antifungal therapy – Page 8

Single-center retrospective analysis of 454 culture-positive patients with tinea capitis and measurement of pathogens regarding thermal tolerance at 37°C

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Tinea capitis, commonly known as scalp ringworm, is a fungal infection that primarily affects children but can also occur in adults, especially postmenopausal women. This study of 454 patients in Hangzhou, China found that the most common cause is Microsporum canis (a fungus from cats and dogs), representing a shift from previous decades when different fungi were dominant. Researchers tested how well these fungi grow at human body temperature (37°C) versus room temperature, finding that most fungi adapt well to the warmer temperature, particularly Nannizzia gypsea, which grew equally well at both temperatures. Treatment typically involves oral antifungal medications like terbinafine or itraconazole, sometimes combined with topical treatments or steroids for inflammatory cases.

Cutaneous Mucormycosis Following Polytrauma: A Multidisciplinary Approach

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A 22-year-old man suffered severe injuries from a motorcycle-truck collision that damaged his perineal area and left thigh. Despite antibiotics and wound therapy, a dangerous fungal infection called mucormycosis developed in the wound. The medical team treated this by repeatedly removing infected tissue, using powerful antifungal medications (amphotericin B and posaconazole), and carefully managing the wound with special therapy before skin grafting, ultimately achieving successful healing.

Coexistence of Malassezia Species and Microsporum canis in the Lesions of Adult with Tinea Capitis

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A 60-year-old woman developed unusual hair loss and rash on her scalp that looked like dandruff. Tests revealed three types of fungi, including Microsporum canis (usually found in animals) and two types of Malassezia yeast. Treatment with antifungal medications for three months cleared the infection. Laboratory experiments showed that the yeast species may actually help the fungus grow better, which could explain why adults sometimes get scalp fungal infections differently than children.

Large language models and their performance for the diagnosis of histoplasmosis

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Researchers tested whether artificial intelligence chatbots like ChatGPT and Microsoft Copilot could help doctors diagnose histoplasmosis, a serious fungal infection affecting people with HIV/AIDS that is often missed. They presented 20 real patient case descriptions to different AI systems and found that Microsoft Copilot performed best, correctly identifying histoplasmosis in 90% of cases—about as good as laboratory tests. While the AI showed promise as a helpful tool to suggest this neglected disease during diagnosis, doctors would still need to verify findings with actual tests.

Antifungal mechanism of nanosilver biosynthesized with Trichoderma longibrachiatum and its potential to control muskmelon Fusarium wilt

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Researchers created tiny silver particles using a beneficial fungus to fight a serious disease that damages muskmelon plants. At low doses, these silver nanoparticles killed the disease-causing fungus while actually helping the melon plants grow better and germinate faster. The silver particles work by damaging the fungus’s cell structure and triggering harmful reactive oxygen species inside fungal cells, ultimately destroying them.

Cryptococcus neoformans/gattii and Histoplasma capsulatum var. capsulatum infections on tissue sections: Diagnostic pitfalls and relevance of an integrated histomolecular diagnosis

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This research addresses the challenge of identifying two common fungal infections (cryptococcosis and histoplasmosis) when examining tissue samples under a microscope. The study found that these infections often look similar and can be confusing for pathologists. The researchers discovered that looking for specific fungal features, particularly ‘dented-looking’ yeasts, can help differentiate cryptococcosis from histoplasmosis. When standard laboratory tests on fresh tissue aren’t available, using molecular testing (genetic analysis) on preserved tissue samples can successfully identify the fungus in about 75% of cases.

Multi-omics Analysis of Experimentally Evolved Candida auris Isolates Reveals Modulation of Sterols, Sphingolipids, and Oxidative Stress in Acquired Amphotericin B Resistance

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Researchers studied how the fungus Candida auris develops resistance to amphotericin B, an important antifungal drug. By evolving two laboratory strains of this fungus under drug pressure, they discovered two different ways the fungus can become resistant: one through stress management genes, the other through changes in its protective lipids. These findings help explain why some clinical infections with this dangerous fungus are so hard to treat.

Structural and functional characterisation and regulatory mechanisms of SWI/SNF and RSC chromatin remodelling complexes in fungi

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This review examines two important protein complexes in fungal cells that help control which genes are turned on and off. These complexes, called SWI/SNF and RSC, use energy from ATP to move and adjust nucleosomes—the structures that package DNA. The researchers analyzed these complexes across different fungal species and found that while they share similar core components, fungi have evolved unique variations that allow them to survive and cause infections in different ways. Understanding how these complexes work could help scientists develop new antifungal drugs.

Data analysis of patients with positive mould or dimorphic fungal cultures from sterile sites

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This study examined 48 patients with serious mould and fungal infections at a South African hospital between 2014-2017. Most infections occurred in people with weak immune systems, especially those with HIV. The most common fungal type was Aspergillus. Even with appropriate antifungal medicines, one-quarter of patients died, highlighting how serious these infections can be.

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

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ABPA is a serious lung disease that develops when the body overreacts to a common fungus called Aspergillus. New international guidelines help doctors better diagnose and treat this condition, which affects many people with asthma and cystic fibrosis. The guidelines make diagnosis easier by using simpler tests and lowering the thresholds for detecting the disease, and they provide clear treatment plans depending on how severe each patient’s disease is. These updated standards are especially important in countries like India where ABPA is very common.

Research Keyword: antifungal therapy