Identification of Cutaneous Mycobacterium massiliense Infections Associated with Repeated Surgical Procedures

Mycobacterium massiliense, an emerging pathogen that is increasingly reported as a causative agent in infections occurring during medical procedures, is difficult to be identified using conventional methods. Here we report the case of a cutaneous M. massiliense infection that was associated with repeated surgical procedures and that was identified via a comparative sequence analysis of rpoB and hsp65. The patient showed a substantial response to treatment with a combination of antimicrobial therapies consisting of clarithromycin, amikacin, and cefoxitin for 6 months.

Clarithromycin Susceptibility Testing of Mycobacterium avium Complex Using 2,3-Diphenyl-5-thienyl-(2)-tetrazolium Chloride Microplate Assay with Middlebrook 7H9 Broth

A series of 119 Mycobacterium avium complex isolates were subjected to clarithromycin susceptibility testing using microplates containing 2,3-diphenyl-5-thienyl-(2)-tetrazolium chloride (STC). Among 119 isolates, 114 (95.8%) were susceptible to clarithromycin and 5 were resistant according to the new and the standard method. STC counts the low cost and reduces the number of procedures needed for susceptibility testing.

Clarithromycin Susceptibility Testing of Mycobacterium avium Complex Using 2,3-Diphenyl-5-thienyl-(2)-tetrazolium Chloride Microplate Assay with Middlebrook 7H9 Broth

A series of 119 Mycobacterium avium complex isolates were subjected to clarithromycin susceptibility testing using microplates containing 2,3-diphenyl-5-thienyl-(2)-tetrazolium chloride (STC). Among 119 isolates, 114 (95.8%) were susceptible to clarithromycin and 5 were resistant according to the new and the standard method. STC counts the low cost and reduces the number of procedures needed for susceptibility testing.

Reidentification of Aspergillus spp. Isolated from Clinical Specimens of Patients Suspected as Pulmonary Aspergillosis in Korea / 대한의진균학회지

Korean Institute of Tuberculosis (KIT) collected 129 strains of Aspergillus spp. from clinical specimens of patient suspected as pulmonary Aspergillosis. On the basis of morphological characteristics, these strains were identified as A. fumigatus (62 strains), A. niger (37), A. flavus (26), A. versicolor (1), A. nidulans (1), A. clavatus (1) and Neosartorya fennelliae (1). These strains were re-identified according to recent Aspergillus classification system which is mainly based on molecular characters. The strains were grouped by Randomly Amplified Polymorphic DNA (RAPD). The representative strains from each group were sequenced with partial betatubulin gene and compared with those of reference strains in the Aspergillus and were identified by the sequence. The identification was confirmed by morphological examination. As the results, they are reidentified as A. fumigatus (58), A. niger (11), A. tubingensis (26), A. flavus (27), A. sydowii (3), A. nidulans (1), A. clavatus (1), Neosartorya fennelliae (1), N. fischeri (1). This is also the first report of A. tubuingensis in clinical field in Korea.

Reidentification of Aspergillus spp. Isolated from Clinical Specimens of Patients Suspected as Pulmonary Aspergillosis in Korea / 대한의진균학회지

Korean Institute of Tuberculosis (KIT) collected 129 strains of Aspergillus spp. from clinical specimens of patient suspected as pulmonary Aspergillosis. On the basis of morphological characteristics, these strains were identified as A. fumigatus (62 strains), A. niger (37), A. flavus (26), A. versicolor (1), A. nidulans (1), A. clavatus (1) and Neosartorya fennelliae (1). These strains were re-identified according to recent Aspergillus classification system which is mainly based on molecular characters. The strains were grouped by Randomly Amplified Polymorphic DNA (RAPD). The representative strains from each group were sequenced with partial betatubulin gene and compared with those of reference strains in the Aspergillus and were identified by the sequence. The identification was confirmed by morphological examination. As the results, they are reidentified as A. fumigatus (58), A. niger (11), A. tubingensis (26), A. flavus (27), A. sydowii (3), A. nidulans (1), A. clavatus (1), Neosartorya fennelliae (1), N. fischeri (1). This is also the first report of A. tubuingensis in clinical field in Korea.

A Case of Hypersensitivity Pneumonitis Caused by Penicillium species in a Home Environment

We report a case of hypersensitivity pneumonitis in a 30-yr-old female housewife caused by Penicillium species found in her home environment. The patient was diagnosed according to history, chest radiograph, spirometry, high-resolution chest CT, and transbronchial lung biopsy. To identify the causative agent, cultured aeromolds were collected by the open-plate method. From the main fungi cultured, fungal antigens were prepared, and immunoblot analysis with the patient's serum and each fungal antigen was performed. A fungal colonies were isolated from the patient's home. Immunoblotting analysis with the patient's sera demonstrated a IgG-binding fractions to Penicillium species extract, while binding was not noted with control subject. This study indicates that the patient had hypersensitivity pneumonitis on exposure to Penicillium species in her home environment.

Molds Identification I / 대한의진균학회지

Fungi constitute nonmotile eukaryotic organism that are devoid of chlorophyll and reproduce by spores. There are 100, 000 validly described species of fungi and over 275 species of those described fungi have been reported to cause disease in man and animals. Molds called filamentous fungi belong to the class Hyphomycetes. In the identification of Molds, the cultures have been purified and then observe their colony characteristics and microscopic morphology. Visual colony examination is important identifying marker concerning color, texture, diffusible pigments, exudates, macroscopic structures, growth rates and colony topography. In addition to the overall appearance of the colony, final identification should be made by microscopic examination. Microscopic features provide by the asexual/sexual spores, cells per spore, color of spores, spore formation and fragmentation of hyphae. Biochemical tests are not as important as markers for identifying filamentous fungi as they are for yeasts and dermatophytes.

Dermatophytes and Keratinophilic Fungi Isolated from Wild Rodents in Korea / 대한의진균학회지

BACKGROUND: Animals with zoophilic dermatophytes are important sources of dermatophytoses in man, because zoophilic dermatophytes are frequently transmitted directly or indirectly from domestic and wild animals. Trichophyton(T.) mentogrophytes has a wide range of hosts. Among these, rodents are well-known reservoirs in many other countries. In our country a few sporadic reports of incidence in experimental rats have been reported, but there is no study on the incidence in wild rodents in Korea. OBJECTIVE: The purpose of this study is to investigate the role of wild rodents as a host of dermatophytes and keratinophilic fungi in Korea. METHODS: Forty-nine wild rodents (Apodemus(A.) agrarius; 44, Crocidura spp; 5) were captured from 6 different regions of Kyungi-do with Sherman traps. Fungi were isolated by using the Mackenzie's brush technique. RESULTS: 1. Isolation rate of dermatophytes from wild rodents in Korea was 16.3%. 2. T. mentagrophytes was isolated from six A. agrarius (12.2%). Isolation rates from dorsum hairs, ventral hairs and feet were 4.5%, 9.1% and 9.1% respectively 3. Other dermatophytes and related keratinophilic fungi isolated were Chrysosporium spp.(65.3%), Scopulariopsis spp.(10.2%) and T. terrestre(4.1%). 4. Chrysosporium. was the most frequently isolated species from four out of six Kyonggi-do regions ranging 58.3%~83.3%. Scopulaiopsis was isolated the most in Kumgwang-myun Ansung-gun, and T. terrestre in Kimpo-gun. CONCLUSION: These results suggest that wild rodents, especially A. agrarius may be the important reservoirs of T. mentagrophytes and other keratinophilic fungi in Korea.