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Abstract

This book is a comprehensive overview of the fungi that are clinically relevant for animals and humans. It is divided in three major parts: the first part comprises the history of veterinary and medical mycology, general aspects of morphology, growth, nutrition, reproduction and classification of fungi. In the second part, the etiologic agents of cutaneous, subcutaneous and systemic mycoses are described in detail with special emphasis on emerging and uncommon pathogenic fungi. Each chapter consists of a brief history and the morphology, classification, reproduction, susceptibility to disinfectants, natural habitat, distribution, genome, isolation, growth and colony characteristics, antigenic characteristics, virulence factors. The major diseases and their routes of transmission, pathogenesis, immunity, diagnosis and treatment are also covered. The third part focuses on laboratory diagnosis including clinical sample collection, their processing for fungal isolation, special stains for microscopic visualization, culture media composition and a relevant glossary. Each chapter includes color photographs, schematic diagrams and tables for better understanding. For details: http://www.springer.com/life+sciences/microbiology/book/978-81-322-2279-8
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Chapters (6)

The term ‘mycology’ was coined by H.S. Berkley (1834) as a study of fungi. Medical or veterinary mycology is the study of medically or veterinary important fungi and fungal diseases in human and animals, respectively. The term ‘mycosis’ (mykes = mushroom) is used to describe the infection of human, animal, birds and plants which is caused by numerous pathogenic fungi. The ‘mycotoxicosis’ describes the diseased condition produced by the ingestion of mycotoxins (intoxication) present in the feed. When the fungi produce the pathogenesis due to in vivo toxin production after entry within the host, it is known as ‘mycetism’.
The fungi are eukaryotic, heterogeneous, unicellular to filamentous, spore bearing, and chemoorganotrophic organisms which lack chlorophyll. The fungi have three major morphological forms, i.e. unicellular yeast, filamentous mould (mold) and yeast-like form (pseudohyphae form). The dimorphic fungi (Blastomyces dermatitidis, Coccidioides immitis, Histoplasma, Sporothrix schenckii) are able to produce both the forms (yeast and mould) depending on the temperature (thermal dimorphism). The yeast form is produced within the body of the host (in vitro at 37 °C) and the mould form is observed either in the environment or in artificial culture medium (at room temperature). The pseudohyphae form is chains of elongated ellipsoidal cells with constriction between them and it is produced by Candida albicans.
The classification of fungi relies mostly on morphological criteria such as the pigmentation, shape of hyphae, presence or absence of septa and types of spores. The taxonomy of mould and yeasts is governed by International Code of Botanical Nomenclature (ICBN). Any new proposal for classification of fungi is published in official journal of International Association for Plant Taxonomy (Taxon) and is discussed in annual meeting before acceptance. The classification of clinically relevant fungi is described in Table 3.1.
The first description of dermatophytosis was recorded by Celsus, a Roman encyclopaedist who described a suppurative infection of scalp (‘porrigo’ or ‘kerion of Celsus’) in De Re Medicina (30 A.D.). Throughout the middle ages, several descriptions of dermatophytosis were produced where it is described as ‘tinea’. The keratin-destroying moths which made circular holes in the woollen garments are known as Tinea. Due to similarity in the structure of circular lesion of dermatophytosis on the smooth skin with the circular hole made by moth, Cassius Felix introduced the term ‘tinea’ to describe the lesions. In 1806, Alibert used the term ‘favus’ to describe the honey-like exudate in some scalp infections. However, the fungal aetiology of tinea was first detected by Robert Remak, a Polish physician who first observed the presence of hyphae in the crusts of favus. This detection is also a landmark in medical history because this is the first description of a microbe causing a human disease. He himself did not publish his work, but he permitted the reference of his observations in a dissertation by Xavier Hube in 1837. Remak gave all the credits of his discovery to his mentor Schoenlein who first published the fungal etiological report of favus in 1839. He observed the infectious nature of the favus by autoinoculation into his own hands and also successfully isolated the fungus later (1945) and named Achorion schoenleinii (Trichophyton schoenleinii) in honour of his mentor. In 1844, Gruby described the etiologic agent of tinea endothrix, later became known as Trichophyton tonsurans. The genus Trichophyton was created and described by Malmsten (1845) with its representative species T. tonsurans. Charles Robin identified T. mentagrophytes in 1847 and T. equinum was identified by Matruchot and Dassonville in 1898. Raymond Jacques Adrien Sabouraud (France) first compiled the description of Trichophyton in his book (Les Teignes) in 1910 which was based on his observation in artificial culture. The sexual state of dermatophyte was described by Nannizzi (1927). Emmons (1934) first reported the classification of dermatophytes based on vegetative structures and conidia. Gentles (1958) established the successful treatment of tinea capitis with griseofulvin.
The collection of proper clinical specimens with sterile instruments and their timely shipment with appropriate arrangements into the laboratory is a crucial matter for isolation and identification of fungi. The correct type of specimen with sufficient quantity is required for proper identification. Table 5.1 describes the types of clinical specimens that can be collected from different body systems and types of fungal infection that can be identified from those specimens. The collection methods of clinical materials and their despatch are mentioned below.
The conventional and modern diagnostic techniques which are used for identification of fungi are discussed below.
... Arthrospores are widely spread by dust particles, even in room without entering pet animal (Frymus et al. 2013). This type of skin disease is an occupational infection of Veterinarians, abattoir and tannery workers, farmers, and pet owners particularly the teenagers who care the infected cat and dog (Samanta 2015). Animal is commonly an asymptomatic carrier of dermatophytes because of the pathogen adaptation to the immune system of the host subsequently; zoophilic species cause severe inflammatory reactions. ...
... The vertical transmission of infection is much more common than the horizontal spread. T. schoenleinii can survive in homes for numerous generations without appropriate cleaning (Samanta 2015). It has been shown that shared wet surfaces (patios, balconies, showers, bathtubs) and shared tools may contribute to the transmission of dermatophytes among family member, as dermatophytes groups can persist on a variety of surfaces for up to 18 months (Jazdarehee et al. 2022). ...
... Branching, septate hyphae can be visualized best in the stratum corneum with a special stain such as periodic acid-Schiff (PAS) with diastase predigestion, Grocott methenamine silver and calcofluor white (CFW) stains (Jartarkar et al. 2022), Although, they may also be seen in Hematoxylin and Eosin stained preparations. The diagnostic sensitivity can be increased with biopsy which is not always possible to conduct especially in human patients suffering with diabetes (Samanta 2015). ...
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