Fusariosis in an immunocompromised patient: therapeutic success with voriconazole

Fusarium infection is known to be potentially severe in immunocompromised patients, especially those with hematologic malignancies. Mortality rates are high and there are few therapeutic options, due to the severe underlying condition of this group of patients and the relative resistance Of Fusarium to conventional antifungal therapy. Voriconazole has been shown to be an effective antifungal agent for neutropenic patients with fusariosis that are refractory or unresponsive to amphotericin B, We report the successful treatment of disseminated Fusarium infection in an immunocompromised host.

Disseminated Amphotericin-Resistant Fusariosis in Acute Leukemia Patients: Report of Two Cases

Disseminated fusariosis has emerged as a significant, usually fatal infection in immunocompromised hosts despite antifungal treatment. We describe here two patients with acute leukemia who developed disseminated amphotericin-resistant fusariosis, and review of six studies of cases series in the literature. Two Fusarium solani strains were isolated from blood and skin cultures of one patient, and one strain from the blood culture of the second patient. Both patients died despite antifungal treatment. Strains were identified by sequencing of ITS1 and ITS4 regions. Random amplified polymorphic DNA analysis of the three F. solani isolates showed a low degree of similarity. Screening for Fusarium spp. contaminants within our facility was negative. Using the CLSI M-38-A2 broth dilution method and E tests®, we found that the MICs were low for voriconazole (0. 12 and 0. 5 mg/L, respectively), unexpectedly high for amphotericin B (≥8 and ≥32 μg/mL, respectively) and itraconazole (≥16 mg/ml). Patients with leukemia or persistent neutropenia should be assessed for disseminated fungal infections, including biopsy and skin cultures. Antifungal susceptibility tests are important due to the possibility of the strains being amphotericin resistant. Treatments must be aggressive, with high doses of antifungals or combined therapy. © 2012 Springer Science+Business Media Dordrecht.

Control de la Fusariosis vascular en clavel en el suroeste de España mediante la biodesinfección del suelo.

El presente trabajo presenta una evaluación de las alternativas no químicas al 1,3 dicloropropeno + cloropicrina (AGROC) usado para el control de la fusariosis vascular en clavel en campos experimentales del suroeste de España. Esta enfermedad ha sido un factor limitante en todas las regiones del mediterráneo para poder mantener el cultivo durante 2 años. Tiempo éste necesario para obtener un rendimiento económico aceptable. La desinfección del suelo está basada en el compostado de la materia orgánica, que combinada o no con la solarización, es agrupada bajo la denominación de biodesinfección. Los tratamientos evaluados fueron: compost de alperujo con o sin solarización (31días), compost de residuos post-cosecha de clavel y crisantemo con y sin solarización, compost de residuos post-cosecha de clavel y crisantemo + gallinaza con y sin solarización. La gravedad de la enfermedad y la producción de flores se evaluaron semanalmente durante los 2 años que duró el experimento. Los resultados mostraron que la biodesinfección del suelo utilizando compost de clavel y crisantemo + gallinaza + solarización confiere una aceptable protección contra la fusariosis vascular durante los 2 años que dura el cultivo. La producción fue significativamente mayor que en cualquier otro de los tratamientos. Los resultados además sugieren que la adición de la gallinaza y el uso del polietileno estándar de alta densidad (HDPE) de forma conjunta fueron el factor clave en el éxito de la desinfección. No hubo efecto de la solarización sola, posiblemente debido a la época en la cual se aplicó

Relationship between occurrence of Panama disease in banana trees of cv. Nanicao and nutrients in soil and leaves

