L.); [email protected] (S.K.) 2 Massachusetts General Hospital, Division of Infectious Diseases, Boston, MA 02115, USA * Correspondence: [email protected] Abstract: Invasive fungal infections are increasingly recognized in immunocompromised hosts. Current diagnostic techniques are limited by low sensitivity and prolonged turnaround times. We review emerging diagnostic technologies and platforms for diagnosing the clinically invasive disease caused by Candida, Aspergillus, and Mucorales. Keywords: fungal diagnostics; mycoses; invasive candidiasis; invasive mold infections; invasive aspergillosis; mucormycosis; transplant; immunocompromised host; non-culture diagnostics; cul- ture independent 1. Introduction In recent years, the incidence of invasive fungal infections has increased in parallel with advances in chemotherapies, immunosuppression in solid organ and hematopoietic cell transplantation, and critical care technologies. The diagnosis of invasive fungal disease Citation: Freeman Weiss, Z.; Leon, has traditionally relied on culture, direct microscopy, and histopathology. Conventional A.; Koo, S. The Evolving Landscape culture techniques are frequently insensitive, have prolonged turnaround times (TAT), of Fungal Diagnostics, Current and and may require invasive sampling. An increase in the diversity of pathogenic species Emerging Microbiological makes phenotypic identification challenging, particularly as the number of skilled clinical Approaches. J. Fungi 2021, 7, 127. mycologists declines. Precise species identification is needed given the variability of https://doi.org/10.3390/jof7020127 antifungal drug susceptibility profiles even between closely related organisms.
    [Show full text]
  • Oral Candidiasis: a Disease of Opportunity
    Journal of Fungi Review Oral Candidiasis: A Disease of Opportunity 1, 1, 1, Taissa Vila y , Ahmed S. Sultan y , Daniel Montelongo-Jauregui y and Mary Ann Jabra-Rizk 1,2,* 1 Department of Oncology and Diagnostic Sciences, School of Dentistry, University of Maryland, Baltimore, MD 21201, USA; [email protected] (T.V.); [email protected] (A.S.S.); [email protected] (D.M.-J.) 2 Department of Microbiology and Immunology, School of Medicine, University of Maryland, Baltimore, MD 21201, USA * Correspondence: [email protected]; Tel.: +1-410-706-0508; Fax: +1-410-706-0519 These authors contributed equally to the work. y Received: 13 December 2019; Accepted: 13 January 2020; Published: 16 January 2020 Abstract: Oral candidiasis, commonly referred to as “thrush,” is an opportunistic fungal infection that commonly affects the oral mucosa. The main causative agent, Candida albicans, is a highly versatile commensal organism that is well adapted to its human host; however, changes in the host microenvironment can promote the transition from one of commensalism to pathogen. This transition is heavily reliant on an impressive repertoire of virulence factors, most notably cell surface adhesins, proteolytic enzymes, morphologic switching, and the development of drug resistance. In the oral cavity, the co-adhesion of C. albicans with bacteria is crucial for its persistence, and a wide range of synergistic interactions with various oral species were described to enhance colonization in the host. As a frequent colonizer of the oral mucosa, the host immune response in the oral cavity is oriented toward a more tolerogenic state and, therefore, local innate immune defenses play a central role in maintaining Candida in its commensal state.
    [Show full text]
  • Burden of Serious Fungal Infections in China Liping Zhu, Jiqin Wu
    Burden of serious fungal infections in China Liping Zhu, Jiqin Wu. David S. Perlin, David W. Denning Huashan Hospital, Fudan University, Shanghai 200040 China; Public Health Research Institute, Newark, NJ, USA and The University of Manchester in association with the LIFE program at www.LIFE-worldwide.org Introduction The incidence of serous fungal infections has been increasing over the past several decades as a result of the expanding number of immunocompromised patients with risk factors such as HIV infection, transplantation, immunosuppressive therapy, corticosteroid therapy, and broad-spectrum antibiotic medication, etc. Despite the availability of newer and potent antifungal agents, the morbidity and mortality of invasive fungal infections remain high. LIFE Understanding of the burden of fungal infections is crucial to both better disease prevention and treatment. In China, with the largest population in the LEADING world, population-based surveillance on various fungal infections is still lacking. However, data from specific high risk populations and some cities has INTERNATIONAL increasingly been reported. We have attempted to estimate the burden of serious fungal infection in China through literature review. FUNGAL Methods EDUCATION All published epidemiology papers reporting fungal infection rates from China were identified. If few data existed, we used specific populations at risk and fungal infection frequencies in those populations to estimate national incidence or prevalence. Population (2009), HIV (2011) and TB (2011) data were from WHO. Asthma, ABPA and CPA rates were from Denning, Bull WHO 2011, Med Mycol 2013 (ahead of print) and Ma, 2011. COPD admissions were from Tan, Respirology, 2009. Cryptococcal meningitis (CM) estimate in HIV was assumed to be 1 % of late stage HIV patients, and the rate of CM in other cases on the ratios reported by Chen, Mycopathologia, 2012.
