DESCRIPTIONS OF MEDICAL FUNGI
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Descriptions of Medical Fungi 163<br />
Quambalaria cyanescens<br />
Synonymy: Sporothrix cyanescens de Hoog & de Vries.<br />
Cerinosterus cyanescens (de Hoog & de Vries) R.T. Moore<br />
The genus Quambalaria contains five species, including Q. cyanescens, Q. pitereka,<br />
Q. eucalypti, Q. coyrecup and Q. simpsonii. Q. cyanescens is a hyaline basidiomycete<br />
isolated from a broad range of ecological niches, including air, soil, and insect larvae as<br />
well as in association with diverse plant sources, including Corymbia and Eucalyptus<br />
species from Australia. Q. cyanescens appears to be an emerging opportunistic<br />
pathogen in immunocompromised or debilitated individuals. It has been isolated from<br />
human skin and subcutaneous infections, blood, nosocomial infections in patients with<br />
pneumonia, peritonitis and invasive pulmonary infection (Jackson et al. 1990, Tambini<br />
et al. 1996, Schmidt et al. 2000, Kuan et al. 2015).<br />
RG-1 organism.<br />
Morphological Description: Colonies are restricted, farinose or velvety, often compact<br />
and somewhat cerebriform, snow-white, and later often exuding a pH-dependent, deep<br />
blue/violet pigment into the agar. Conidiogenous cells are undifferentiated, cylindrical,<br />
of variable size (1.5-3.0 µm wide), apically with a cluster of small denticles, the cluster<br />
often repeatedly proliferating and forming similar clusters. Conidia are hyaline, smoothwalled<br />
or finely verrucose, obovoidal, 3-4 µm long, somewhat larger (3.5-6.5 µm long)<br />
when bearing secondary conidia.<br />
Molecular Identification: ITS and D1/D2 sequencing recommended.<br />
Key Features: Q. cyanescens is similar to Sporothrix, but the conidial scars are<br />
very small and cultures are thin and fragile. In fresh cultures the diffusible pigment<br />
is characteristic. Sporothrix schenckii forms tough colonies, which finally become<br />
blackish-brown.<br />
References: de Hoog and de Vries (1973), de Beer et al. (2006), Simpson (2000), de<br />
Hoog et al. (2015).<br />
b<br />
b<br />
a<br />
b<br />
10 µm<br />
b<br />
c<br />
Quambalaria cyanescens (a) culture, (b) conidiogenous cells with small<br />
denticles and conidia, and (c) mature conidium bearing secondary conidia.