2019
DOI: 10.2147/idr.s180912
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<p>Multiresistant <em>Fusarium</em> Pathogens on Plants and Humans: Solutions in (from) the Antifungal Pipeline?</p>

Abstract: The fungal genus Fusarium contains numerous plant pathogens causing considerable economic losses. In addition, Fusarium species are emerging as opportunistic human pathogens causing both superficial and systemic infections. Appropriate treatment of Fusarium infections in a clinical setting of neutropenia is currently not available. ESCMID and ECMM joint guidelines, following the majority of published studies, suggest early therapy with amphotericin B and voriconazole, in conjunction with surgical debridement a… Show more

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Cited by 35 publications
(30 citation statements)
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“…In addition, they recombined species originally described in Fusarium in this teleomorphic genus, thus promoting a de facto dual nomenclature that obscures the fact that Neocosmospora is nested phylogenetically within a monophyletic Fusarium ( 5 , 24 ; Geiser et al, submitted). There are potentially serious consequences associated with this because clinicians need to be aware that these fungi are broadly resistant to the spectrum of antifungals that are currently available ( 25 ). An identification as Neocosmospora would thus fail to connect a case to this crucial knowledge, thereby disregarding the valuable clinical information that distinguishes it from an identification as Fusarium .…”
Section: Perspectivementioning
confidence: 99%
“…In addition, they recombined species originally described in Fusarium in this teleomorphic genus, thus promoting a de facto dual nomenclature that obscures the fact that Neocosmospora is nested phylogenetically within a monophyletic Fusarium ( 5 , 24 ; Geiser et al, submitted). There are potentially serious consequences associated with this because clinicians need to be aware that these fungi are broadly resistant to the spectrum of antifungals that are currently available ( 25 ). An identification as Neocosmospora would thus fail to connect a case to this crucial knowledge, thereby disregarding the valuable clinical information that distinguishes it from an identification as Fusarium .…”
Section: Perspectivementioning
confidence: 99%
“…The taxonomy of the genus Fusarium , initially described by Link in 1809 as presenting banana shape conidia, has been changing in taxonomy over the years and it has become a controversial issue [ 8 ]. Currently, the genus Fusarium has been classified into species complexes, i.e., F. solani species complex (FSSC), F. oxysporum species complex (FOSC), Gibberella (Fusarium) fujikuroi species complex (GFSC), F. incarnatum – F. equiseti species complex (FIESC), F. sambucinum species complex (FSAMSC), F. tricinctum species complex (FTSC), F. chlamydosporum species complex (FCSC), and F. dimerum species complex (FDSC) [ 9 , 10 , 11 ]. In addition, the members of FSDC have been included in the genus Bisifusarium [ 12 ], and recently, it has been proposed that members of the F. solani species complex be moved to the genus Neocosmospora based on the results of phylogenetic analysis [ 13 ].…”
Section: The Fusarium Genusmentioning
confidence: 99%
“…Secondary resistance develops in response to exposure to an antimicrobial agent [ 96 ]. Both of these mechanisms have been reported in these fungi, although the molecular mechanisms of intrinsic resistance have not been described yet [ 11 ]. Secondary resistance to azoles has been demonstrated in A. fumigatus and is usually dependent on an altered expression of CYP51 , the gene encoding sterol 14α-demethylase [ 97 , 98 ].…”
Section: Antifungal Resistance Mechanismsmentioning
confidence: 99%
“…paradoxa causes the black rot postharvest disease in pineapple [ 124 ] and also infects sugarcane [ 125 , 126 ], palm trees, cacao plants, and several other crops [ 127 ]. F. verticillioides is a producer of fumonisin, a carcinogenic mycotoxin [ 128 ], and other species have been described as emergent and opportunistic pathogens in humans [ 129 ]. Fávaro et al [ 125 ] monitored E. nigrum endophytically inoculated in sugarcane plants, and its extract significantly reduced the diameter of Fusarium verticillioides , Colletotrichum falcatum , Ceratocystis paradoxa , and Xanthomonas albilineans colonies at concentrations ranging from 0.1 to 2.0 mg/mL.…”
Section: Discussionmentioning
confidence: 99%