M. Refai.

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Presentation transcript:

M. Refai

Dematiaceous Fungi The term "dematiaceous" refers to the characteristic dark appearance of this group of fungi as it grows on agar. Colonies are dark gray, brown, or black and, importantly, have a black reverse when the bottom of the agar plate is examined. Hyphae are dark yellow or brown when unstained or poorly stained This distinguishes the dematiaceous fungi from fungi with black conidia but an otherwise pale mycelium, such as A. niger.

A. flavus A. fumigatus A. niger

Dematiaceous Fungi with Muriform Macroconidia Alternaria Stemphylium Ulocladium Epicoccum Note muriform septation in the macroconidia indicated by the arrow Conidia form chains or occur singly and are divided by transverse and longitudinal septations; conidia usually have a club-shaped configuration

Dematiaceous Fungi with Transversely Septated Macroconidia Curvularia Drechslera characteristic boomerang shaped macroconidia.

Dematiaceous Fungi with Microconidia Cladosporium Phialophora verrucosa Fonsecaea pedrosoi Wangiella dermatitidis

Dematiaceous Fungi that Defy the Above Grouping Phaeoannellomyces werneckii Chaetomium species Note the 2 celled yeast forms. Perithecia with radially extending irregular brown filamentous setae

Alternaria tenuis Nees, 1817 Alternaria chartarum, Alternaria dianthicola, Alternaria geophilia, Alternaria infectoria, Alternaria stemphyloides, and Alternaria teunissima

Alternaria species • Colonial Morphology: Grows rapidly as downy to wooly, pale grey to brown on the surface and brown to black on reverse                                                       

Stemphylium botryosum Wallroth, 1833 The genus Stemphylium contains several species, the most common one is Stemphylium sarcinaeforme

Ulocladium botrytis Preuss, 1851 The genus Ulocladium comprises 9 species

Curvularia species

Drechslera species                                                       

                                                       Bipolaris species

Pithomyces chartarum

Cladosporium Trejos, 1954 The genus comprises over 30 sp. Cladosporium elatum, Cladosporium herbarum, Cladosporium sphaerospermum, and Cladosporium cladosporioides. Many species have been classified in different other genera such as Exophiala, Fonseceae etc.

Phialophora verrucosa Thaxter, 1915 The Phialophora species commonly involved P. verrucosa, P. hoffmanni, P. parasitica, P. repens and P. richardsiae.

Phialophora parasitica • Colonial Morphology: Moderately slow growing, matures in 7 days. Initially cream colored and velvety, becoming olive grey to black with age. Reverse black.

Phialophora richardsiae Conant, 1937

Cladophialora carioni

Cladophialophora bantiana (Xylohypha bantiana) Lactophenol Aniline Blue • Magnification: x250 Magnification: x400

Rhinocladiella atrovirens                                                        Rhinocladiella atrovirens

comprises species classified previously in the genera. Phialophora, comprises species classified previously in the genera Phialophora, Hormodendrum Cladosporium F. compacta F. pedrosoi Fonsecaea. Powell, 1952

Fonsecaea pedrosoi                                                       

Fonsecaea compacta

• Specimen: leg mass • Black yeast Exophiala jeanselmei Exophiala castellanii, Exophiala moniliae, Exophila pisciphila, Exophiala salmonis, Exophiala spinifera.                                                        • Specimen: leg mass • Black yeast

• Specimen: Bronchial Washing Exophiala spinifera • Specimen: Bronchial Washing •

Wangiella dermatitidis • Specimen: Bronchial Washing •                                                       

Hortae (Phaeoannellomyces) Phaeoannellomyces werneckii (Cladosprium werneckii)                                                        .

                                            Phaeococcomyces

Aureobasidium pullulans

Petriella setifera • Colonial Morphology: White, dark grey, brownish, becoming granular due to perithecium production                                                        • Stain: Lactophenol Aniline Blue x400 • Structure: Conidiophores arising from undifferentiated hyphae, producing single celled hyaline, ovoid conidia on the slimy heads.

