scholarly journals Epidemiology, Clinical Profile and Treatment Outcomes of Bacterial and Fungal Keratitis

2021 ◽  
Author(s):  
Nabila Mabrouk ◽  
Mohamed Abdelkader ◽  
Mohamed Abdelhakeem ◽  
Khaled Mourad ◽  
Ahmed Abdelghany
Keyword(s):  
Treatment Outcomes ◽  
Fungal Pathogens ◽  
Fungal Growth ◽  
Fungal Species ◽  
Clinical Findings ◽  
Fungal Keratitis ◽  
Clinical Profile ◽  
Clinical Series ◽  
Vegetative Matter ◽  
Department Faculty

Abstract Purpose: The purpose of the study is to determine the microbiological aetiology, epidemiological factors, and clinical profile and treatment outcomes of infective keratitis in Ophthalmology department, Minia University. EgyptMethods:Prospective, non-randomized, observational clinical series of cases, including 150 patients with mean age 30 (range 12 to 85 years), 90 patients (60 %) were males and 60 (40%) were females, clinically diagnosed as infective corneal ulcer, attending the Ophthalmology Department – Faculty of Medicine. Minia University, Minia, Egypt. From 2018 to 2020.Detailed history taking and all clinical findings were collected. Corneal scrapings were obtained from patients and subjected to staining and culture for bacterial and fungal pathogens; Bacterial and fungal growth were identified by standard laboratory procedures.Results:Corneal trauma by a vegetative matter was the commesnest risk factor associated with infective keratitis in 92 cases (61.3%). Smear and Culture was positive in 83 cases (58.4%) of 142 corneal scrapings obtained, of which 60 cases were fungal (72.3%), 21 cases were bacterial (25.3%) and 2 cases were mixed bacterial and fungal (2.4%), Aspergillus species was the commonest fungal species isolated in fungal keratitis. 142 cases (94.67 %) healed completely with scar. Only 6 cases (4%) required evisceration due to aggressive presentation from the start and keratoplasty was performed for 2 cases (1.33%).Conclusions:Fungal keratitis was the commonest type in cases attending to our department. Adequate diagnosis, management and follow up helped in achieving high successful curative outcomes. Clinical Trials.gov ID: NCT04894630. Time of registration 1 December 2018

scholarly journals Post-translational regulation of autophagy is involved in intra-microbiome suppression of fungal pathogens

Microbiome ◽  
2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Jing Wang ◽  
Chaoyun Xu ◽  
Qiming Sun ◽  
Jinrong Xu ◽  
Yunrong Chai ◽  
...  
Keyword(s):  
Translational Regulation ◽  
Fungal Pathogens ◽  
Fungal Growth ◽  
Fungal Species ◽  
26S Proteasome ◽  
Healthy Plant ◽  
Autophagy Induction ◽  
Histone Acetyltransferase Gcn5 ◽  
Plant Microbiota ◽  
Autophagic Process

Abstract Background Microbiome interactions are important determinants for ecosystem functioning, stability, and health. In previous studies, it was often observed that bacteria suppress potentially pathogenic fungal species that are part of the same plant microbiota; however, the underlying microbe-microbe interplay remains mostly elusive. Here, we explored antagonistic interactions of the fungus Fusarium graminearum and bacterium Streptomyces hygroscopicus at the molecular level. Both are ubiquitous members of the healthy wheat microbiota; under dysbiosis, the fungus causes devastating diseases. Results In co-cultures, we found that Streptomyces alters the fungal acetylome leading to substantial induction of fungal autophagy. The bacterium secrets rapamycin to inactivate the target of rapamycin (TOR), which subsequently promotes the degradation of the fungal histone acetyltransferase Gcn5 through the 26S proteasome. Gcn5 negatively regulates fungal autophagy by acetylating the autophagy-related protein Atg8 at the lysine site K13 and blocking cellular relocalization of Atg8. Thus, degradation of Gcn5 triggered by rapamycin was found to reduce Atg8 acetylation, resulting in autophagy induction in F. graminearum. Conclusions Autophagy homeostasis plays an essential role in fungal growth and competition, as well as for virulence. Our work reveals a novel post-translational regulation of autophagy initiated by a bacterial antibiotic. Rapamycin was shown to be a powerful modulator of bacteria–fungi interactions with potential importance in explaining microbial homeostasis in healthy plant microbiomes. The autophagic process provides novel possibilities and targets to biologically control pathogens.

