RESUMO
Sporotrichosis is a subacute or chronic mycosis caused worldwide by the dimorphic species complex, Sporothrix schenckii. We studied 85 isolates recovered in Brazil to verify their identification and evaluate their in vitro antifungal susceptibility patterns. Based on phenotypic tests (microscopic features, ability to grow at 30°C and 37°C, colony diameters, as well as assimilation of sucrose and raffinose) and molecular assays (amplification of a fragment of the calmodulin gene), the strains were identified as S. schenckii, S. brasiliensis and S. globosa, with a predominance of S. schenckii isolates. There was 37.7% disagreement between the phenotypic and genotypic identification methodologies. In general, terbinafine was the most active drug, followed by ketoconazole and itraconazole, and the less active fluconazole and voriconazole. Five isolates (one S. globosa and four S. schenckii) were found to be itraconazole-resistant strains but, in general, there were no differences in the in vitro antifungal susceptibility profiles among the Sporothrix species.
Assuntos
Antifúngicos/farmacologia , Sporothrix/classificação , Esporotricose/microbiologia , Brasil , Humanos , Testes de Sensibilidade Microbiana , Tipagem Molecular , Técnicas de Tipagem Micológica , Sporothrix/genética , Sporothrix/isolamento & purificação , Sporothrix/fisiologiaRESUMO
Chromoblastomycosis is a chronic cutaneous and subcutaneous mycosis. The management of this infection continues to be challenging because there is no consensus on the therapeutic regimen. We report here a case of a 69-year-old male patient with cauliflower-like lesions on his left leg and foot. He had already been treated with itraconazole at a dose of 200 mg/day for 5 months, with mycological cure for all the affected areas. However, the lesions relapsed at both sites, and treatment with itraconazole was resumed at the dose previously used. Initially, direct mycological examination, cultural, and microculture slide observation were performed. Afterward, sequencing of the ITS1-5.8S rDNA-ITS2 region of the fungal DNA and evaluation of its susceptibility to antifungal agents alone and in combination were performed. In direct mycological examination, the presence of sclerotic cells was verified, and the fungus was identified as Fonsecaea based on cultural and microscopic examinations. Identification as Fonsecaea monophora was confirmed after sequencing of the ITS region and phylogenetic analysis. The isolate was susceptible to itraconazole and terbinafine. The combinations of amphotericin B and terbinafine and terbinafine and voriconazole were synergistic. The use of drugs for which the causative agent is susceptible to singly or in combination may be an alternative for the treatment of mycosis. Furthermore, the identification of the agent by molecular techniques is important for epidemiological purposes. To the best of our knowledge, this is the first case of relapsed chromoblastomycosis caused by F. monophora in Brazil.
Assuntos
Antifúngicos/farmacologia , Ascomicetos/efeitos dos fármacos , Ascomicetos/isolamento & purificação , Cromoblastomicose/diagnóstico , Cromoblastomicose/microbiologia , Idoso , Ascomicetos/classificação , Ascomicetos/genética , Brasil , Cromoblastomicose/patologia , DNA Fúngico/química , DNA Fúngico/genética , DNA Ribossômico/química , DNA Ribossômico/genética , DNA Espaçador Ribossômico/química , DNA Espaçador Ribossômico/genética , Sinergismo Farmacológico , Humanos , Masculino , Testes de Sensibilidade Microbiana , Técnicas Microbiológicas , RNA Ribossômico 5,8S/genética , Recidiva , Análise de Sequência de DNARESUMO
We report a case of an 80-year-old Brazilian man, farmer, with lesions on the dorsum of the hand. A direct mycological examination, cultivation and microculture slide observation was performed. The sequencing of ITS1-5.8S rDNA-ITS2 region was carried out and the etiological agent confirmed as Exophiala spinifera. The in vitro susceptibility of this isolate to antifungal agents alone and in combination was evaluated. This is the third case of phaeohyphomycosis caused by Exophiala spinifera in Brazil.
RESUMO
Con el objetivo de investigar el efecto del medio de cultivo en la productividad y tiempo de desarrollo huevo-adulto de una cepa silvestre y tres cepas mutantes (CyLv, vg, w) de Drosophila melanogaster, se examinaron dos tipos de medios: banano y naranja. Para esto se empleó un diseño con dos factores, medio de cultivo y tipo de cepa, para un total de ocho tratamientos con cinco repeticiones cada uno. Se obtuvo que la productividad y el tiempo de desarrollo dependen del medio de cultivo y el tipo de cepa, encontrándose mayor productividad en el medio de naranja. La cepa silvestre presentó la mayor productividad y el menor tiempo de desarrollo en los dos medios (α=0,05). El análisis genético evidenció una heredabilidad baja y una variación fenotípica debida en su mayor parte al componente de interacción genotipo-ambiente, lo que explica la diferencia en el patrón de productividad y tiempo de desarrollo entre medios de cultivo.
With the objective of investigating the effect of the culture media in the productivity and development time egg-adult of Drosophila melanogaster in +/+ and three mutants (CyLv, vg, w), two culture media: banana and orange, were evaluated. An experimental design with two factors: culture media and kind of flies-stock, were tested, for a total of eight treatments with five replicas each one. The productivity and development time depend on culture media and kind of flies-stock, and the biggest productivity was in the orange culture media. The +/+ presented the biggest productivity and lowest development time in both culture media (α=0.05). The genetic analysis showed a low heritability and the phenotypic variation was due, in a mayor part, to the component of the interaction genotype-environment that explains the difference in the patron of productivity and development time between culture media.