DESCRIPTIONS OF MEDICAL FUNGI
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186<br />
Descriptions of Medical Fungi<br />
Sporothrix schenckii complex<br />
It is now recognised that Sporothrix schenckii is a species complex of five distinct<br />
species: S. schenckii sensu strictu, S. brasiliensis, S. globosa, S. mexicana and S.<br />
luriei (Marimon et al. 2007, Romeo et al. 2011, Barros et al. 2011, Oliveira et al. 2014,<br />
Zhang et al. 2015b). RG-2 organism.<br />
Sporothrix schenckii complex is a dimorphic fungus and has a worldwide distribution,<br />
particularly in tropical and temperate regions. It is commonly found in soil and on decaying<br />
vegetation and is a well-known pathogen of humans and animals. Sporotrichosis is<br />
primarily a chronic mycotic infection of the cutaneous or subcutaneous tissues and<br />
adjacent lymphatics characterised by nodular lesions which may suppurate and<br />
ulcerate. Infections are caused by the traumatic implantation of the fungus into the<br />
skin, or very rarely, by inhalation into the lungs. Secondary spread to articular surfaces,<br />
bone and muscle is not infrequent, and the infection may also occasionally involve the<br />
central nervous system, lungs or genitourinary tract.<br />
Sporothrix schenckii Hektoen & Perkins<br />
Morphological Description: Colonies at 25 O C, are slow growing, moist and glabrous,<br />
with a wrinkled and folded surface. Some strains may produce short aerial hyphae<br />
and pigmentation may vary from white to cream to black. Conidiophores arise at right<br />
angles from thin septate hyphae and are usually solitary, erect and tapered toward the<br />
apex. Conidia are formed in clusters on tiny denticles by sympodial proliferation at the<br />
apex of the conidiophore, their arrangement often suggestive of a flower. As the culture<br />
ages, conidia are subsequently formed singly along the sides of both conidiophores<br />
and undifferentiated hyphae. Conidia are ovoid or elongated, 3-6 x 2-3 µm, hyaline,<br />
one-celled and smooth-walled. In some isolates, solitary, darkly-pigmented, thickwalled,<br />
one-celled, obovate to angular conidia may be observed along the hyphae. On<br />
brain heart infusion (BHI) agar containing blood at 37 O C, colonies are glabrous, white<br />
to greyish-yellow and yeast-like consisting of spherical or oval budding yeast cells.<br />
Molecular Identification: DNA sequencing using ITS, D1/D2, β-tubulin, calmodulin<br />
and chalcone synthase genes is recommended for species identification (Marimon<br />
et al. 2007, Romeo et al. 2011, Barros et al. 2011, Oliveira et al. 2014, Zhang et al.<br />
2015b).<br />
MALDI-T<strong>OF</strong> MS: Oliverira et al. (2015) established a MALDI-T<strong>OF</strong> protocol and<br />
reference database for the identification of Sporothrix species.<br />
Key Features: Hyphomycete characterised by thermal dimorphism and clusters of<br />
ovoid, denticulate conidia produced sympodially on short conidiophores.<br />
References: McGinnis (1980), Domsch et al. (1980), Rippon (1988), de Hoog et al.<br />
(1985, 2000, 2015).<br />
Antifungal Susceptibility: S. schenckii variable data for amphotericin B and azoles;<br />
testing of individual strains recommended (Alvarado-Ramirez and Torres-Rodriguez<br />
2007, Marimon et al. 2008, Silveira et al. 2009, Oliveira et al. 2011, Ottonelli Stopiglia<br />
et al. 2014, Rodrigues et al. 2014, Australian National data); MIC µg/mL.<br />
Antifungal Range MIC 90<br />
Antifungal Range MIC 90<br />
AmB 0.03->16 >16 POSA 0.03->16 8<br />
ITRA 0.03->16 >16 VORI 0.125->16 >16<br />
TERB 0.03-1 0.5