Relationship between occurrence of Panama disease in banana trees of cv. Nanicao and nutrients in soil and leaves The objective of the present work was to verify if the incited symptoms in banana trees cv. Nanicao, belonging to the subgroup Cavendish, in Vale do Ribeira, are related to levels of nutrients in soil and leaves. Sixteen areas in Vale do Ribeira were selected, one half with symptomatic plants and the other with healthy plants. In those areas the third leaf of five plants and the soil near those plants were collected, at depths from 0 to 20 cm and from 20 to 40 cm. At both depths of the sampled soil, levels of Ca, Mg, PO(4)(-3), S and cationic exchange capacity (CEC) were significantly different among the areas, and the low values of these elements were present in the areas containing symptomatic plants. At both depths, Mg, Al and H in relation to CEC were significantly different among the areas, and the low values of Mg and high of Al and H were present in the areas with symptomatic plants. The N, K and S in the leaves were significantly different among the areas. These elements showed low values in the areas containing symptomatic plants. Despite the fact that some amounts of macronutrients of the soil and of the leaves are present only in the areas containing plants of Nanicao with symptoms similar to fusariosis, proof of a possible occurrence of race of the pathogen should be looked for in Vale do Ribeira.

Diagnostic des onychomycose a moisissures et importance pour le traitement [Diagnosis of non dermatophyte onychomycosis ant its relevance for treatment].

PCR methods are reliable and suitable to in situ identify dermatophytes, yeasts and non dermatophyte moulds (NDM) in onychomycosis. Onychomycosis insensitive to standard treatment with topical agents as well as with oral terbinafine or itraconazole revealed Fusarium spp., Acremonium spp. and Aspergillus spp. as infectious agents. However, NDM onychomycosis could be efficiently cured using topical amphotericin B. In conclusion, correct fungal species identification is important in onychomycoses in order to prescribe adequate treatments since dermatophytes and moulds have different sensitivities to antifungal drugs.

Histopathological features of infections caused by Fusarium oxysporum and F. solani in purple passionfruit plants (Passiflora edulis Sims)

The purple passionfruit plant, Passifloraedulis Sims, ranks second in fruit exportation in Colombia, and its main destination is the European market. However, its production is affected by several diseases, including fusariosis. This paper presents the histopathological features of different tissues affected by the pathogens Fusarium oxysporum and Fusarium solani. Both microorganisms produce similar responses on the plant: colonization of xylem vessels by hyphae and microconidia, hypertrophy and hyperplasia of the cambium, xylem and phloem; destruction of xylem fibers and amyloplasts in parenchymatous cells; and production of gels by the plant. However, there are differences in the colonization mechanism, F. solani penetrates and is concentrated especially at the collar zone, while F. oxysporum penetrates the roots and moves through the vascular system to colonize the plant.

Relações entre ocorrência do Mal-de-Panama em bananeira da cv. Nanicão e nutrientes no solo e nas folhas

O presente trabalho teve como objetivo verificar se os sintomas incitados na bananeira cv. Nanicão, do subgrupo Cavendish, na região do Vale do Ribeira, estão relacionados com níveis de nutrientes no solo e nas folhas. Foram separadas 16 áreas na região, sendo a metade com plantas sintomáticas e a outra com plantas sadias. Nessas áreas, coletou-se a terceira folha de cinco plantas e o solo junto a essas mesmas plantas, nas profundidades de 0 a 20 cm e de 20 a 40 cm. em ambas as profundidades do solo amostrado, níveis de Ca, Mg, PO(-3)4, S e da capacidade de trocas catiônicas (CTC) foram significativamente diferentes entre as áreas, sendo que os valores baixos destes elementos estavam presentes nas áreas contendo plantas sintomáticas. em ambas as profundidades, o Mg, o Al e o H em relação à CTC foram significativamente diferentes entre as áreas, sendo que o valor baixo de Mg e alto de Al e H estava presente nas áreas com plantas sintomáticas. O N, K e S nas folhas foram significativamente diferentes entre as áreas. Estes elementos apresentaram valores baixos nas áreas contendo plantas sintomáticas. Apesar de algumas quantidades de macronutrientes do solo e das folhas estarem presentes somente nas áreas contendo plantas de Nanicão com sintomas semelhantes aos de fusariose, deve-se buscar comprovação de uma possível ocorrência da raça 4 do patógeno no Vale do Ribeira.

