The First Isolation of Hortaea Zverneckii from a Household Guinea Pig
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Jpn. J. Med. Mycol. Vol. 43, 175-180, 2002 ISSN 0916-4804 Original Article The First Isolation of Hortaea zverneckii from a Household Guinea Pig Shahana Sharmin1, Kumiko Haritani2, Reiko Tanaka1, Paride Abliz1, Kayoko Takizawa1, Ayako Sano1, Kazutaka Fukushima1, Kazuko Nishimura1, Makoto Miyaji1 1 Research Center for Pathogenic Fungi and Microbial Toxicoses, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8673, Japan. 2Namiki Animal Hospital , 7-2-4 Namiki, Abiko, Chiba 270-0011, Japan. Received: 14, March 2002. Accepted: 26, April 2002] Abstract Hortaea werneckii, a black yeast and the causative agent of tinea nigra (a superficial type of dermatomycosis), is a human pathogen and is also found in the environment. It is not highly patho- genic but in the last fifteen to twenty years has been isolated from various human and environmental sources in Japan. As far as we know, there has been no report on the isolation of H. werneckii from animals. Recently, we found a case of a guinea pig with dark superficial lesions on the palm and dor- sal areas. Cultural and morphological studies of scrapings from the lesion showed that the causative agent was a black yeast, which was identified as H. werneckii by morphological study and molecular biological screening. Dl/D2 region of the 26S large subunit rDNA gene of this isolate was identical to those of 11 other H. werneckii isolates used as reference strains in this study. This is the first case recorded of tinea nigra caused by H, werneckii in a guinea pig. Key words: guinea pig, Hortaea werneckii, LSU rDNA gene, tinea nigra zverneckii. Introduction Tinea nigra is often found in the tropical and Tinea nigra, a black localized discoloration of subtropical zones and is also found in temperate the palms was first observed in a human in 1891 areas of the Western Hemisphere; cases have in Brazil. In 1921 a case was reported in Rio de been reported from the USA5~, Brazil6}, Uruguay7~, Janeiro from which Horta isolated a fungus he Canadas~, Costa Rica9 , Venezuela'0~, Panama" called Cladosporium zverneckii'. In 1970 von Arx India12~, Thailand'3~, Israel'4~, Congo'5~ and changed C. zverneckii to Exophiala zverneckii based Australia'6'8~. Reports from Great Britain'3~, on its annellidic budding2}. Until 1984, there was Germany'47, Canada8} and France's} attributed to some confusion regarding the nomenclature of tinea nigra as an imported fungal infection at the this black yeast, the causative agent of tinea time, because the patients presented with travel nigra on the palms and soles3~. Nishimura and history to subtropical or tropical areas. Miyaji4~ clarified its conidiogenesis by scanning Endophthalmitis due to H. zverneckiihas also been electron microscopy indicating that the conidia of reported in an immunocompetent host after cata- E. zverneckiiwere produced by both annellidic and ract surgery in USA1°~. Its ecological distribution sympodial conidiogenesis. Since the conidia of as halophilic saprobes in tropical and subtropical other Exophiala species are produced only by areas20~ and in natural saltpans21~ has also been annellidic conidiogenesis, a new genus, Hortaea was reported. The first human case in Japan was re- proposed to accommodate E. zverneckii as Hortaea ported from Okinawa prefecture located in the Corresponding author: Makoto Miyaji southern subtropical part in 1984 (Nakama et al.: Research Center for Pathogenic Fungi and Microbial Jpn J Med Mycol 25: 15, 1984, article in Toxicoses, Chiba University, Japanese) . More recently, other cases were re- 1-8-1 Inohana, Chuo-ku, Chiba 260-8673, Japan ported from Okinawa and then later from 176 真 上菌 誌 第43巻 禽八∫3号 平 成14年 Fig. 1. A skin lesion on the dorsal region of the guinea pig Fig. 2. The undersurface of the right palm of the guinea (arrow). pig (arrow). Kyushu, Shikoku and Kanto areas indicating a purulent small lesion that recovered after treat- gradual migration of the disease northwards in ment with chloramphenicol for 6 days. Japan in the last 15 to 20 years4^22'.H. werneckii On October 22, 2001, his right palm had a was also isolated from the seashore, house-dust black pigmented lesion from which pus oozed out and an indoor swimming-pool 22,2si in this country. (Fig. 2). The scrapings from his palm and back To date there has been no available informa- showed no fungal elements in a direct examina- tion regarding animal infection by this organism. tion under light microscope after KOH mounting. This paper reports the first case of cutaneous in- The culture of scrapings on Mycosel Agar plates fection of H. werneckii in a household guinea pig was also negative. The