“…isolated from patients treated at the Hospital das Clínicas of Ribeirão Preto Medical School, University of São Paulo—FMRP/USP (Ribeirão Preto, SP, Brazil)—from 1975 to 2019; two samples isolated from patients from Foz do Iguaçu, Paraná state ( Table S1 ); and four environmental samples (one soil and three armadillos isolates) collected in Ibiá, Minas Gerais state, were used in this study ( Table S2 ) [ 15 , 16 ]. The reference isolates were Pb18 (collected from the Laboratory of Medical Mycology Research of the Ribeirão Preto Medical School), representative of the species P. brasiliensis sensu stricto (S1b) [ 5 ]; Pbdog-EPM 194, representative of the species P. americana (PS2) [ 17 ]; T2-EPM 54, representative of the species P. restrepiensis (PS3) [ 18 ]; and Pb01, representative of the species P. lutzii [ 4 ] ( Table S3 ). These isolates were maintained by successive subcultures on Sabouraud dextrose agar (Oxoid ® LTD—Thermo Fisher Scientific ® , Basingstoke, Hampshire, UK), plus 0.15 g/L of chloramphenicol sodium succinate (Blau Farmacêutica, Florianópolis, SC, Brazil), and incubated at 25 °C.…”
Paracoccidioides brasiliensis complex and P. lutzii are the etiological agents of paracoccidioidomycosis. The geographic distribution of these species in South America is still poorly comprehended. Fifty samples of Paracoccidioides spp. were genotyped, with 46 clinical isolates predominantly isolated in the geographic area of Ribeirão Preto, SP, and four environmental isolates collected in Ibiá, MG, southeastern Brazil. These isolates were evaluated by PCR-RFLP (Restriction Fragment Length Polymorphism) of the tub1 gene and the sequencing of the gp43 exon 2 loci. The species P. lutzii was confirmed by sequencing the internal transcribed spacer (ITS) region of the ribosomal DNA. P. brasiliensis sensu stricto S1b (n = 42) and S1a (n = 5), P. americana (n = 1), P. restrepiensis (n = 1), and P. lutzii (n = 1) were identified among the clinical isolates. All the environmental isolates were characterized as P. brasiliensis sensu stricto S1b. The patient infection by P. lutzii, P. americana (PS2), and one isolate of P. brasiliensis sensu stricto S1b most likely occurred in a geographic area far from the fungal isolation site. No association was found between the infecting genotype and the disease form. These results expand the knowledge of the Paracoccidioides species distribution and emphasize that human migration must also be considered to pinpoint the genotypes in the endemic area.
“…isolated from patients treated at the Hospital das Clínicas of Ribeirão Preto Medical School, University of São Paulo—FMRP/USP (Ribeirão Preto, SP, Brazil)—from 1975 to 2019; two samples isolated from patients from Foz do Iguaçu, Paraná state ( Table S1 ); and four environmental samples (one soil and three armadillos isolates) collected in Ibiá, Minas Gerais state, were used in this study ( Table S2 ) [ 15 , 16 ]. The reference isolates were Pb18 (collected from the Laboratory of Medical Mycology Research of the Ribeirão Preto Medical School), representative of the species P. brasiliensis sensu stricto (S1b) [ 5 ]; Pbdog-EPM 194, representative of the species P. americana (PS2) [ 17 ]; T2-EPM 54, representative of the species P. restrepiensis (PS3) [ 18 ]; and Pb01, representative of the species P. lutzii [ 4 ] ( Table S3 ). These isolates were maintained by successive subcultures on Sabouraud dextrose agar (Oxoid ® LTD—Thermo Fisher Scientific ® , Basingstoke, Hampshire, UK), plus 0.15 g/L of chloramphenicol sodium succinate (Blau Farmacêutica, Florianópolis, SC, Brazil), and incubated at 25 °C.…”
Paracoccidioides brasiliensis complex and P. lutzii are the etiological agents of paracoccidioidomycosis. The geographic distribution of these species in South America is still poorly comprehended. Fifty samples of Paracoccidioides spp. were genotyped, with 46 clinical isolates predominantly isolated in the geographic area of Ribeirão Preto, SP, and four environmental isolates collected in Ibiá, MG, southeastern Brazil. These isolates were evaluated by PCR-RFLP (Restriction Fragment Length Polymorphism) of the tub1 gene and the sequencing of the gp43 exon 2 loci. The species P. lutzii was confirmed by sequencing the internal transcribed spacer (ITS) region of the ribosomal DNA. P. brasiliensis sensu stricto S1b (n = 42) and S1a (n = 5), P. americana (n = 1), P. restrepiensis (n = 1), and P. lutzii (n = 1) were identified among the clinical isolates. All the environmental isolates were characterized as P. brasiliensis sensu stricto S1b. The patient infection by P. lutzii, P. americana (PS2), and one isolate of P. brasiliensis sensu stricto S1b most likely occurred in a geographic area far from the fungal isolation site. No association was found between the infecting genotype and the disease form. These results expand the knowledge of the Paracoccidioides species distribution and emphasize that human migration must also be considered to pinpoint the genotypes in the endemic area.
“…Isolation of P. brasiliensis directly from its saprobic form has proved to be difficult. However, the fungus has been repeatedly cultured from the armadillo species Dasypus novemcinctus and Cabassous centralis in endemic PCM areas [12], [13] and, in unique cases, from dogs and two-toed sloths [14], [15]. Additional evidence of the infection of several wild and domestic animals has also been provided by intradermal, serological, histopathological, and molecular tests, revealing a broad distribution and adaptation to mammalian hosts [16].…”
Section: Ecology Of P Brasiliensis and P Lutziimentioning
“…The
study described the second case of canine PCM, again in a Dobermann breed dog and once
more showing the prevalence of lymph node involvement, with vast histologic, mycological
and molecular evidences. 3 Treatment
with Itraconazole provided cure in 24 months. 3 Molecular methods were equally primordial for the detection of
P.brasiliensis in the soil samples collected inside and around
armadillos' burrows, demonstrating definitely that infecting samples exist in the soil
of areas that are the habitat of these fungi.…”
Section: Epidemiologymentioning
confidence: 99%
“…3 Treatment
with Itraconazole provided cure in 24 months. 3 Molecular methods were equally primordial for the detection of
P.brasiliensis in the soil samples collected inside and around
armadillos' burrows, demonstrating definitely that infecting samples exist in the soil
of areas that are the habitat of these fungi. 4 The most revolutionary contribution, however, was the molecular
identification of cryptic species, hidden inside genus
Paracoccidioides.…”
Paracoccidioidomycosis is an acute - to chronic systemic mycosis caused by fungi of
the genus Paracoccidioides. Due to its frequent tegument clinical expression,
paracoccidioidomycosis is an important disease for dermatologists, who must be
up-to-date about it. This article focuses on recent epidemiological data and
discusses the new insights coming from molecular studies, as well as those related to
clinical, diagnostic and therapeutic aspects. In the latter section, we give
particular attention to the guideline on paracoccidioidomycosis organized by
specialists in this subject.
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