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DESCRIPTIONS OF MEDICAL FUNGI

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184<br />

Descriptions of Medical Fungi<br />

Scopulariopsis Bain<br />

Most members of the genus Scopulariopsis are soil fungi, which are frequently isolated<br />

from food, paper and other materials. They also occur as laboratory contaminants.<br />

Several species have been reported as causative agents of onychomycosis and<br />

hyalohyphomycosis (Sandoval-Denis et al. 2013). The most common species seen in<br />

the clinical laboratory is S. brevicaulis, followed by S. gracilis S. brumptii, Microascus<br />

cinereus, S. candida complex, and M. cirrosus (Sandoval-Denis et al. 2013).<br />

Morphological Description: Colonies are fast growing, varying in colour from white,<br />

cream, grey, buff to brown and black, but are predominantly light brown. Microscopic<br />

morphology shows chains of single-celled conidia produced in basipetal succession<br />

from a specialised conidiogenous cell called an annellide. Once again, the term<br />

basocatenate can be used to describe such chains of conidia where the youngest<br />

conidium is at the basal end of the chain. In Scopulariopsis, annellides may be solitary,<br />

in groups, or organised into a distinct penicillus. Conidia are globose to pyriform, usually<br />

truncate, with a rounded distal portion, smooth to rough, and hyaline to brown in colour.<br />

RG-2 for species isolated from humans.<br />

Key Features: Hyphomycete, conidia often shaped like light globes, basocatenate<br />

arising from annellides.<br />

Molecular Identification: D1/D2 and EF-1α sequence analysis can be useful for the<br />

identification of the most common clinically relevant species (Sandoval-Denis et al.<br />

2013).<br />

References: Morton and Smith (1963), McGinnis (1980), Rippon (1988), Samson et<br />

al. (1995), Domsch et al. (2007), de Hoog et al. (2000, 2015).<br />

10 µm<br />

Scopulariopsis brevicaulis conidiophores (annellides) and conidia.<br />

Antifungal Susceptibility: S. brevicaulis (Skora et al. 2014); MIC µg/mL.<br />

Antifungal Range MIC 90<br />

Antifungal Range MIC 90<br />

AmB 4-16 >16 VORI 8->16 >16<br />

ITRA >16 >16 TERB 0.5-16 4

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