scholarly journals Epidemiology, clinical profile and treatment outcomes of bacterial and fungal keratitis

2021 ◽  
Author(s):  
Nabila A. Mabrouk ◽  
Mohamed Farouk Abdelkader ◽  
Mohammed A. Abdelhakeem ◽  
Khaled M. Mourad ◽  
Ahmed A. Abdelghany
Keyword(s):  
Treatment Outcomes ◽  
Fungal Keratitis ◽  
Clinical Profile

Clinical profile of pythium keratitis: perioperative measures to reduce risk of recurrence

2017 ◽  
Vol 102 (2) ◽  
pp. 153-157 ◽  
Author(s):  
Shweta Agarwal ◽  
Geetha Iyer ◽  
Bhaskar Srinivasan ◽  
Mamta Agarwal ◽  
Shobha Panchalam Sampath Kumar ◽  
...  
Keyword(s):  
Fungal Keratitis ◽  
Clinical Profile ◽  
Microbiological Diagnosis ◽  
Pythium Insidiosum ◽  
Risk Of Recurrence ◽  
Reticular Pattern ◽  
History Of ◽  
Corneal Scraping ◽  
Vegetative Matter

PurposeTo report the clinical profile and role of perioperative adjunctive measures to reduce the risk of recurrence in Pythium insidiosum keratitis.MethodsRetrospective analysis of 10 eyes of 10 patients with P. insidiosum keratitis. Diagnosis was confirmed by PCR DNA sequencing.Results7out of 10 patients were from urban locales, and none had any obvious history of injury with vegetative matter and were being treated for fungal keratitis. 6 eyes presented with central full thickness infiltrates with subepithelial and superficial stromal infiltrates radiating in a reticular pattern. Corneal scraping in all eyes revealed sparsely septate fungal-like filaments on potassium hydroxide/Calcofluor. All eyes underwent the first therapeutic penetrating keratoplasty (TPK) based on worsening or non-responsiveness of clinical features to the antifungal regimen. Recurrence was noted in 7 out of 10 eyes of which 2 eyes underwent evisceration. Of the six eyes that underwent cryotherapy following confirmation of microbiological diagnosis of Pythium (along with primary TPK-1, with re-TPK-5), only one eye had a recurrence and had to be eviscerated. Of the two eyes that did not undergo cryotherapy during re-TPK, following microbiological diagnosis, one eye had a recurrence and had to be eviscerated. In two eyes with adjoining scleritis, the host bed was swabbed using absolute alcohol of which one eye was salvaged.ConclusionThis series highlights the need to be aware of this entity in the management of refractory fungal keratitis. It also brings to fore the adjunctive measures that could have a beneficial role in the management of pythium keratitis.

scholarly journals Identification of Fungi in Burn Wounds Using Conventional and Vitek System in Duhok City, Iraq

2020 ◽  
Vol 8 (2) ◽  
pp. 62-65
Author(s):  
Najim A. Yassin ◽  
Noor M. Qadri Oumeri
Keyword(s):  
Middle Ages ◽  
Fungal Pathogens ◽  
Late Onset ◽  
Fungal Infections ◽  
Fungal Growth ◽  
Fungal Species ◽  
Growth Patterns ◽  
Morbidity And Mortality ◽  
Cryptococcus Laurentii ◽  
Fungal Isolation

