DESCRIPTIONS OF MEDICAL FUNGI
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120<br />
Descriptions of Medical Fungi<br />
RG-1 organisms.<br />
Malassezia Baillon<br />
Morphological Description: On media like modified Dixon’s agar, colonies are cream<br />
to yellowish, smooth or lightly wrinkled, glistening or dull, and with the margin being<br />
either entire or lobate. Malassezia is characterised by globose, oblong-ellipsoidal to<br />
cylindrical yeast cells. Reproduction is by budding on a broad base and from the same<br />
site at one pole (unipolar).<br />
Molecular Identification: ITS and D1/D2 sequencing may be used for accurate<br />
species identification (de Hoog et al. 2015).<br />
MALDI-T<strong>OF</strong> MS: Capable of identifying all 14 Malassezia species in concordance with<br />
those of ITS sequence analyses (Kolecka et al. 2014).<br />
Identification criteria for the differentiation of Malassezia species (de Hoog et. al. 2015).<br />
+ Positive, - Negative, v Variable, w Weak, s Slow, nd No Data<br />
Species Buds SDA 40 O C<br />
Cremophor<br />
EL<br />
Tween<br />
80<br />
Tween<br />
60<br />
Tween<br />
40<br />
Tween<br />
20<br />
Esculine<br />
M. caprae narrow - - - + + + + + +<br />
M. couiculi narrow - + - - - - - nd +<br />
M. dermatis wide - + nd + + + + nd +<br />
M. equina narrow - - - + + + + + +<br />
M. furfur wide - + + + + + w +<br />
M. globosa narrow - - - - - - - +<br />
M. japonica wide - - nd - + w - nd +<br />
M. nana narrow - v nd w + + v nd +<br />
M. obtusa wide - - - - - - + +<br />
M. pachydermatis wide + + -,w + + -,w v v<br />
M. restricta narrow - - - - - - - -<br />
M. slooffiae wide - + - +,w + + - +<br />
M. sympodialis narrow - + -,w + + + + + +<br />
M. yamatoensis wide - - nd + + + + nd +<br />
Antifungal Susceptibility: Very limited data available. Special growth conditions<br />
are needed for antifungal susceptibility testing; data from Nakamura et al. (2000),<br />
Velegraki et al. (2004) and Miranda et al. (2007); MIC µg/mL.<br />
MIC µg/mL<br />
MIC µg/mL<br />
Antifungal Range MIC Antifungal<br />
90<br />
Range MIC 90<br />
FLU 0.125->64 4 (8) AmB 0.03-16 1 (8)<br />
Catalase<br />
References: Guillot and Gueho (1995), Gueho et al. (1996), Guillot et al. (1996, 2000),<br />
Boekhout et al. (2010), Cafarchia et al. (2011), de Hoog et al. (2015).<br />
ITRA 0.03-16 0.125 VORI 0.03-16 0.125 (1)<br />
KETO 0.03-4 0.25 POSA 0.03-32 0.125 (2)<br />
Note: There is no standardised method and results are often variable, therefore<br />
susceptibility testing for guiding treatment is not recommended.