    [Show full text]
  • Breakthrough Bloodstream Infections Caused by Echinocandin
    Journal of Fungi Article Breakthrough Bloodstream Infections Caused by Echinocandin-Resistant Candida tropicalis: An Emerging Threat to Immunocompromised Patients with Hematological Malignancies 1,2, 3 4 5 Maroun M. Sfeir y, Cristina Jiménez-Ortigosa , Maria N. Gamaletsou , Audrey N. Schuetz , Rosemary Soave 1,6, Koen Van Besien 7, Catherine B. Small 1,6, David S. Perlin 3 and Thomas J. Walsh 1,6,8,* 1 Division of Infectious Diseases, Department of Medicine, Weill Cornell Medicine and New York Presbyterian Hospital, New York, NY 10065, USA; [email protected] (M.M.S.); [email protected] (R.S.); [email protected] (C.B.S.) 2 Department of Healthcare Policy and Research, Weill Cornell Medicine, New York, NY 10065, USA 3 Public Health Research Institute, New Jersey Medical School/Rutgers Biomedical and Health Sciences, Newark, NJ 07103, USA; [email protected] (C.J.-O.); [email protected] (D.S.P.) 4 Department of Pathophysiology, Laikon General Hospital, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece; [email protected] 5 Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN 55901, USA; [email protected] 6 Transplantation-Oncology Infectious Diseases Program, Weill Cornell Medicine and New York Presbyterian Hospital, New York, NY 10065, USA 7 Division of Hematology/Oncology, Weill Cornell Medicine and New York Presbyterian Hospital, New York, NY 10065, USA; [email protected] 8 Departments of Pediatrics, and Microbiology & Immunology, Weill Cornell Medicine and New York Presbyterian Hospital, New York, NY 10065, USA * Correspondence: [email protected] Current address: Director, Clinical Microbiology Laboratory, University of Connecticut Health Sciences y Center, Storrs, CT 06269-1101, USA.
    [Show full text]
  • Rapid Detection of Fungal Pathogens in Bronchoalveolar Lavage Samples
    Medical Mycology, 2016, 54, 714–724 doi: 10.1093/mmy/myw032 Advance Access Publication Date: 9 May 2016 Original Article Original Article Rapid detection of fungal pathogens in bronchoalveolar lavage samples using panfungal PCR combined with high resolution Downloaded from https://academic.oup.com/mmy/article/54/7/714/2222595 by guest on 28 September 2021 melting analysis Matej Bezdicek1,2, Martina Lengerova1,2,3,∗, Dita Ricna1,2, Barbora Weinbergerova1,2, Iva Kocmanova4, Pavlina Volfova1, Lubos Drgona5, Miroslava Poczova6, Jiri Mayer1,2,3 and Zdenek Racil1,2,3 1Department of Internal Medicine – Hematology and Oncology, University Hospital Brno, Brno, Czech Republic, 2Department of Internal Medicine – Hematology and Oncology, Faculty of Medicine, Masaryk University, Brno, Czech Republic, 3CEITEC – Central European Institute of Technology, Masaryk University, Brno, Czech Republic, 4Department of Clinical Microbiology, University Hospital Brno, Brno, Czech Re- public, 5Department of Oncohematology, Comenius University in Bratislava and National Cancer Institute, Bratislava, Slovakia and 6Department of Mycology, HPL Ltd., Bratislava, Slovakia ∗To whom correspondence should be addressed. Martina Lengerova, Center of Molecular Biology and Gene Therapy, Department of Internal Medicine, Hematology and Oncology, University Hospital Brno, Cernopolni 9, 613 00, Brno, Czech Republic, Tel: +420532234629; Fax: +420532234623; E-mail: [email protected] Received 25 January 2016; Revised 24 March 2016; Accepted 29 March 2016 Abstract Despite advances in the treatment of invasive fungal diseases (IFD), mortality rates re- main high. Moreover, due to the expanding spectrum of causative agents, fast and ac- curate pathogen identification is necessary. We designed a panfungal polymerase chain reaction (PCR), which targets the highly variable ITS2 region of rDNA genes and uses high resolution melting analysis (HRM) for subsequent species identification.
    [Show full text]
  • Guidelines for Treatment of Candidemia in Adults
    GUIDELINES FOR TREATMENT OF CANDIDEMIA IN ADULTS General Statements: Yeast in a blood culture should NOT be considered a contaminant If there is a high suspicion that yeast growing in a blood culture is Histoplasma or Cryptococcus, do not use micafungin and consult Infectious Diseases Infectious Diseases consultation is strongly recommended in all cases of candidemia Blood cultures should be repeated every 24-48 hours until clearance has been documented Remove all intravascular catheters whenever possible. In neutropenic patients, as sources of candidiasis other than CVCs predominate, catheter removal should be considered on an individual basis Patients should have a dilated fundoscopic exam performed to rule out endophthalmitis within the first week after initiation of therapy In neutropenic patients, repeat ophthalmological exam should be considered once neutropenia has resolved Additional evaluation for metastatic foci (e.g. echocardiogram) should be considered in patients with persistently positive blood cultures Duration of therapy: o Patients with no evidence of metastatic complications should be treated for 14 days following the first negative blood culture o Patients with metastatic complications (e.g,. endophthalmitis, endocarditis) should have an ID Consult to determine length of therapy o Neutropenic patients with no evidence of metastatic complications should be treated for 14 days following the first negative blood culture, provided neutropenia has resolved INITIAL THERAPY IN PATIENTS WITH POSITIVE BLOOD CULTURES
    [Show full text]