Research Topic: histopathology

Epidemiology of Onychomycosis in the United States Characterized Using Molecular Methods, 2015–2024

This large study examined over 710,000 nail samples to identify which fungi cause nail infections in the United States. Using modern molecular testing combined with microscopic analysis, researchers found that while the fungus T. rubrum is most common, other molds and yeasts cause many infections too. Importantly, women and older adults are more likely to have infections from these other organisms, which are often harder to treat with standard antifungal medications.

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Stonebrood Disease—Histomorphological Changes in Honey Bee Larvae (Apis mellifera) Experimentally Infected with Aspergillus flavus

Stonebrood is a rare fungal disease of honey bees caused by Aspergillus flavus that can kill bee larvae very quickly. Researchers experimentally infected bee larvae with the fungus and tracked how the disease progressed, finding that larvae died within 48 hours of infection. The study revealed that the fungus likely kills bees by producing toxins rather than by physical damage, and poses a health risk to beekeepers who inhale the fungal spores.

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

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.

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Photo Quiz: Asteroid bodies in a skin biopsy of a farmer

A farmer developed nodular skin lesions two weeks after a wrist injury during farming activities, which turned out to be sporotrichosis, a fungal infection caused by Sporothrix globosa. Skin biopsy revealed characteristic structures called asteroid bodies that helped suggest the diagnosis. The infection was confirmed through fungal culture and DNA testing, and was successfully treated with potassium iodide over six months.

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Localized Versus Diffuse Corneal Invasion in Fungal Keratitis: Histological Insights from Candida albicans and Fusarium falciforme

This study compared how two different fungi invade the cornea (clear part of the eye) by examining tissue samples from patients who had severe eye infections. Candida stayed in one small area while Fusarium spread throughout the entire cornea tissue. The findings suggest that different fungi behave very differently when infecting the eye, which could help doctors choose better treatments. Understanding these differences may explain why Fusarium infections are much harder to treat with medications alone.

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Photo Quiz: Asteroid bodies in a skin biopsy of a farmer

A farmer developed a chain of red nodules on his arm after a wrist injury, which was diagnosed as sporotrichosis, a fungal infection caused by Sporothrix globosa. The diagnosis was confirmed through tissue biopsy, which showed distinctive asteroid bodies – yeast cells surrounded by radiating material that represents the body’s immune response. The infection was successfully treated with oral potassium iodide over 6 months, resulting in complete healing.

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Localized Versus Diffuse Corneal Invasion in Fungal Keratitis: Histological Insights from Candida albicans and Fusarium falciforme

This study compared how two types of fungi invade the cornea of the eye. Candida albicans, a yeast, stayed localized to where it entered the eye and was easier to control surgically. In contrast, Fusarium falciforme, a mold, spread aggressively throughout the entire cornea and was much harder to treat. Understanding these different invasion patterns helps explain why some fungal eye infections are more difficult to manage than others.

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Chalkbrood Disease Caused by Ascosphaera apis in Honey Bees (Apis mellifera)—Morphological and Histological Changes in Infected Larvae

Chalkbrood is a serious fungal disease that kills honeybee larvae, caused by the fungus Ascosphaera apis. This study examined exactly how the infection progresses by infecting larvae in controlled laboratory conditions and observing them over time under a microscope. The researchers found that once infected, larvae die very quickly within 3-7 days as the fungus spreads throughout their bodies, and the fungus continues to grow even after the larvae are dead, eventually forming visible spores on the dead larvae that spread the disease to other bees in the colony.

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Editorial: Dermatopathology and Associated Laboratory Investigations in the Study of Skin Disease

This special journal issue brings together several studies on how doctors diagnose skin diseases using laboratory tests. The papers cover different methods including examining fungal infections under a microscope, using new staining techniques, and applying molecular tests to identify skin cancers and autoimmune conditions. Together, these studies show how combining pathology examination with laboratory techniques is essential for accurately diagnosing and treating various skin disorders.

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Stonebrood Disease—Histomorphological Changes in Honey Bee Larvae (Apis mellifera) Experimentally Infected with Aspergillus flavus

Researchers studied how a rare fungal disease called stonebrood affects honey bee larvae by infecting them with the fungus Aspergillus flavus. They found that the fungus establishes in the bee’s gut within 24 hours and kills the larvae within two days, likely through production of toxic compounds. The study reveals three stages of infection progression and highlights why beekeepers need protection when handling infected colonies.

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