Lacazia

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Lacazia loboi
Scientific classification
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Lacazia
Synonyms

Loboa loboi

Lacazia is a genus of fungi containing the single species Lacazia loboi, which is responsible for Lobo's disease. It is a member of the order Onygenales. [1]

Contents

Description and natural habitats

Lacazia loboi is a yeast-like fungus that causes infection in humans and bottle-nosed dolphins (Tursiops truncatus). Aqueous environments appear to be mandatory for the lifecycle of L. loboi. It is saprophytic in water and is transmitted to the vulnerable host via contact. Infections due to L. loboi are mostly reported from tropical zones.

Species

The genus Lacazia contains a single species, Lacazia loboi. While the name Loboa loboi is still frequently used to refer to the causative agent of lobomycosis, more recently, classification of the fungus in the genus Lacazia and conclusively, the name Lacazia loboi has been proposed by McGinnis et al. [2]

Synonyms

See the summary of synonyms and teleomorph-anamorph relations for the Lacazia spp.

Pathogenicity and clinical significance

L. loboi is the causative agent of a tropical mycosis, lobomycosis, which is characterized by mucocutaneous lesions, that are usually nodular, vegetating, verrucose, cauliflower-like and hyper- or hypopigmented. Lower extremities and the ears are most commonly involved. Nasal and labial lesions have rarely been reported. [3] [4] [5] [6] [7]

Aquarium employees and farmers constitute most of the cases with lobomycosis. Occupations such as goldmining, fishing, and hunting also predispose to L. loboi infections. A previous cutaneous trauma, insect bite, or wound cut enhances the entry of the fungus through the skin via contact with infected surrounding, such as dolphins. No evidence shows person-to-person transmission of lobomycosis. [4] [8]

Macroscopic features

Attempts to grow L. loboi on artificial media have as yet been unsuccessful.

Microscopic features

Numerous yeast-like, round, thick-walled cells are visualized. Chains of yeast cells are typically formed. Little tube-like connections are visible between the yeast cells. [4]

Histopathologic features

Granuloma and yeast-like cells (diameter: 5-12 µm) forming chains are observed. As well as tube-like connections between the cells, secondary buds may also be visualized. The cells may be phagocytosed by histiocytes or multinucleated giant cells. Periodic-Acid-Schiff (PAS), Gomori's-Grocott's, and Gridley's silver stains are used for examination of histopathological sections. [4]

Comparisons

Cross-antigenicity has been detected between L. loboi and Paracoccidioides brasiliensis . [9]

Susceptibility

Since efforts to cultivate L. loboi have failed, no in vitro susceptibility data are available. Optional treatment of lobomycosis is surgical excision. Full excision of the lesion is required for clinical success. Repeated cryotherapy may also yield favorable clinical response. While there yet appears no optional medical therapy, clofazimine has been effective in some cases with lobomycosis. [4] [10]

Sister taxon

It is a sister taxon to P. brasiliensis. [11]

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Dimorphic fungus

Dimorphic fungi are fungi that can exist in the form of both mold and yeast. This is usually brought about by change in temperature and the fungi are also described as thermally dimorphic fungi. An example is Talaromyces marneffei, a human pathogen that grows as a mold at room temperature, and as a yeast at human body temperature.

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<i>Cladophialophora carrionii</i> Species of fungus

Cladophialophora carrionii is a melanized fungus in the genus Cladophialophora that is associated with decaying plant material like cacti and wood. It is one of the most frequent species of Cladophialophora implicated in human disease. Cladophialophora carrionii is a causative agent of chromoblastomycosis, a subcutaneous infection that occurs in sub-tropical areas such as Madagascar, Australia and northwestern Venezuela. Transmission occurs through traumatic implantation of plant material colonized by C. carrionii, mainly infecting rural workers. When C. carrionii infects its host, it transforms from a mycelial state to a muriform state to better tolerate the extreme conditions in the host's body.

Arthrographis kalrae is an ascomycetous fungus responsible for human nail infections described in 1938 by Cochet as A. langeronii. A. kalrae is considered a weak pathogen of animals including human restricted to the outermost keratinized layers of tissue. Infections caused by this species are normally responsive to commonly used antifungal drugs with only very rare exceptions.

<i>Paracoccidioides lutzii</i> Species of fungus

Paracoccidioides lutzii is a dimorphic fungus that is one of the causal agents of paracoccidioidomycosis, together with Paracoccidioides brasiliensis. Unlike P. brasiliensis, which is found throughout Central and South America, P. lutzii is found only in Brazil and Ecuador. It is less virulent than P. brasiliensis.

References

  1. Herr RA, Tarcha EJ, Taborda PR, Taylor JW, Ajello L, Mendoza L (2001). "Phylogenetic analysis of Lacazia loboi places this previously uncharacterized pathogen within the dimorphic Onygenales". J. Clin. Microbiol. 39 (1): 309–14. doi:10.1128/JCM.39.1.309-314.2001. PMC   87720 . PMID   11136789.
  2. Taborda, P. R., V. A. Taborda, and M. R. McGinnis. 1999. Lacazia loboi gen. nov., comb, nov., the etiologic agent of lobomycosis. J Clin Microbiol. 37:2031-2033.
  3. Burns, R. A., J. S. Roy, C. Woods, A. A. Padhye, and D. W. Warnock. 2000. Report of the first human case of lobomycosis in the United States. J Clin Microbiol. 38:1283-5.
  4. 1 2 3 4 5 Collier, L., A. Balows, and M. Sussman. 1998. Topley & Wilson's Microbiology and Microbial Infections, 9th ed, vol. 4. Arnold, London, Sydney, Auckland, New York.
  5. Jaramillo, D., A. Cortes, A. Restrepo, M. Builes, and M. Robledo. 1976. Lobomycosis. Report of the eighth Colombian case and review of the literature. J Cutan Pathol. 3:180-9.
  6. Rodriguez-Toro, G. 1993. Lobomycosis. Int. J. Dermatol. 32:324-32.
  7. Rodriguez-Toro, G., and N. Tellez. 1992. Lobomycosis in Colombian Amer Indian patients. Mycopathologia. 120:5-9.
  8. Haubold, E. M., J. F. Aronson, D. F. Cowan, M. R. McGinnis, and C. R. Cooper. 1998. Isolation of fungal rDNA from bottlenose dolphin skin infected with Loboa loboi. Med Mycol. 36:263-267.
  9. Camargo, Z. P., R. G. Baruzzi, S. M. Maeda, and M. C. Floriano. 1998. Antigenic relationship between Loboa loboi and Paracoccidioides brasiliensis as shown by serological methods. Med Mycol. 36:413-417.
  10. Restrepo, A. 1994. Treatment of tropical mycoses. J. Amer. Acad. Dermatol. 31:S91-102.
  11. Mendoza L, Vilela R, Rosa PS, Fernandes Belone AF (December 2005). "Lacazia loboi and Rhinosporidium seeberi: a genomic perspective". Rev Iberoam Micol. 22 (4): 213–6. doi:10.1016/S1130-1406(05)70045-0. PMID   16499413.