guinea pig was given with mycological and molecular biological identi- griseofulvin for one week followed by ketoconazole fication of this pathogen. by mouth and bathing with an anti-fungal medi- cated shampoo was advised. Materials and Methods By November 2, 2001, both lesions had become Case history better and the animal is currently under follow- The animal in this study was a male guinea up observation. pig (English strain), born in Japan on February, Isolates 2001 and weighing 850 g. There was no history The clinical isolate collected from the guinea of its having been taken abroad. pig was evaluated in relation to the following On June 21, 2001, the male animal was taken eleven H. werneckii isolates stored at this research to an animal clinic and was said to have been center. Isolates IFM 4885, IFM 4993, IFM 41538, screaming in a strange voice, though he was vig- IFM 41540, IFM 41541, IFM 41542, IFM 46077, orous and had a good appetite. He was infested IFM 46078, IFM 46442, IFM 46445 and IFM with lice and was administered anti-lice treat- 46446 were used as reference strains in this study. ment and vitamin C. Fungal culture was negative Mycological study at that time. All the control isolates and the clinical isolate On September 16, 2001 he was found to be from the animal were subjected to the following continuously scratching his body and had an ul- mycological studies. The growth was observed on cerous lesion with loss of hair on his back (Fig. PDA slants at room temperature for two weeks, 1). Scrapings from the lesion were cultured on and slide cultures on PDA stained with lactophenol Mycosel Agar (BBL`S, Becton Dickinson and Co., cotton blue were viewed under a light micro- Cockeysville, MD) plates at room temperature scope. for two weeks. Shiny, black yeast-like fungal colo- Extraction of DNA nies developed on the plates together with other DNA was extracted from yeast cells according environmental fungal sprouts. After subculturing to the method of Makimura et al."'. Briefly, sev- on potato dextrose agar (PDA, Difco, Detroit, eral loops of yeast cells were suspended in a USA) slants for two months at room tempera- lysing solution (100 mM Tris-HC1, pH 8.0, ture, the colonies were sticky, paste-like, metallic 30 mM EDTA and 0.5% dodecyl sulphate) black in color and had a shiny yeast-like texture. and then heated at 65C for 15 minutes. The On October 7, 2001, the animal's right forearm solution was extracted with phenol-chloroform- was swollen and the skin on his right palm had isoamylalcohol (25:24:1 [v/vl). DNA was precipi- Jpn. J. Med. Mycol. Vol. 43 (No. 3 ), 2002 177 Fig. 3. Microscopic observation of yeast-form cells of the Fig. 4. Microscopic observation of a mycelial culture of isolate IFM 51425 stained with lactophenol cotton the isolate IFM 51425 stained with lactophenol cotton blue, (X 400). blue, (X 400). Annellidic conidia (arrows). Fig. 5. Alignment of nucleotide sequences of D1/D2 region of the large subunit 26S rDNA genes of H. werneckii isolates. Phylogenic type A: IFM 41540, IFM 41541, IFM 46077, IFM 46078 and IFM 46445. Phylogenic type B: IFM 46446, IFM 46442 and IFM 4993. Phylogenic type C: IFM 41542, IFM 41538 and IFM 4885 *; indicates the bases substituted in types B and C from type A. tated with chilled isopropanol. electrophoresis in 1.5% agarose gel in Tris/boric PCR amplification of the large subunit ribo- acid/EDTA buffer (89 mM Tris, 89 mM boric somal DNA gene (D1/D2 region) acid and 2 mM EDTA [pH 8.3]) and staining The divergent domain of Dl/D2 at the 5' end with ethidium bromide. of the LSU rDNA gene was amplified by the DNA sequencing method of Kurtzman and Robnett"l using the set The PCR amplified Dl/D2 region of the ribo- of primers NL-1 (5'-GCA TAT CAA TAA GCG somal gene was directly sequenced at both GAG GAA AAG-3') and NL-4 (5'-GGT CCG strands using an ABI PRISM 3100 sequencer TGT TTC AAG ACG G-3'). Amplification was after labeling with an ABI PRISM BigDye"' performed for 30 PCR cycles after denaturation Terminator Cycle Sequencing kit (Applied at 95C for 4 min., annealing at 551C for 2.5 min., Biosystems, Foster City, Ca., USA). The primers extension at 72C for 2.5 min. followed by a final NL-1 and NL-4 were also used in labeling. The extension at 72C for 10 min. and denaturing at nucleotide sequence data was analyzed with 94'C for 1 min. The products amplified were the genetic information processing software, purified with SUPREC''"-02 (TaKaRa, Shiga, GENETYX-MAC version 11.2.0 (Software Japan) according to the manufacturer's instruc- Development, Tokyo, Japan) and was compared tion and were visualized (not shown here) by to sequences of other H. werneckii isolates used in 178 真 菌 誌 第43巻 第3号 平 成14年 Table 1 GenBank accession no.