Calcofluor White • Magnification: x400 Dactylaria gallopova                                                       

                                                                              Chaetomium SP black perithecium

                                                                                              Phoma Sp.

Stachybotrys-atra

Chromoblastomycosis The ethiologic agents belong to the Fonsecaea, Phialophora, Rhinocladiella and Cladosporium genera [4, 5]. The causal agents are normally found as saprophytes in the soil, wood and vegetation [3]. They are more frequent in the tropics but have a worldwide distribution [7]. The vast majority of cases are attributed to Fonsecaea pedrosoi

Chromomycosis characterized by the formation of warty cutaneous nodules that develop very slowly, ultimately forming prominent papillomatous vegetations which may or may not ulcerate. Usually the lesions are confined to the feet and legs but may occur on the hands, face, ear, neck, chest or shoulders. The most common causes are Fonsecaea pedrosoi, F. compactum and Phialophora verrucosa.

Hand chromoblastomycosis

The dermis contains multiple black nodules with necrotic foci

Mycetoma Madura foot Maduromycosis

is a chronic infection characterized by the development of tumifactions and sinuses. The infection most often occurs in the feet but may appear on the hands or buttocks. The organism occasionally invades the body producing lesions in the brain, the meninges and other internal organs, including the bones. The disease occurs most frequently in tropical and subtropical zones.

The numerous fungi that have been isolated from cases of maduromycosis belong to several genera. The dematiaceous fungi causing this disease fall in the genera Madurella, Phialophora , Curvularia , Pyrenochaeta and Leptosphaeria. These fungi produce black granules in the lesions. Other non-dematiaceous fungi that produce white to yellow granules include Cephalosporium, Petriellidium etc

Mycetoma

Excision of fistule-forming inflammatory nodule at the ankle of a Japanese man demarcated suppurative granuloma containing black grains

3. Phaeohyphomycosis: This term refers to infections, other than chromomycosis and maduromycosis, characterized by the presence of darkly pigmented, septate hyphae in tissues. Both cutaneous and systemic The clinical forms vary from solitary encapsulated cysts in the subcutaneous tissue to brain abscesses. The phaeomycotic cyst usually develops on the extremities and may enlarge to several centimeters

The most common causes of phaeohyphomycotic diseases are: a. Phaeomycotic cyst: Exophiala jeanselmei, Wangiella dermatitidis, E. spinifera, Phialophora hoffmannii, P. parasitica, P. repens, P. richardsiae, Bipolaris spicifera. b. Subcutaneous phaeohyphomycosis: B. spicifera, Alternaria alternata, P. richardsiae, E. jeanselmei, Hermonema dermatitidis. c. Systemic phaeohyphomycosis: A. alternata, B. spicifera, Aureobasidium pullulans, Dactylaria constricta. d. Brain abscesses: Cladophialophora bantiana, Curvularia lunata.

Brain Biopsy • Stain: Gram Stain                                                        Brain Biopsy • Stain: Gram Stain Structure: Long hyphae appearing pseudohyphae, observe septum. No indication of pigmentation.

Other diseases and problems caused by dematiacious fungi Allergy Mycotoxicosis Ocular infections in cats and a dog Color change and biodeterioration of antique marbles, walls, ceiling etc. Food spoilage - Black spots in frozen meat - Vegetable and fruit rot

Stachybotryotoxicosis Stachybotryotoxicosis is a disease in animals caused by satratoxins produced by Stachybotrys alternans. The disease is manifested by 4 forms: a dermal form, generalized form, nervous form and abortion. In man it causes conjunctivitis, cough, rhinitis and skin inflammation.

Myrotheciotoxicosis Myrotheciotoxicosis is a disease of sheep, sometimes also cattle It is caused by the toxins verrucarin A and roridin A, produced by Myrothecium species. The disease is characterized by tympany and high mortality

Pithomycotoxicosis Pithomycotoxicosis is a disease of sheep and cattle associated with the consumption of plant stubs contaminated with sporidesmin produced by Pithomyces chartarum. It is characterized by diarrhoea and reduction of milk yield, photosensitization of the skin resulting in inflammation, oedema and serous exudation.