Avanços na fruticultura tropical no Brasil

Os principais aspectos que marcaram a evolução técnica das culturas do abacaxizeiro, mamoeiro e maracujazeiro no Brasil foram discutidos. em abacaxizeiro, tem-se constatado uma inovação no sistema de comercialização da cv. Smooth Cayenne, que consiste no uso de caixas de papelão ondulado para o mercado interno, cujo objetivo é propiciar uma garantia de sabor inserida em uma marca. O recente lançamento de cultivares resistentes à fusariose, pela Empresa Brasileira de Pesquisa Agropecuária (EMBRAPA) (Imperial e Vitória) e IAC (Fantástico), traz novas perspectivas de produtividade. em maracujazeiro, a maior contribuição aos pomares foi dada pelo melhoramento genético, inicialmente voltado apenas para ampliação da produtividade da cultura. No início dos anos 2000, o lançamento das primeiras cultivares de maracujá - mais produtivas e com qualidade de fruta diferenciada para os dois segmentos de mercado (frutas frescas e agroindústria), transformou o cenário produtivo brasileiro. Com a criação de um sistema organizado de produção e comercialização de sementes e mudas selecionadas, ampliou-se significativamente a qualidade dos pomares. Atualmente, a disponibilidade de novas cultivares tolerantes à virose (VEFM) e cultivares regionais passou a representar um diferencial para a cultura. em mamoeiro, destaca-se a ocorrência do Mosaico do Mamoeiro (Monte Alto-SP, 1967), que determinou a migração da cultura pelo Estado e sua expulsão para outros estados, até sua fixação na Bahia e no Espírito Santo, os maiores produtores nacionais. Comparam-se as técnicas utilizadas nos diferentes períodos de produção, antes e depois do surgimento do mosaico, que permitiram ao Brasil lançar-se no mercado externo, tornando-se o maior exportador mundial de mamão, com lavouras produtivas e frutos de ótima qualidade. Nesta evolução, soma-se a contribuição do melhoramento genético, que disponibilizou sementes de alta qualidade, com reflexos nas práticas culturais e de propagação. São apresentadas de colheita e de pós-colheita diferenciadas que resultaram em melhorias no padrão de qualidade das frutas exportadas para o mercado europeu e norte-americano.

Resposta do abacaxizeiro 'Vitória' a doses de nitrogênio em solos de tabuleiros costeiros da Paraíba

Informations about fertilization and mineral nutrition of the new fusariosis-resistant pineapple cultivars are still scarce, despite the importance of this crop. The purpose of this study was to evaluate the effect of increasing doses of N on fruit yield and quality of the pineapple cultivar 'Vitoria' grown on a 'Humiluvico Espodossolo' in the region of Tabuleiros Costeiros, in the state of Paraiba. The experiment was arranged in a randomized block design, using five N doses (100, 200, 300, 500 and 600 kg ha(-1)N, as urea) applied 60, 180 and 270 days after planting (dap) with three replications. The following variables were evaluated: length and fresh matter of the 'D' leaf; contents of N, P and K in the portions with and without chlorophyll, 300 and 420 dap; average weight, yield, physical properties (fruit weight, length and medium diameter; crown weight and length) and chemical properties (pH, soluble solids -SS, titrable acidity - AT, and the SS/AT ratio) of the fruits at harvest. Increasing N doses linearly increased length and fresh matter of the 'D' leaf and N content and decrease both P and K contents of the chlorophyll portion 300 dap, but did not affect nutrient contents 420 dap; in the chlorophyll-free portion. Increasing N doses, also, led to an increase in K contents 320 dap, but to reductions 420 dap. Individual fruit weight and total yield increased with increasing N doses, as maximum values of 1.0 kg and 37.9 t ha(-1) were estimated at doses of 409.0 and 439.0 kg ha(-1) N, respectively. The N doses did not affect the fruit quality properties, which were compatible with the characteristics described for this cultivar.

