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DESCRIPTIONS OF MEDICAL FUNGI

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116<br />

Descriptions of Medical Fungi<br />

Madurella complex<br />

The genus Madurella was originally based on tissue morphology (mycetoma with black<br />

grains) and the formation of sterile cultures on mycological media. Initially two species<br />

were described, M. mycetomatis and M. grisea. However recent molecular studies have<br />

recognised five species: Madurella mycetomatis, Trematosphaeria grisea (formerly<br />

M. grisea), M. fahalii, M. pseudomycetomatis and M. tropicana (Desnos-Ollivier et al.<br />

2006, de Hoog et al. 2004a, 2012). All species have been isolated from soil and are<br />

major causative agents of mycetoma. RG-2 organism.<br />

Madurella mycetomatis (Laveran) Brumpt<br />

Morphological Description: Colonies are slow growing, flat and leathery at first,<br />

white to yellow to yellowish-brown, becoming brownish, folded and heaped with age,<br />

and with the formation of aerial mycelia. A brown diffusible pigment is characteristically<br />

produced in primary cultures. Although most cultures are sterile, two types of conidiation<br />

have been observed, the first being flask-shaped phialides that bear rounded conidia,<br />

the second being simple or branched conidiophores bearing pyriform conidia (3-5 µm)<br />

with truncated bases. The optimum temperature for growth of this mould is 37 O C.<br />

Grains of Madurella mycetomatis (tissue microcolonies) are brown or black, 0.5-1.0<br />

mm in size, round or lobed, hard and brittle, composed of hyphae which are 2-5 µm in<br />

diameter, with terminal cells expanded to 12-15 (30) µm in diameter.<br />

M. mycetomatis can be distinguished from Trematosphaeria grisea by growth at 37 O C<br />

and its inability to assimilate sucrose.<br />

Key Features: Black grain mycetoma, growth at 37 O C, diffusible brown pigment<br />

produced on culture and the occasional presence of phialides.<br />

References: McGinnis (1980), Chandler et al. (1980), Rippon (1988), de Hoog et al.<br />

(2000, 2004a, 2012, 2015), Desnos-Ollivier et al. (2006).<br />

a<br />

b<br />

20 µm<br />

Madurella mycetomatis (a) culture showing brown diffusible<br />

pigment, and (b) phialides and conidia.

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