Background: Fungal burns and wounds infections are frequent but underestimated causing invasive infections with late-onset morbidity and mortality in patients suffering severe perturbed immune systems. Objectives: This study aimed to investigate fungal infections in clinical specimens by using conventional and Vitek system. Methods:  A total of 123 swabs were obtained from wound and burns patients with different age, gender, burn degrees and nationality that admitted burns and emergency hospital in Duhok city, Iraq, from October 2019 till January 2020. All swabs screened by direct examination, fungal isolation then subjecting the purified colonies to Vitak system 2 to confirm the identification of fungal species. Results: Out of 123, 55.5% and 44.5% revealed fungal growth in wound and burn swab, respectively with more mono-fungal growth patterns. Male, middle ages group, Iraqi nationality and second-degree burn were more affected. Cryptococcus laurentii was the predominant (40%) followed by Stephanoascus ciferri (23%), Aspergillus nigar  (11%) and Candida albicans was very low rate (1.1%), while other fungal specie’s were recorded in fewer rates. The present study demonstrated that the wound and burn fungal infection cases are relatively high in above mentioned hospitals with a variety of fungal pathogens. Unexpectedly, the Cryptococcus laurentii and Stephanoascus ciferri were highly predominant. Conclusions: The study concluded the necessity of using Vitak system for full identification and emphasize on the cleaning of surroundings of patients in the burn and wound units care, reduction of humidity, regular employment of topical and systemic antifungal agents that reduce morbidity and mortality in burn unit in this setting.

Inhibition of Fungal Growth by Macerated Plant Tissues in a Closed Environment

HortScience ◽  
1998 ◽  
Vol 33 (3) ◽  
pp. 476e-476
Author(s):  
Craig S. Charron ◽  
Catherine O. Chardonnet ◽  
Carl E. Sams
Keyword(s):  
Radial Growth ◽  
Fungal Pathogens ◽  
Solid Phase ◽  
Indian Mustard ◽  
Fungal Growth ◽  
Allyl Isothiocyanate ◽  
Pythium Ultimum ◽  
Alternative Methods ◽  
Gas Chromatography Mass Spectrometry ◽  
Clean Air

The U.S. Clean Air Act bans the use of methyl bromide after 2001. Consequently, the development of alternative methods for control of soilborne pathogens is imperative. One alternative is to exploit the pesticidal properties of macerated tissues of Brassica spp. This study tested the potential of several Brassica spp. for control of fungal pathogens. Pythium ultimum Trow or Rhizoctonia solani Kühn plugs on potato-dextrose agar on petri dishes were sealed in 500-ml glass jars (at 22 °C) containing macerated leaves (10 g) from one of six Brassica spp. Radial growth was measured 24, 48, and 72 h after inoculation. Indian mustard (B. juncea) was the most suppressive, followed by `Florida Broadleaf' mustard (B. juncea). Volatile compounds in the jars were sampled with a solid-phase microextraction device (SPME) and identified by gas chromatography-mass spectrometry (GC-MS). Allyl isothiocyanate (AITC) comprised over 90% of the total volatiles measured from Indian mustard and `Florida Broadleaf' mustard. Isothiocyanates were detected in jars with all plants except broccoli. (Z)-3-hexenyl acetate was emitted by all plants and was the predominant volatile of `Premium Crop' broccoli (B. oleracea L. var. italica), `Michihili Jade Pagoda' Chinese cabbage (B. pekinensis), `Charmant' cabbage (B. oleracea L. var. capitata), and `Blue Scotch Curled' kale (B. oleracea L. var. viridis). To assess the influence of AITC on radial growth of P. ultimum and R. solani, AITC was added to jars to give headspace concentrations of 0.10, 0.20, and 0.30 mg·L–1 (mass of AITC per volume of headspace). Growth of both fungi was inhibited by 0.10 mg·L–1 AITC. 0.20 mg·L–1 AITC was fungicidal to P. ultimum although the highest AITC level tested (0.30 mg·L–1) did not terminate R. solani growth. These results indicate that residues from some Brassica spp. may be a viable part of a soilborne pest control strategy.

scholarly journals Biodirected Synthesis of Silver Nanoparticles Using Aqueous Honey Solutions and Evaluation of Their Antifungal Activity against Pathogenic Candida Spp.