Filamentous fungi vectored by ants (Hymenoptera: Formicidae) in a public hospital in north-eastern Brazil

Background: The increase in opportunistic fungal infections has led to the search for putative sources of contamination in hospital environments. Aim: Ants in a public hospital in Itabuna, north-eastern Brazil were examined for carriage of filamentous fungi. Methods: During a year-long survey, ants from different hospital areas were sampled. Preference was given to locations where it was possible to observe ants actively foraging. The fungi found on the ants' integument were cultured and identified. Findings: A total of 106 ant workers belonging to 12 species in 11 genera were collected. A total of 47 fungal strains was isolated from 40% of the ants (. N = 42). We found 16 fungal species in 13 genera associated with the ant workers. The prevalent fungal genera were . Aspergillus, . Purpureocillium and . Fusarium. The ants . Tapinoma melanocephalum, . Paratrechina longicornis and . Pheidole megacephala were associated with six fungal genera; and four genera of fungi were associated with . Solenopsis saevissima workers. Fungal diversity was higher in the following hospital areas: nursery, hospital beds, breastmilk bank and paediatrics. Conclusion: Ants act as carriers of soil and airborne fungal species, and ant control in hospital areas is necessary to prevent the dissemination of such micro-organisms. © 2012 The Healthcare Infection Society.

Influência dos metabólitos secundários de Piper divaricatum da região amazônica no controle do Fusarium solani f. sp. piperis causador da fusariose em pimenta do reino

A cultura de pimenta do reino (Piper nigrum L.) é uma das principais atividades agrícolas no estado do Pará e sofre sérios danos ocasionados pela fusariose, doença restrita ao Brasil. O presente trabalho avaliou a atividade antifúngica in vitro de óleos essenciais de espécies de Piper ricos em fenilpropanóides frente a Fusarium solani f. sp. piperis, agente causal da fusariose. A inibição do crescimento micelial pelo método de difusão em Agar na concentração de 5 mg.Ml^-1 foi considerada: baixa para P. aduncum (20,3%) e P. krukoffii (31,4%); moderada para P. callosum (55,7%) e P. marginatum (70,3%) e alta para P. divaricatum (93,3%). Os componentes majoritários identificados por CG-EM foram: dilapiol (92,0%), safrol (78,0%), metileugenol (75,2%) e eugenol (7,9%), apiol (80,0%), Z-isoosmorizol (44,0%) e E-anetol (22,0%), respectivamente. O óleo de P. divaricatum e seus compostos majoritários apresentaram valores CIM de 0,75 mg.mL^-1. A avaliação dos efeitos combinados do eugenol e metileugenol apontou o eugenol como principal responsável pela atividade.

Comportamiento de patrones de tomate frente a la patogenicidad de Fusarium oxysporum f. sp. radicis-lycopersici

La fusariosis del cuello y de las raíces del tomate ("mancha chocolate"), causada por el hongo F. o. f. sp. radicis-lycopersici, es una micosis cada vez más extendida en los cultivos de tomate de las provincias de Almería y Granada. Su gravedad es alta, llegando a alcanzar al 78% de las plantas en algún invernadero con cultivo sobre fibra de coco. Ante esta situación, se estimó necesario evaluar la resistencia de patrones utilizados para injertar variedades de tomate. Así, 16 patrones fueron valorados frente a una cepa muy patógena del hongo. Los patrones fueron:CLXTPG01, AR9704, AR97015, AR97009, Morgan, Spirit, Herman, Armstrong, Arnold, Big Power, Emperador, 61-071, Montezuma, Beaufort, Multifort, Maxifort, Tovi Star y Alegro. Dos ensayos sobre plantas en estado de 6-8 hojas verdaderas bien formadas, mostraron que todos los patrones expresaron una resistencia completa, exceptuando los denominados CLXTPG01 y AR97015. Entendemos que esta información es necesaria debidio a la escasa disponibilidad.