antifungal resistance – Page 14

John Perfect Shares Insights on Infectious Diseases, Antifungal Therapy, and Drug Resistance

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Dr. John Perfect, a leading infectious disease expert, discusses his 48-year career studying fungal infections, particularly cryptococcal meningitis. He reflects on the dramatic transformation of HIV/AIDS from a fatal disease to a manageable chronic condition and emphasizes that antifungal resistance is less concerning than the underlying diseases that complicate treatment. Perfect advocates for developing more potent antifungal drugs that work faster, and discusses promising approaches like molecular diagnostics and immune-based therapies to improve patient outcomes.

Masquerading Yeast: A Case Report of Lomentospora prolificans Fungemia With a Diagnostic Twist

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This case describes a patient with blood cancer who developed a rare and deadly mold infection called Lomentospora prolificans while receiving cancer treatment. The infection was difficult to diagnose initially because the fungal structures looked similar to yeast under the microscope, and a molecular test gave a false positive result for a different fungus. Unfortunately, the infection was resistant to all available antifungal medications and the patient died.

The 2024 International Society for Human and Animal Mycology (ISHAM)-ABPA working group guidelines: Transforming diagnosis and management of ABPA

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Allergic bronchopulmonary aspergillosis (ABPA) is a serious lung condition that develops when people with asthma have an allergic reaction to Aspergillus fungus. New international guidelines now provide better ways to diagnose and treat this condition, making it easier for doctors to identify ABPA early and prescribe the right treatment to prevent serious lung damage like bronchiectasis.

Unveiling the hidden arsenal: exploring secondary metabolites and fungal development in pathogenic fungi

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Dangerous fungi produce hidden chemical compounds that help them infect humans and crops while also potentially serving as medicines. Scientists are studying how these compounds work and how fungi make them to develop better treatments and protect our food supply. This editorial highlights recent research showing that understanding fungal chemistry from genetic, ecological, and medical perspectives will help us fight fungal diseases as resistance increases.

Antifungal effect of soil Bacillus bacteria on pathogenic species of the fungal genera Aspergillus and Trichophyton

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Researchers found that certain bacteria called Bacillus, naturally occurring in soil, can effectively kill dangerous fungi that cause infections in humans. These bacteria produce compounds that are as effective or more effective than standard antifungal medications. This discovery could lead to new treatments for fungal infections, especially as fungi increasingly develop resistance to current drugs.

Appearance of Environment-Linked Azole Resistance in the Aspergillus fumigatus Complex in New Zealand

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Researchers in New Zealand have discovered that a dangerous fungus called Aspergillus fumigatus is developing resistance to commonly used antifungal medications. Unlike previous cases where the resistance came from medical treatment, this new resistance appears to come from environmental exposure, possibly through garden fungicides that people can buy at garden centers. The study found that people, especially lung transplant patients, may be acquiring these resistant fungal strains from their surroundings rather than from hospitals, highlighting the need for better monitoring of agricultural fungicide use.

Endocarditis caused by Scopulariopsis brevicaulis with disseminated emboli and multiple vascular aneurysms: A case report and literature review

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A 61-year-old man with a prosthetic aortic valve developed a rare fungal infection caused by Scopulariopsis brevicaulis, a mold usually associated with nail infections. The infection spread throughout his body, causing multiple strokes and aneurysms that required emergency surgery and treatment with various antifungal medications. This case highlights the serious complications that can occur when this typically harmless fungus invades the heart and demonstrates the challenges doctors face in treating such rare infections, as the fungus was resistant to many common antifungal drugs.

Is metabolic generalism the Breakfast of Champions for pathogenic Candida species?

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This review examines how different Candida species, including the common cause of yeast infections (C. albicans) and the more dangerous bloodstream pathogen (C. glabrata), survive in the human body. While most pathogenic Candida species are metabolic generalists that can eat many different nutrients, the review shows that C. glabrata is a specialist that has found alternative strategies to thrive. Understanding these metabolic strategies is important for developing better treatments and fighting antifungal resistance.

Shared Vision for Improving Outcomes for Serious Fungal Diseases: Report of a Patient, Caregiver, and Clinician Summit

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Patients with serious fungal infections face significant challenges including long delays before diagnosis, substantial emotional and financial burden, and lasting effects on quality of life. A summit brought together patients, their caregivers, and fungal disease experts to share experiences and identify priorities for improving care. The group identified needs for better diagnostic tools, new treatments, improved medical education about fungal diseases, and patient support programs to help future patients and their families navigate fungal infections more effectively.

Spread of Antifungal-Resistant Trichophyton indotineae, United Kingdom, 2017–2024

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A highly resistant fungal infection called Trichophyton indotineae is rapidly spreading throughout the United Kingdom. Originally from southern Asia, this fungus causes difficult-to-treat skin infections, particularly in the groin area, and resists standard antifungal medications in about three-quarters of cases. Since 2023, cases have spread from London to other parts of the UK and Ireland, and experts predict it will soon become the leading cause of ringworm in the country.

Research Keyword: antifungal resistance