2021 ◽  
Vol 22 (14) ◽  
pp. 7715
Author(s):  
Grzegorz Czernel ◽  
Dominika Bloch ◽  
Arkadiusz Matwijczuk ◽  
Jolanta Cieśla ◽  
Monika Kędzierska-Matysek ◽  
...  
Keyword(s):  
Silver Nanoparticles ◽  
Antifungal Activity ◽  
Fungal Pathogens ◽  
Fungal Growth ◽  
Disc Diffusion ◽  
Candida Spp ◽  
Antifungal Effect ◽  
Synthesis Of Nanoparticles ◽  
Honey Solution ◽  
Diffusion Assay

Silver nanoparticles (AgNPs) were synthesized using aqueous honey solutions with a concentration of 2%, 10%, and 20%—AgNPs-H2, AgNPs-H10, and AgNPs-H20. The reaction was conducted at 35 °C and 70 °C. Additionally, nanoparticles obtained with the citrate method (AgNPs-C), while amphotericin B (AmB) and fluconazole were used as controls. The presence and physicochemical properties of AgNPs was affirmed by analyzing the sample with ultraviolet–visible (UV–Vis) and fluorescence spectroscopy, scanning electron microscopy (SEM), and dynamic light scattering (DLS). The 20% honey solution caused an inhibition of the synthesis of nanoparticles at 35 °C. The antifungal activity of the AgNPs was evaluated using opportunistic human fungal pathogens Candida albicans and Candida parapsilosis. The antifungal effect was determined by the minimum inhibitory concentration (MIC) and disc diffusion assay. The highest activity in the MIC tests was observed in the AgNPs-H2 variant. AgNPs-H10 and AgNPs-H20 showed no activity or even stimulated fungal growth. The results of the Kirby–Bauer disc diffusion susceptibility test for C. parapsilosis strains indicated stronger antifungal activity of AgNPs-H than fluconazole. The study demonstrated that the antifungal activity of AgNPs is closely related to the concentration of honey used for the synthesis thereof.

scholarly journals Mitotic Recombination and Adaptive Genomic Changes in Human Pathogenic Fungi

Genes ◽  
2019 ◽  
Vol 10 (11) ◽  
pp. 901 ◽  
Author(s):  
Asiya Gusa ◽  
Sue Jinks-Robertson
Keyword(s):  
Fungal Pathogens ◽  
Repetitive Sequences ◽  
Pathogenic Fungi ◽  
Genetic Alterations ◽  
Fungal Species ◽  
Chronic Infections ◽  
Yeast Saccharomyces Cerevisiae ◽  
Genomic Changes ◽  
Break Site ◽  
Repair Mechanisms

Genome rearrangements and ploidy alterations are important for adaptive change in the pathogenic fungal species Candida and Cryptococcus, which propagate primarily through clonal, asexual reproduction. These changes can occur during mitotic growth and lead to enhanced virulence, drug resistance, and persistence in chronic infections. Examples of microevolution during the course of infection were described in both human infections and mouse models. Recent discoveries defining the role of sexual, parasexual, and unisexual cycles in the evolution of these pathogenic fungi further expanded our understanding of the diversity found in and between species. During mitotic growth, damage to DNA in the form of double-strand breaks (DSBs) is repaired, and genome integrity is restored by the homologous recombination and non-homologous end-joining pathways. In addition to faithful repair, these pathways can introduce minor sequence alterations at the break site or lead to more extensive genetic alterations that include loss of heterozygosity, inversions, duplications, deletions, and translocations. In particular, the prevalence of repetitive sequences in fungal genomes provides opportunities for structural rearrangements to be generated by non-allelic (ectopic) recombination. In this review, we describe DSB repair mechanisms and the types of resulting genome alterations that were documented in the model yeast Saccharomyces cerevisiae. The relevance of similar recombination events to stress- and drug-related adaptations and in generating species diversity are discussed for the human fungal pathogens Candida albicans and Cryptococcus neoformans.

scholarly journals Double Gamers—Can Modified Natural Regulators of Higher Plants Act as Antagonists against Phytopathogens? The Case of Jasmonic Acid Derivatives

