ABSTRACT Disseminated sporotrichosis is a serious fungal infection caused by the soil inhabitant Sporothrix schenckii. It is seen in immunocompromised patients, with a substantial number of recent cases involving patients with acquired immunodeficiency syndrome (AIDS). However, individuals with other conditions that affect the immune system also are at increased risk. We report a case of fatal disseminated sporotrichosis in a patient with liver disease and a diagnosis of a granulomatous condition presumed to be sarcoidosis; the patient was receiving systemic corticosteroid therapy. The various presentations of S schenckii infection, the risk of disseminated disease in immunocompromised hosts, and the importance of making accurate histologic diagnoses are reviewed.
- SourceAvailable from: André Luis Souza dos Santos[Show abstract] [Hide abstract]
ABSTRACT: Fungi can cause life-threatening diseases, particularly in patients with weakened immunological systems. Although treatment options are available for these individuals, dose-limiting toxicity and the appearance of drug-resistant microorganisms are growing problems. Detailed structural and functional characterization of fungal proteases has led to novel insights into the workings of these fascinating catalytic machines. Identification and characterization of proteasemediated processes in human pathogenic fungi is progressing at a rapid rate. In these microorganisms, aspartic-type proteases carry out “housekeeping tasks common to many eukaryotes as well as functions highly specific to the fungal life cycles. Consequently, the possibility of developing selective inhibitors of key aspartic proteases of pathogenic fungi into novel chemotherapeutic strategies is being vigorously explored. The present review describes the knowledge in the area of aspartic proteases produced by human fungal pathogens. As well, the effects of aspartic proteolytic inhibitors on multiple vital processes of fungal cells, with special emphasis on their roles to arrest fungal development and virulence, will be presented and discussed.Current Enzyme Inhibition 06/2011; 7(2):96-118.
Article: Disseminated sporotrichosis.Journal of Hospital Medicine 03/2010; 5(3):E29-30. · 1.40 Impact Factor
Article: Subcutaneous fungal infections.[Show abstract] [Hide abstract]
ABSTRACT: Subcutaneous mycoses are common in tropical and subtropical regions of the world. These infections have multiple features in common, including similar epidemiology, mode of transmission, indolent chronic presentation with low potential for dissemination in immunocompetent hosts, and pyogranulomatous lesions on histopathology. Herein, we provide up-to-date epidemiologic, clinical, diagnostic, and therapeutic data for three important subcutaneous mycoses: chromoblastomycosis, mycetoma, and sporotrichosis.Current Infectious Disease Reports 07/2012; 14(5):530-9.