The fungal orderOnygenalesincludes many pathogens of humans and animals, and recent studies have shown some onygenalean fungi to be significant emerging pathogens of reptiles. Although many of these fungi have similar morphological features in histologic tissue sections, recent molecular analyses have revealed a genetically complex and diverse group of reptile pathogens comprising several genera, most notablyNannizziopsis,Ophidiomyces, andParanannizziopsis. Infections by members of these genera have been previously reported in a variety of reptile species, including crocodilians, lizards, snakes, and tuataras, with negative impacts on conservation efforts for some reptiles. Despite the well-documented pathogenicity of these fungi in all other extant reptile lineages, infection has not yet been reported in aquatic turtles. In this study, we report the isolation of an onygenalean fungus associated with shell lesions in freshwater aquatic turtles. The morphologic and genetic characteristics of multiple isolates (n= 21) are described and illustrated. Based on these features and results of a multigene phylogenetic analysis, a new genus and species,Emydomyces testavorans, are proposed for these fungi isolated from turtle shell lesions.
A newly described onygenalean fungus, Emydomyces testavorans, has been isolated from ulcerative shell and skin lesions of freshwater aquatic chelonians. To investigate the shell lesions associated with infection and determine if any lesional features were unique to E. testavorans, tissues from turtles housed in zoological institutions ( n = 45) in the United States and free-living turtles ( n = 5) submitted for diagnostic biopsy or necropsy were examined. Free-living turtles were from geographically distinct habitats in Florida ( n = 1) and Washington ( n = 4) at the time of sampling. Histologic shell sections were evaluated for the presence or absence of specific lesional features. Infection with E. testavorans was evaluated in all cases by screening GMS (Grocott-Gomori’s methenamine silver)-stained histologic sections for the presence of morphologically consistent fungi and by quantitative PCR (polymerase chain reaction) on representative frozen tissue or formalin-fixed paraffin-embedded sections. Additionally, culture was performed for 15 cases with available fresh/frozen tissue. In total, there were 17 PCR-confirmed E. testavorans cases, 29 cases with morphologically consistent fungi on GMS-stained sections, and 21 cases of shell lesions without histologic or molecular evidence of E. testavorans infection. Epithelial inclusion cysts, defined as cystic structures within the dermis lined by keratinized stratified squamous epithelium and containing necrotic bone and keratin debris, were significantly ( P < .01) associated with E. testavorans infection. Other significantly associated shell lesions included squamous metaplasia, hyperkeratosis, inflammation, and osteonecrosis ( P < .05). This study identified characteristic shell lesions associated with E. testavorans infection. Further studies to prove causality are needed.
An adult, captive-born eastern massasauga (Sistrurus catenatus catenatus) was examined for a subcutaneous abscess and fistula cranial to the vent. The wound improved initially with lavage and systemic antibiotic therapy, but multiple, scattered, small subcutaneous nodules later developed over the ventrum and lateral aspects of the body. Examination of fine needle aspirates from these nodules revealed granulomatous inflammation and fungal elements morphologically consistent with Ophidiomyces ophiodiicola. The animal died before antifungal therapy could be implemented. At necropsy, fungal granulomas were also present in the kidneys, liver, lung, air sac, ovary, and spleen. This case report describes an atypical presentation of systemic ophidiomycosis in a captive-born snake.
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