2020 ◽  
Vol 21 (22) ◽  
pp. 8681
Author(s):  
Nicolò Orsoni ◽  
Francesca Degola ◽  
Luca Nerva ◽  
Franco Bisceglie ◽  
Giorgio Spadola ◽  
...  
Keyword(s):  
Jasmonic Acid ◽  
Plant Pathogens ◽  
Higher Plants ◽  
Fungal Growth ◽  
Pathogenic Fungi ◽  
Inhibitory Effect ◽  
Fungal Species ◽  
Phytopathogenic Fungi ◽  
Phaeomoniella Chlamydospora ◽  
Horticultural Crops

As key players in biotic stress response of plants, jasmonic acid (JA) and its derivatives cover a specific and prominent role in pathogens-mediated signaling and hence are promising candidates for a sustainable management of phytopathogenic fungi. Recently, JA directed antimicrobial effects on plant pathogens has been suggested, supporting the theory of oxylipins as double gamers in plant-pathogen interaction. Based on these premises, six derivatives (dihydrojasmone and cis-jasmone, two thiosemicarbazonic derivatives and their corresponding complexes with copper) have been evaluated against 13 fungal species affecting various economically important herbaceous and woody crops, such as cereals, grapes and horticultural crops: Phaeoacremonium minimum, Neofusicoccum parvum, Phaeomoniella chlamydospora, Fomitiporia mediterranea, Fusarium poae, F. culmorum, F. graminearum, F. oxysporum f. sp. lactucae,F. sporotrichioides, Aspergillus flavus, Rhizoctonia solani,Sclerotinia spp. and Verticillium dahliae. The biological activity of these compounds was assessed in terms of growth inhibition and, for the two mycotoxigenic species A. flavus and F. sporotrichioides, also in terms of toxin containment. As expected, the inhibitory effect of molecules greatly varied amongst both genera and species; cis-jasmone thiosemicarbazone in particular has shown the wider range of effectiveness. However, our results show that thiosemicarbazones derivatives are more effective than the parent ketones in limiting fungal growth and mycotoxins production, supporting possible applications for the control of pathogenic fungi.

scholarly journals Modelling Fungal Growth, Mycotoxin Production and Release in Grana Cheese

2020 ◽  
Vol 8 (1) ◽  
pp. 69 ◽  
Author(s):  
Marco Camardo Leggieri ◽  
Amedeo Pietri ◽  
Paola Battilani
Keyword(s):  
Predictive Models ◽  
Fungal Growth ◽  
Cyclopiazonic Acid ◽  
Fungal Species ◽  
Fungal Ecology ◽  
Influence Of Temperature ◽  
Mycotoxin Production ◽  
Roquefortine C ◽  
Grana Cheese

No information is available in the literature about the influence of temperature (T) on Penicillium and Aspergillus spp. growth and mycotoxin production on cheese rinds. The aim of this work was to: (i) study fungal ecology on cheese in terms of T requirements, focusing on the partitioning of mycotoxins between the rind and mycelium; and (ii) validate predictive models previously developed by in vitro trials. Grana cheese rind blocks were inoculated with A. versicolor, P. crustosum, P. nordicum, P. roqueforti, and P. verrucosum, incubated at different T regimes (10–30 °C, step 5 °C) and after 14 days the production of mycotoxins (ochratoxin A (OTA); sterigmatocystin (STC); roquefortine C (ROQ-C), mycophenolic acid (MPA), Pr toxin (PR-Tox), citrinin (CIT), cyclopiazonic acid (CPA)) was quantified. All the fungi grew optimally around 15–25 °C and produced the expected mycotoxins (except MPA, Pr-Tox, and CIT). The majority of the mycotoxins produced remained in the mycelium (~90%) in three out of five fungal species (P. crustosum, P. nordicum, and P. roqueforti); the opposite occurred for A. versicolor and P. verrucosum with 71% and 58% of STC and OTA detected in cheese rind, respectively. Available predictive models fitted fungal growth on the cheese rind well, but validation was not possible for mycotoxins because they were produced in a very narrow T range.

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