Research Keyword: molecular diagnostics

Clinical aspects and recent advances in fungal diseases impacting human health

Fungal infections are becoming a major health threat, affecting over a billion people worldwide. The main problems are difficulty diagnosing these infections, increasing resistance to current medications, and limited treatment options. Doctors and the public need better awareness, and new antifungal drugs with different approaches are needed to effectively treat resistant infections.

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

China has created a comprehensive national system to fight fungal infections and drug resistance. The system monitors fungal diseases across hundreds of hospitals throughout the country to track which infections are most common and which antifungal medicines are becoming less effective. Early findings show that many hospitals lack proper facilities for testing fungal infections, and some fungi are developing resistance to commonly used antifungal drugs, particularly fluconazole.

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Complete mitochondrial genome of the fungal pathogen Fusarium oxysporum f. sp. palmarum responsible for fusarium wilt of palms

Scientists have decoded the complete genetic instruction manual for a fungus that causes a deadly disease in palm trees. The fungus, Fusarium oxysporum f. sp. palmarum, kills palm trees by causing one-sided leaf death that spreads upward through the canopy. By sequencing the fungus’s mitochondrial genome—the energy-producing part of its cells—researchers have created a tool that can help quickly and accurately identify this pathogen in infected plants. This discovery will help nurseries and gardeners detect and prevent the spread of this destructive disease.

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

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.

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High-Resolution Melting assays development for discrimination of fungal pathogens causing Grapevine Trunk Diseases

Grapevine Trunk Diseases cause major losses in vineyards worldwide but are difficult to diagnose early because symptoms may not appear for years. This study developed fast and affordable DNA-based tests called HRM assays that can identify ten different disease-causing fungi in grapevines. These tests work by analyzing DNA melting patterns and can even detect infections before symptoms appear, helping vineyard managers make better decisions about plant treatment and removal.

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The first described case of Fomitiporella micropora infection in humans: A heart transplant recipient diagnosed by fungal PCR

A patient who received a heart transplant developed a small, slowly-growing lump on his shin over many years. After surgical removal, genetic testing revealed it was caused by a rare fungus never before identified in humans. The surgical removal likely cured the infection, and the case shows how important advanced genetic testing methods are for identifying unusual infections in transplant patients.

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Assessing Diagnostic Capabilities and Treatment Accessibility for Invasive Fungal Infections in the Balkan Region

Researchers surveyed medical centers across 12 Balkan countries to understand how well-equipped they are to diagnose and treat serious fungal infections. They found that while most centers have basic laboratory tools like microscopes and cultures, advanced molecular tests for identifying fungal species are less common. Antifungal medications like triazoles are widely available, but other important treatment options are harder to find in the region.

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A prospective, multicenter study of invasive fungal disease caused by molds in children and adults in Chile

Researchers in Chile studied serious mold infections in 176 hospitalized patients (adults and children) over two years. They found that aspergillosis (a lung infection caused by Aspergillus mold) was the most common, especially in patients whose immune systems were compromised by cancer, transplants, or medications. Interestingly, nearly 40% of cases also involved COVID-19 infection. Although almost all patients received antifungal medications, survival rates were concerning, with about one-third of patients still alive after six months.

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Case Report: Liquid-based cytology diagnosis of pulmonary mucormycosis

A 41-year-old man with diabetes developed a serious lung infection caused by mucormycosis, a rare and dangerous fungus. Doctors diagnosed the infection using liquid-based cytology, a technique that examines fluid from the lungs under a microscope, which proved more effective than traditional methods. Treatment with antifungal medications helped stabilize the patient’s condition, and he remained healthy during an eight-month follow-up. This case highlights how advanced diagnostic techniques can help doctors quickly identify and treat severe fungal infections.

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First human case of Eidernor doerrieniae colonization in a peritoneal dialysis catheter: A warning from silent contamination

A 52-year-old man on peritoneal dialysis noticed brownish particles in his dialysis catheter. Doctors identified the particles as a rare fungus called Eidernor doerrieniae, which had never been found in humans before. Although the patient had no symptoms, doctors immediately removed the catheter and treated him with antifungal medications, which successfully cured the infection. This case shows why patients and doctors should take visible particles in dialysis catheters seriously, even when there are no obvious signs of infection.

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