antifungal susceptibility testing – Page 5

Acute fungal endometritis in women with abnormal uterine bleeding: Clinical and microbiological insights

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Women with persistent abnormal uterine bleeding often undergo extensive testing without finding a cause. This study discovered that fungal infections, caused by Candida species, may be responsible for about 12% of such cases. The researchers found that direct sampling of the uterine lining is essential for diagnosis since surface vaginal cultures miss these infections. Treatment with an antifungal medication called voriconazole combined with surgical cleaning of the uterus proved effective in resolving the condition.

Insights into Persian Gulf Beach Sand Mycobiomes: Promises and Challenges in Fungal Diversity

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Researchers studied fungi found in sand and water at beaches along Iran’s Persian Gulf and Sea of Oman coastlines. They discovered high levels of potentially harmful fungi, particularly Aspergillus terreus, which can cause respiratory infections. The study found that while some antifungal drugs like voriconazole were effective, some fungi showed resistance to common treatments. This information is important for protecting swimmers and beach visitors from fungal health risks.

Evaluation of Antifungal Activity Against Candida albicans Isolates From HIV-Positive Patients with Oral Candidiasis in a Major Referral Hospital, West Java, Indonesia

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This study examined fungal infections of the mouth in HIV-positive patients in Indonesia. Researchers identified different types of Candida fungi and tested how well common antifungal medications worked against them. While most medications were effective, they found some cases of drug resistance, suggesting the importance of proper testing to choose the best treatment for each patient.

Acidic pH Reduces Fluconazole Susceptibility in Cryptococcus neoformans by Altering Iron Uptake and Enhancing Ergosterol Biosynthesis

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This research shows that acidic environments, like those found in inflamed tissues and inside immune cells, make the fungus Cryptococcus neoformans more resistant to the antifungal drug fluconazole. The fungus adapts to acidic conditions by using an alternative iron uptake system that increases the production of protective compounds (ergosterol) in its cell membrane. Understanding this pH-dependent resistance mechanism could help develop better treatment strategies for cryptococcal infections in patients with compromised immune systems.

Sarocladium implicatum: an unusual agent of opportunistic infection in a COVID-19 patient

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A 64-year-old man hospitalized with COVID-19 developed a serious fungal infection from Sarocladium implicatum, an unusual fungus rarely found in humans. The infection appeared in his bloodstream and lungs while his immune system was severely weakened by the virus and medications. Doctors identified the fungus using genetic testing and successfully treated him with voriconazole antifungal medication. This case highlights how COVID-19 patients in intensive care are vulnerable to rare opportunistic infections that require specialized laboratory testing to identify and treat.

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.

Prevalence of fungi and their antifungal and disinfectant resistance in hospital environments: insights into combating nosocomial mycoses

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This study examined how fungal infections spread in hospital settings by testing air and surfaces in Iranian hospital intensive care units. Researchers found that dangerous fungi like Aspergillus and Rhizopus were commonly present, especially in air ducts, and many of these fungi could resist common antifungal medications and disinfectants. The findings suggest that hospital environments serve as sources of infection for vulnerable patients and that better cleaning and air filtration systems are needed to protect hospitalized patients.

China’s innovative national plan to combat fungal diseases and antifungal resistance

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China has launched an ambitious national program to combat fungal diseases through a network of 868 hospitals across the country. Studies found that fungal infections are more common than previously thought, with concerning rates of drug resistance. The country is implementing surveillance systems, training healthcare workers, and carefully managing antifungal drug use to prevent further resistance development while improving patient outcomes.

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.

Treatment and diagnostic challenges associated with the novel and rapidly emerging antifungal-resistant dermatophyte, Trichophyton indotineae

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A new type of fungal infection called Trichophyton indotineae has emerged and spread globally, particularly from India. It causes widespread skin infections that are difficult to treat because the fungus resists common antifungal medications. Doctors and laboratories need to be aware of this infection to properly identify it and choose effective treatments, especially for patients with travel history to affected regions.

Research Keyword: antifungal susceptibility testing